JOURNAL
Current Issue
Journal Archive
.............................................................
January 2021 -
Volume 19, Issue 1


View this issue in pdf format

........................................................
From the Editor

Editorial
A. Abyad (Chief Editor)
........................................................

 

Original contribution

Perception of Saudi Older Adults about Themselves and their Health in Makkah Region
Mohammed Abdulrahman Basheikh, Faisal I. Abosoudah, Mohammed Abdulatif Basheikh, Abdulraheem Adnan Almokhtar, Fahad A. Alzahrani, Mohammed A. Bashanfar
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93943

Depression, anxiety, stress and its determinant factors, among adult population in Jeddah, Saudi Arabia
Fathi M. El-Gamal, Hussain M. Nadhrah, Abdulrahman A. Abdulghani, Mohammed Alasmari, Khaled S. Alomari, Abdulrahman M. Abdulghani, Abdullah Alghamdi
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93944

Awareness of the Effects of Combining Smoking and Oral Contraceptives on Cardiovascular Health among Saudi Working Women
Faisal Alzeer, Faisal Alyahya, Majed Alzharan, Mohammed AlGhamdi, Abdulaziz AlMotairi, Rakan AlQahtani, Abdulaziz H. Alzeer
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93945

Public Awareness Regarding Antihistamines and their Prescription in Primary Health Care Centres in Abha City
Majed Mohammad AL Saleh, Maram Ayed Alshahrani, Raghad Ali Alshehri, Atheer Sultan Alqurashi
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93946

Impact of Using Social Media on Mental Health among University Medical Students in Abha City, Southern Saudi Arabia
Afnan Mastour Alammar, Safar Abadi Al Saleem, Abdulaziz Mohammad Al-Garni, Razan Saeed Alalammar, Razan suliman alhumayed
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93947

Assessment of quality of life among medical interns in Saudi Arabia
Lotfi F. Issa, Mohammed M. Alattas, Hassan A. Alshamrani, Abdulrahman H. Alhazmi, Wedd Khalid Alharthi
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93948

Impact of age on the clinical aspects and management of patients with rheumatoid arthritis, among adults in Saudi Arabia
Fathi M. El-Gamal, Saleh Alturkistani, Anmar Alkindy, Ahmed Abdulqader, Ali Alnashri, Abeer Alnashri
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93949

The Effect of obesity stigma on obese people, Saudi Arabia, 2020
Rehab Alenazy, Abdullah Almutairi
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93950

The Association between Short Inter-Pregnancy Interval and Postmenopausal Osteoporosis, Saudi Arabia, Taif City, 2019: A case-control study
Ameerah S. Bajaber, Hashem Bukhary, Afnan K. Sibyani, Eid H. Alshahrani, Tasneem H. Hassan, Nojood A. Althomali
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93951

The effect of BMI and glycemic control on S. potassium and S. calcium Disturbances among Diabetic Patients in Salah Al-Deen General Hospital
Mohammed Khalil Ibraheem, Zaidan Jayed Zaidan
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93952

The effect of diabetic control on serum sodium disturbances in Salah Al-Deen general hospital
Mohammed Khalil Ibraheem, Zaidan Jayed Zaidan
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93953

Are Pakistani mothers aware of the Child Safety Measures? A Cross sectional study
Tabinda Ashfaq, Aiesha Ishaq, Faisal Shahzad, Muhammad Abu Bakar, Fahad Saleem
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93954

Becker nevi among patients in Aden, Yemen
Asia Hassan Abdulla Saleh, Amer Omer Bin Al-Zou, Lina Ali Muthanna
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93955

Novel COVID-19 Pandemic: A Cross-Sectional Survey among Global Health Care Providers
Nazish Jaffar, Amna Khan, Kiran Abbas, Aliya Jafri, Sarmad Jamal Siddiqui, Vinita Kumari
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93956

Does measles immunization lead to immunization for COVID-19? Case series
Mehmet Husamettin Akkucuk, Nalan Akalin, Betul Gulalp
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93957

To What Extent Are Medical Students Benefiting From Mentoring
Saeed Saleh Alqahtani, Awad Saeed Al-Samghan, Abdulaziz Saad Alshahrani, Yassir Edrees Almalki, Eisa Yazeed Ghazwani, Mohammed Amanullah, Ayed A. Shati
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93958

Burnout among Turkish Physicians: A Systematic Review
Aydin Toktamis, M. Hüsamettin Akküçük
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93959

Islamic Religion and Psychoanalysis: An Overview
Saleha Al-Jadidi
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93960

