Purpose:
Arthritis and heart disease (HD) are common co-occurring conditions which may have implications for preventive efforts. Among people with heart disease (HD), we examined the association between HD risk factors and the presence of arthritis.
Methods:
The study sample comprised adults aged ≥18 years with HD (n=5,493) in the 2007 and 2008 National Health Interview Survey, a nationally representative survey of civilian, non-institionalized persons in the United States. We estimated the association between cardiovascular/heart disease risk factors among people with HD by arthritis status using multivariable adjusted odds ratios (OR) and 95% confidence intervals (CI); odds ratios were adjusted for age, sex, education and race/ethnicity. HD risk factors were analyzed individually and categorized: 1) biological risk factors (hypertension, high cholesterol and diabetes), 2) behavioral risk factors (current smoking, obesity, physical inactivity) and 3) multiple risk factors (≥2 of biological and behavioral combined).
Results:
People with HD and arthritis were more than twice as likely to have ≥ 1 biological risk factor (OR=2.5; 95% CI=2.1-2.8) than those with HD alone. Hypertension was the most common biological risk factor for both groups and respondents with both conditions were two times as likely to report hypertension (OR=2.2; 95% CI=2.0-2.6) than HD alone. The OR for the association between arthritis status and the presence of ≥1 behavioral risk factor was OR=1.3 (95%CI = 1.1- 1.5). The most common behavioral risk factor was physical inactivity, which was 40% higher among people with both HD and arthritis compared with those with HD alone (OR=1.4; 95% CI=1.2-1.6). Last, people with HD and arthritis were twice as likely to report ≥2 risk factors than those with HD only (OR=2.1; 95% CI=1.8 - 2.4).
Conclusion:
Multiple HD risk factors, especially biological, are common among people with HD and arthritis. Biological risk factors such as hypertension are modifiable and can be prevented and managed through interventions such as physical activity. We found that people with both HD and arthritis were more likely to be physically inactive suggesting that the pain and physical limitations associated with arthritis may be a barrier to physical activity.