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Abstract Number: 203

Meat Consumption and Risk of Rheumatoid Arthritis in Women: A Population-Based Cohort Study

Daniela Di Giuseppe1, Lotta Ljung2 and Bjorn Sundstrom2, 1Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden, 2Department of Public Health and Clinical Medicine/Rheumatology,, Umeå University, Umeå, Sweden

Meeting: 2018 ACR/ARHP Annual Meeting

Keywords: Rheumatoid arthritis (RA)

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Session Information

Date: Sunday, October 21, 2018

Title: Epidemiology and Public Health Poster I: Rheumatoid Arthritis

Session Type: ACR Poster Session A

Session Time: 9:00AM-11:00AM

Background/Purpose: Mixed results have been reported for the association between meat consumption and the risk of developing rheumatoid arthritis (RA). The aim of this study was to evaluate the association between red meat, particularly processed meat, and the risk of RA using data from a population-based cohort of women.

Methods: We prospectively followed 35,600 women aged 48-83 years from the Swedish Mammography Cohort (SMC), between 2003 and 2014. Meat consumption was assessed with a 96-item self-administered questionnaire in 1997. A corresponding questionnaire data from 1987 was available, enabling identification of long-term meat consumption. The relative risk (RR) of RA associated with meat consumption and its 95% confidence interval (CI) were estimated using Cox proportional hazard regression models. Multivariable models were adjusted for age, body mass index, educational level, physical activity, use of dietary supplements, energy intake, and smoking.

Results: During the 12 years of follow-up (381 456 person years), 368 new cases of rheumatoid arthritis were identified. Meat consumption was not associated with the development of RA in age-adjusted (RR=0.96 (95% CI: 0.69-1.32)) or multivariable adjusted (RR=1.08 (95%CI: 0.77-1.53)) models (Table 1). No association was observed either for consumption of type-specific meat, such as red meat (RR=1.08 (95% CI: 0.77-1.50)), processed meat (RR=0.84 (95% CI: 0.59-1.22)), or poultry (RR=0.88 (95% CI: 0.60-1.31)). , Women with a consistent long-term consumption of meat of >7 servings/week over a period of 10 years had no increased risk of RA, HR 1.19 (95% CI: 0.78-1.80), compared to women with a consistent consumption of <=4 servings/week.

Conclusion: In this large population-based cohort study, meat consumption, in total, by sub-types, or over time, was not associated with the risk of RA development in women.

Table 1. Relative risk of rheumatoid arthritis during follow-up (2003-14) of women in the Swedish Mammography Cohort by meat consumption in 1997.

N of cases

N of person years

RR Adjusted for age

RR Multivariable adjusted*

Meat, overall

<=4 servings/week

62

64 230

Ref

Ref

4-7 servings/week

97

113 706

0.84 (0.61-1.15)

0.88 (0.64-1.22)

7-10 servings/week

112

104 390

1.04 (0.76-1.42)

1.13 (0.81-1.56)

>10 servings/week

97

99 131

0.96 (0.69-1.32)

1.08 (0.77-1.53)

Read meat

<=4 servings/week

83

87 288

Ref

Ref

4-7 servings/week

120

125 334

0.96 (0.73-1.27)

1.01 (0.76-1.35)

7-10 servings/week

89

89 256

1.00 (0.74-1.35)

1.08 (0.79-1.47)

>10 servings/week

76

79 579

0.97 (0.71-1.32)

1.08 (0.77-1.50)

Processed meat

<=1 servings/week

54

52 945

Ref

Ref

1-3 servings/week

110

121 488

0.84 (0.60-1.16)

0.86 (0.62-1.20)

3-6 servings/week

131

120 021

1.01 (0.73-1.39)

1.06 (0.76-1.46)

>6 servings/week

73

88 003

0.78 (0.55-1.11)

0.84 (0.59-1.22)

Poultry

0 servings/week

47

52 122

Ref

Ref

<=1 serving/week

253

252 887

0.97 (0.71-1.33)

1.01 (0.73-1.40)

>1 serving/week

68

77 448

0.82 (0.56-1.19)

0.88 (0.60-1.31)

*Adjusted for age, alcohol intake, smoking, energy intake, dairy products and fish consumption


Disclosure: D. Di Giuseppe, None; L. Ljung, None; B. Sundstrom, None.

To cite this abstract in AMA style:

Di Giuseppe D, Ljung L, Sundstrom B. Meat Consumption and Risk of Rheumatoid Arthritis in Women: A Population-Based Cohort Study [abstract]. Arthritis Rheumatol. 2018; 70 (suppl 9). https://acrabstracts.org/abstract/meat-consumption-and-risk-of-rheumatoid-arthritis-in-women-a-population-based-cohort-study/. Accessed .
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