Arthritis Is Tied to Heart Disease Risk

Jul 18, 2019 · 30 comments
Carol D (Long Island)
I disagree with the conclusion that activity is the main driver. I think inflammation, which contributes to arthritis and heart disease, is the culprit. People who have a life style which lends itself to chronic inflammation would logically have one or more diseases with similar causal effects. (Primarily dietary, leading to microbiome disruption, hormone disruption, Type 2 diabetes, etc. )
MsMora (Portland OR)
Homeopathic remedies for osteoarthritis have been very beneficial in treating OA in my hand and knees. It's a treatment that is often overlooked or unknown by many. Homeopathy has helped solve other issues over the years, including ridding my foot of persistent plantar warts. Highly recommend.
Bett (Kamuela, HI)
Eat fresh turmeric. Every day. Has worked in India for centuries. You'll still die, possibly of heart disease, but you will keep down your inflammation and may game the system by a few years of hopefully joyful living. I am one of those who can't eat it raw without stomach upset. I mince and saute it into my omelets and vegetarian dishes. Maybe that's lucky, after all, since most of my friends who eat it put it in smoothies--with lots of fruit juices (see Jane Brody's column today--counterproductive).
Amy J. Robinson (Indiana)
@Bett thanks for the tip, I suspect I have the start of arthritis, have been taking turmeric capsules intermittently but have seen fresh in one of our groceries, will pick some up the next time I'm there!
Andrea (Montevideo)
Both share a common cause: SAD, high in sugars, carbohydrates, heavily processed foods. Too much of a coincidence to be a mere coincidence?
Alex (Naperville IL)
@Andrea, what are your qualifications to announce the causes of osteoarthritis? I have eaten a health-conscious diet my entire adult life. The reasons for my osteoarthritis are not a SAD diet. I would certainly encourage those with OA to eat a whole-food unprocessed diet and keep thier weight down also to relive stress on the joints. But your statement is not accurate.
Martha (Portland)
So the issue is not really that osteoarthritis itself puts one at higher risk for heart disease, but that when people who have knee and hip osteoarthritis become inactive because of their injuries their risk of heart disease increases. I think it's important to clarify that this is not a causal relationship. The title is misleading.
Barbara (Indiana)
@Marth Reading the article did make that clear. And having progressive OA let's one know that....
Ann Deupree (Durham. NC)
I’ve had regular acupuncture treatments with Chinese herbs for years & can swim, do water aerobics, & walk regularly. I do occasionally take a couple tylenol.
Alicia Sterling Beach (Los Angeles)
I suffer from arthritis as a result of a childhood accident which has left me with a longer femur. After breaking the longer leg at age 30, and unaware of my condition--as my my parents had both died--I later began experiencing severe arthritis in my hip. So much so, that I could not walk, could not get healthcare after my previous health insurance charged me excessively for my broken leg, and ended up homeless as a result. I've only been able to rehabilitate myself through exercise, Yoga, Feldenkrais, cycling to jobs, even when in great pain, and choosing low-paying jobs which keep me standing or moving. And now I'm so generally fit that I don't qualify for disability. But it remains a struggle to gain any 'footing,' and I'm lucky to not have incurred a heart attack for the stress of it. What I've noticed in my attempts to receive assistance from social services in a myriad of ways, is that our so-called safety net is very dysfunctional, and that the medical establishment rewards medicating pain away, rather than longterm solutions like exercise and healthy living. Now, as a cyclist, I believe the automobile is probably one of the most damaging lifestyle choices, in that it requires sitting for long periods of time. Thanks for reading.
Clare Feeley (New York)
If you have osteoarthritis, “you have to learn how to move,” Dr. Englund added, “and to keep moving without injury. Exercise is really important in treating this illness. There is no quick fix. We have no wonder drug.” I absolutely agree. Working with an orthopedic surgeon and physical therapists, I am (at age 80) leading an active daily life even with mild arthritis. As a Silver Sneakers instructor comments during her sessions: "Everything is modifiable." No, I cannot walk 4 miles anymore but I am approaching 2 miles at a time. I had to give up tap dancing but I can enjoy ballroom dancing. For me the secret is twofold: maintaining a healthy weight and doing joint-strengthening exercises every day. Knee replacement surgery ten weeks ago has eliminated the extreme pain of loss of cartilage but it really does not eliminate arthritis. The more I move, the better I feel using a minimum of pain medications.
Anne C (Colorado)
Mixing Frankincense carteri essential oil with a good unscented lotion and rubbing it on the knees helps the pain and inflammation for me and my brother is now using it also.. use therapeutic grade.
Borat Smith (Columbia MD)
Anybody who claims he knows the cause of heart attacks or heart disease is fooling himself or is spreading prevailing propaganda. Cholesterol, HDL or LDL, has no bearing on the incidence of hardening of the arteries or myocardial infarction. Most recently, the Cleveland Clinic has placed inflammation of the arteries as the most likely markers. Specifically, 1) Myeloperoxidase, a white blood cell-derived inflammatory enzyme that shows disease activity from the luminal aspect of the arterial wall, and 2) C-Reactive Protein, which which is indicative of elevated inflammation of the arteries. Given that inflammatory compounds create heart disease, it is not a huge leap that these patients will have inflamed joints, resulting in arthritis and other autoimmune illnesses.
