This is an understandably worrying question, and it deserves an honest answer. Studies do show that RA can shorten life expectancy by an average of 10 years compared to the general population. However, earlier diagnoses and newer treatments have been improving these numbers over time — so the outlook is getting better.
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This is an understandably worrying question, and it deserves an honest answer. Studies do show that RA can shorten life expectancy by an average of 10 years compared to the general population. However, earlier diagnoses and newer treatments have been improving these numbers over time — so the outlook is getting better.
Several factors are linked to a reduced life expectancy with RA:
- Being young when RA develops
- Having a long disease duration
- Having underlying health problems (comorbidities)
- Having severe RA with significant joint damage or organ involvement
- Having seropositive RA (certain proteins present in the bloodstream)
- Smoking The good news is there are real steps that can help improve both quality of life and life span:
- Stay physically active — exercise helps with pain, stiffness, and reduces risks to the heart and lungs
- Quit smoking — this is one of the most impactful changes someone with RA can make
- Maintain a healthy weight — through diet and exercise
- Monitor blood pressure and cholesterol — regularly, with your doctor's guidance
- Stick to your treatment plan — DMARDs and biologics can slow disease progression significantly
Working closely with a rheumatologist and keeping on top of any new or worsening symptoms is key to managing long-term health with RA.
October 19
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