1. The Arthritides Alexandra Hayes

2. An arthritide is when a person has a type of Arthritis. Arthritis occurs when there is inflammation of one or more joints in the body. There are over 100 different known rheumatic diseases

3. Types Childhood Arthritis Fibromyalgia General Gout Osteoarthritis Rheumatoid Arthritis Systemic lupus erythematosus (SLE or lupus) Traumatic arthritis

4. Types

5. Symptoms Pain aching, stiffness swelling in or around the joints. Some forms of arthritis, such as rheumatoid arthritis and lupus, can affect multiple organs and cause widespread symptoms.

6. Diagnosis If symptoms persist for more than 2 weeks a doctors appointment should be made. The doctor should do an exam that includes medical history, lab test and x-rays

7. Prevalence A new study from CDC reports that 50 million U.S. adults have arthritis Overall Osteoarthritis affects an estimated 26.9 million US adults Rheumatoid Arthritis affects an estimated 1.5 million US adults Juvenile arthritis affects 294,000 children, Systemic lupus erythematosus affects from 161,000 to 322,000 adults

8. Prevalence

9. Virginia

10. Age Although arthritis is more common among adults aged 65 years or older, people of all ages (including children) can be affected. Nearly two-thirds of people with arthritis are younger than age 65 years

11. Race Non-Hispanic White 23.8% Non-Hispanic Black 19.4% Hispanic 11.1% American Indian/Alaska Native 25.2% Asian/Pacific Islander 8.4% Multiracial/Other 20.7%

12. Gender The prevalence of arthritis is higher in women than in men

13. Incidence For juvenile arthritis :4,800–11,000 new cases in the United States in 2003 Hand Osteoarthritis : 100 per 100000 Hip Osteoarthritis : 88 per 100000 Knee Osteoarthritis : 240 per 100000 For Rheumatoid Arthritis: 41 per 100,000 people a year

14. Disability Annually over 21 million Americans indicate that their arthritis has limited their physical activity and mobility Which is why arthritis is considered the leading cause of disability in the United States.

15. Disability

18. Activity Limitation Due to Arthritis, Adults Ages 18 and Older Virginia, 2003-2005

19. Mortality Patients with chronic arthritis have a greater risk of mortality because they are more prone to infection, renal disease, and respiratory conditions The female mortality rate for women with Rheumatoid Arthritis is 2.4 deaths per 100000 people per year Male mortality rate for men with Rheumatoid Arthritis for men was 2.5 deaths per 100000

20. http://arthritis- research.com/content/11/3/229/figure/F3 http://arthritis- research.com/content/11/3/229/figure/F3

21. Risk Factors Age Gender Genetic Overweight and Obesity Joint Injuries Infection Occupation

22. Costs In 2005, the total expenditures among U.S. adults with arthritis was $353 billion.

23. Costs

24. Prevention/Treatment Behavioral/Lifestyle Changes - Diet/Weight Control - Physical Activity Injury Prevention - Take precautions to avoid repetitive joint use and resulting joint injury - Use injury prevention strategies like warm ups to avoid joint injuries and damage to ligaments and cartilage

25. Prevention/Treatment Use hot and cold compresses on joints for short-term pain relief Topical Pain Relievers Anti-inflammatory Painkillers (NSAIDs) Steroids Hyaluronan Injections Disease-Modifying Antirheumatic Drugs (DMARDs)

26. Intervention Programs Chronic Disease Self-Management Program (CDSMP) Active Living Every Day (ALED) Arthritis Foundation Aquatic Program(AFAP) Chronic Disease Self-Management Program (CDSMP) Arthritis Foundation Exercise Program(AFEP) Arthritis Self-Management Program (ASMP)

27. Funds

28. Research A Systems Approach to Improving Arthritis Clinical Care Algorithm to Identify Clinically Significant Arthritis with Functional Limitation Arthritis Benefits Of A Physical Activity Program In West Virginia Arthritis Disability—Multiplicity and Accommodations Arthritis Self-Management Education — Dose– Response Comparisons of the Outcomes of the Arthritis Self-Help Course (ASHC) and the Chronic Disease Self- Management Program (CDSMP) among People with Arthritis. (University of Illinois)

29. Current Research Evaluation of First Step to Active Health Choosing Arthritis-appropriate Physical Activity Johnston County Osteoarthritis Project Lupus Registries