Dirk (Albany, NY)
@Borat Smith Absolutely correct. Latest thinking is that osteoarthritis is not just degenerative but has a significant inflammation component. After several years of cortisone shots in my knees every 3-4 months, I am pain free now for 14 months due to anti-inflammatory properties of a nutraceutical I started taking which increases NAD within the mitochondria.
Karen (NJ)
@Dirk what nutraceutical do you use?
Kara Ben Nemsi (On the Orient Express)
A major factor are increased IL-6 levels in chronic inflammatory conditions. Reducing IL-6 with simultaneous cholesterol lowering with a statin eliminates that risk.
Penik (Rural West)
@Kara Ben Nemsi Another way to lower chronic inflammation is to reduce one's weight to a normal level, since obesity is linked to inflammation. Normal weight also reduces mechanical load to hips and knees. Normal weight also reduces risk of cardiovascular illness. I've had great luck recently getting down to a BMI of 23, using Dr Valter Longo's 'The Longevity Diet'. (Basically a 5-day diet of about 750 calories/day, mostly vegetarian.) Repeat every 2-6 months, depending on your condition. Maintain between times with a Mediterranean/pescatarian regime. Wasn't hard to do or painful in any way. Working like a charm so far. (Not recommended for age > 70 or pregnant, btw).
Tracie (Boston, MA)
@Penik What’s the name of the NAD supplement?
Amy J. Robinson (Indiana)
@Penik I've been tempted to try his Prolon program, is that what you used?
Kati Rader (Los Altos, CA)
There is hope on the horizon. Here is an article from Stanford University: http://med.stanford.edu/news/all-news/2019/05/mast-cells-crucial-to-causing-osteoarthritis.html
Penik (Rural West)
@Kati Rader Interesting article, linking mast cells to cartilage degradation. Looks like they see methods of inhibiting mast-cell-caused degradation through new meds would only be useful for prevention of osteoarthritis, not repair. (Ouch.) In the meantime, if you hope to slow progression, googling "mast cell stabilizers" brings up a world of info. Apparently lots of foods also stabilize mast cells, including nettles and quercetin. Seems like there may be a link between allergies and osteoarthritis, too?
Steve In NYC (New York, NY)
@Kati Rader Thanks for posting the link. I was just about to comment that OA is not an inflammatory arthritis in the way that rheumatoid or psoriatic arthritis are, but it has long been known that OA is related to much more than wear and tear, and that there is a strong genetic component. I should hope that the authors of this study compensated for medication use, as NSAIDS such as ibuprofen (Advil) and naproxen (Aleve) are clearly associated with cardiovascular risk. I do think that inactivity is one of the common risk factors here, but agree with others that inflammation underlies both processes.
Jenn (San Diego)
Inflammation is likely the root cause of both, and having any inflammation whether from arthritis or another disease likely increases the risk of heart disease.
Cecelia (Pennsylvania)
What about after joint replacement?
cheryl (yorktown)
Inactivity is a curse. This suggests that those who reduce their exercise because of severe arthritis pain might be better off in seeking knee or hip replacements earlier, while they are still limber - if that's an option. Alternately, they really need to have exercise routines that they can do, which maintain muscles and cardiovascular fitness. It's probably worth a consult with a physical therapist for ideas. ( PTs save lives!)
Jacquie (Iowa)
Perhaps all the Big Pharma drugs for osteoarthritis such as Celebrex, Cymbalta and many others are causing the heart problems.
lks (Denver, CO)
The wonder drugs for osteoarthritis are NSAID's, non-steroidal anti-inflammatory drugs: aspirin, ibuprofen, naproxen are the most common treatments. They reduce the inflammation, damage, pain which allow people to do low impact activities. There are many activities that are comfortable for people with osteoarthritis after they've taken a dose of NSAID: swimming, bicycling (stationary or moving), yoga, Pilates, range of motion, stretching, light weight lifting, balance challenge are all recommended.
Lisa R (Indianapolis)
Long-term NSAID use is ill advised. It will increase risk of renal failure, gastrointestinal bleeding, MI, and CVA. Users with heart failure and HTN will experience worse adverse effects with drug interactions. This is not intended for long-term, regular use. If a sedentary person begins moving slowly s/he will experience less joint pain, without NSAIDs.
Leora Lawton (Berkeley)
Chronic use of nsaids is also associated with an increased likelihood of dementia. That said, living with daily pain is a difficult walk in the park.
Joan Silverman (Hamden, CT)
@lksApparently my osteoarthritis is different from yours. iI would in no way be able to do the exercises you mention. This might be due to the fact that I'm not allowed to take NSAID's and have to rely on tylenol. I'm glad for you that you are able to take the NSAID"s successfully.