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Related Experiment Videos

Prevention research and rheumatic disease.

Jaya K Rao1, Jennifer M Hootman

  • 1Health Care and Aging Studies Branch, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA. jrao@cdc.gov

Current Opinion in Rheumatology
|February 11, 2004
PubMed
Summary

Preventing arthritis involves various strategies, with tertiary prevention showing strong evidence for those with existing rheumatic conditions. Primary prevention research is ongoing but faces challenges due to long disease timelines.

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Area of Science:

  • Rheumatology
  • Preventive Medicine
  • Epidemiology

Background:

  • Arthritis prevention strategies are classified into primary, secondary, and tertiary types.
  • These strategies can be implemented in clinical, community, or population settings.
  • Understanding these classifications provides context for reviewing arthritis prevention research.

Purpose of the Study:

  • To define primary, secondary, and tertiary prevention.
  • To provide general and arthritis-specific examples of prevention strategies.
  • To review recent longitudinal cohort and intervention studies on arthritis prevention, focusing on cognitive/behavioral strategies, obesity, exercise, and occupational injury.

Main Methods:

  • Literature review of recently published longitudinal cohort and intervention studies.

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  • Focus on studies related to cognitive and behavioral strategies, obesity, exercise, and occupational injury prevention.
  • Analysis of research addressing primary, secondary, and tertiary arthritis prevention.

    • Main Results:

    • Limited studies on primary prevention; one educational intervention improved Lyme disease knowledge and behaviors.
    • A mailed educational program successfully increased physical activity, applicable to primary or tertiary arthritis prevention.
    • Tertiary prevention research is extensive, showing benefits of exercise and cognitive-behavioral interventions for various rheumatic conditions.
    • Longitudinal studies enhance understanding of computer use and carpal tunnel syndrome, birth weight and hand osteoarthritis, and balance/functional decline in older adults with knee pain.

    Conclusions:

    • Arthritis prevention and complication management are active research areas.
    • Primary prevention research is challenging due to the long latency of disease expression.
    • Substantial scientific evidence supports the efficacy of tertiary prevention strategies for individuals with diagnosed rheumatic diseases.