Seasonal and Weather Effects on Rheumatoid Arthritis: Myth or Reality?

Introduction. Many of our rheumatic patients report that weather and seasons affect their symptoms. Objective. The purpose of this study was to examine the effect of meteorological parameters within seasons on rheumatoid arthritis (RA) symptoms. Methods. A retrospective longitudinal study from July...

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Main Authors: Hamida Azzouzi, Linda Ichchou
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Pain Research and Management
Online Access:http://dx.doi.org/10.1155/2020/5763080
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author Hamida Azzouzi
Linda Ichchou
author_facet Hamida Azzouzi
Linda Ichchou
author_sort Hamida Azzouzi
collection DOAJ
description Introduction. Many of our rheumatic patients report that weather and seasons affect their symptoms. Objective. The purpose of this study was to examine the effect of meteorological parameters within seasons on rheumatoid arthritis (RA) symptoms. Methods. A retrospective longitudinal study from July 2017 to August 2018 was conducted. Data from three consultations for three seasons were collected and included a tender and swollen joint count, a disease activity score for 28 joints (DAS28), and patient’s pain assessment from their computerized medical record. The weather conditions (minimum and maximum temperature, precipitation, humidity, atmospheric pressure, and wind speed) registered during the same day of consultation for each patient were obtained. Then, the statistical correlation between each meteorological parameter and RA parameters was determined using the multiple linear regression analysis. Results. The data of 117 patients with a mean age of 50.45 ± 12.17 years were analyzed. The mean DAS28 at baseline was 2.44 ± 0.95. The winter in Oujda is cold (average temperature between 10°C and15°C) compared to summer (24.5°C–32.7°C). The spring is wetter with a 71% average humidity. Overall, the tender joint count was significantly correlated with hygrometry (p=0.027) in winter. A similar result was obtained in summer with precipitation (p=0.003). The pain intensity in the summer was negatively correlated with minimum temperatures and atmospheric pressure. However, there was no correlation between meteorological parameters and disease objective parameters for all seasons. Multiple linear regression analysis showed that weather parameters appeared to explain the variability in four RA predictors in the summer. No significant associations were observed in the spring. Conclusion. Our study supported the physicians’ assumption regarding the effect of climate on pain in RA patients.
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spelling doaj-art-9d267486c44043cd88a33f68362b69a12025-02-03T06:06:28ZengWileyPain Research and Management1203-67651918-15232020-01-01202010.1155/2020/57630805763080Seasonal and Weather Effects on Rheumatoid Arthritis: Myth or Reality?Hamida Azzouzi0Linda Ichchou1Rheumatology Department, Mohammed VI University Hospital, Faculty de Medicine, Mohammed I University, Oriental, Oujda, MoroccoRheumatology Department, Mohammed VI University Hospital, Faculty de Medicine, Mohammed I University, Oriental, Oujda, MoroccoIntroduction. Many of our rheumatic patients report that weather and seasons affect their symptoms. Objective. The purpose of this study was to examine the effect of meteorological parameters within seasons on rheumatoid arthritis (RA) symptoms. Methods. A retrospective longitudinal study from July 2017 to August 2018 was conducted. Data from three consultations for three seasons were collected and included a tender and swollen joint count, a disease activity score for 28 joints (DAS28), and patient’s pain assessment from their computerized medical record. The weather conditions (minimum and maximum temperature, precipitation, humidity, atmospheric pressure, and wind speed) registered during the same day of consultation for each patient were obtained. Then, the statistical correlation between each meteorological parameter and RA parameters was determined using the multiple linear regression analysis. Results. The data of 117 patients with a mean age of 50.45 ± 12.17 years were analyzed. The mean DAS28 at baseline was 2.44 ± 0.95. The winter in Oujda is cold (average temperature between 10°C and15°C) compared to summer (24.5°C–32.7°C). The spring is wetter with a 71% average humidity. Overall, the tender joint count was significantly correlated with hygrometry (p=0.027) in winter. A similar result was obtained in summer with precipitation (p=0.003). The pain intensity in the summer was negatively correlated with minimum temperatures and atmospheric pressure. However, there was no correlation between meteorological parameters and disease objective parameters for all seasons. Multiple linear regression analysis showed that weather parameters appeared to explain the variability in four RA predictors in the summer. No significant associations were observed in the spring. Conclusion. Our study supported the physicians’ assumption regarding the effect of climate on pain in RA patients.http://dx.doi.org/10.1155/2020/5763080
spellingShingle Hamida Azzouzi
Linda Ichchou
Seasonal and Weather Effects on Rheumatoid Arthritis: Myth or Reality?
Pain Research and Management
title Seasonal and Weather Effects on Rheumatoid Arthritis: Myth or Reality?
title_full Seasonal and Weather Effects on Rheumatoid Arthritis: Myth or Reality?
title_fullStr Seasonal and Weather Effects on Rheumatoid Arthritis: Myth or Reality?
title_full_unstemmed Seasonal and Weather Effects on Rheumatoid Arthritis: Myth or Reality?
title_short Seasonal and Weather Effects on Rheumatoid Arthritis: Myth or Reality?
title_sort seasonal and weather effects on rheumatoid arthritis myth or reality
url http://dx.doi.org/10.1155/2020/5763080
work_keys_str_mv AT hamidaazzouzi seasonalandweathereffectsonrheumatoidarthritismythorreality
AT lindaichchou seasonalandweathereffectsonrheumatoidarthritismythorreality