Subclinical Hypothyroidism: Management in Primary Care - To treat or not to treat?
Sanjeewa Sumathipala
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93962


Hip Position during Common Lower Limb Rehabilitation Exercises Effects Gluteal Electromyographic Activity: A Systematic Review
Maha H. Alnaemi, Hanaa I. Alkuwari, Sahar S. Almarri, Sherlyn Myka S. Balista
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93964

Knowledge, attitude and practice of diabetic retinopathy care and prevention among diabetic patients in Saudi Arabia: a systematic review
Abdullah S. Alqahtani, Hams A. AlamriAlmoayad M. Makrami, Faizah S. Alyahyawi, Ayah A. Aloufi, Awatef A. Alnami, Atyaf A. Bakri, Fatimah A.Al- Zaher, Fatimah A. Busayli, Rihanah F. ALshahrani
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93965

Original Research

Prevalence of Low Back Pain and Its Associated Risk Factors among Female Nurses Working in a tertiary hospital in Dhahran , Eastern Province, Saudi Arabia
Rasha H. Alziyadi, Mohamed H. Elgezery, Reham H. Alziyadi
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93967

Nutritional supplements and hormonal use among Gym exercisers in Jeddah city, Saudi Arabia
Fathi M. El-Gamal , AbdulKareem S. Fatani, Mohammed M. Mubarak, Zain H. Khan, Sahal A. Alardhawy, Abdullah M. Alqahtani
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93968

Prevalence and prognosis of ABO blood groups among COVID-19 patients at KAUH, Jeddah
Mawaddah F. Batwa, Wafa M. Alghamdi, Ghada T. Kersh, Fatima A. Algethmi, Ebtihaj A. Al-Amoudi, Mona A. Alfares
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93969

Prevalence, risk factors, and types of urinary incontinence among females: A cross sectional study
Amena Ali, Nouf Abdullah Saleh Almasabi, Shrooq Thaiban Alkhaldi, Amaal Mastour Altowairqi, Sahar Rajaallah Aljumayi, Ahmed Salah Eldalo, Abuzer Ali
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93970

Knowledge and Awareness of Parents about pediatric obstructive sleep apnea in KSA, cross-section study, 2019
Amna F. Bashir, Ahmed Al-Ghamdi, Atheer Saleh Alsaadi, Bashaier G. AlQahtani, Suzan Awad Alshihri, Hanan A. Alshahrani, Haif Fahad Alshareef
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93971

Risk factors for hypothyroidism in Saudi Arabia
Mohammad Eid M. Mahfouz Renad A. Altowairqi, Raghad N. Alfeer, Elaf K. Alghamdi, Ghaida M. Alnofaei , Reham H. Alziyadi
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93972


Middle East Quality Improvement Program
(MEQUIP QI&CPD)

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE
.........................................................

Editorial Office -
Abyad Medical Center & Middle East Longevity Institute
Azmi Street, Abdo Center,
PO BOX 618
Tripoli, Lebanon
Phone: (961) 6-443684
Fax:     (961) 6-443685
Email: aabyad@cyberia.net.lb
.........................................................

Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email: lesleypocock@mediworld.com.au
.........................................................

Editorial Enquiries -
abyad@cyberia.net.lb
.........................................................

Advertising Enquiries -
lesleypocock@mediworld.com.au
.........................................................

While all efforts have been made to ensure the accuracy of the information in this journal, opinions expressed are those of the authors and do not necessarily reflect the views of The Publishers, Editor or the Editorial Board. The publishers, Editor and Editorial Board cannot be held responsible for errors or any consequences arising from the use of information contained in this journal; or the views and opinions expressed. Publication of any advertisements does not constitute any endorsement by the Publishers and Editors of the product advertised.

The contents of this journal are copyright. Apart from any fair dealing for purposes of private study, research, criticism or review, as permitted under the Australian Copyright Act, no part of this program may be reproduced without the permission of the publisher.
January 2021 - Volume 19, Issue 1

Impact of age on the clinical aspects and management of patients with rheumatoid arthritis, among adults in Saudi Arabia

Fathi M. El-Gamal (1)
Saleh Alturkistani (2)
Anmar Alkindy (3)
Ahmed Abdulqader (2)
Ali Alnashri (4)
Abeer Alnashri (4)

(1) Professor and chairman of Family Medicine Department, Ibn Sina National College for medical studies, Jeddah, KSA
(2) Ibn Sina National College for medical studies, Jeddah, KSA(3) Family Medicine Resident, King Abdulaziz Medical City, Jeddah, KSA(4) Alqunfudah medical college, Umm Alqura university

Corresponding author:
Prof. Fathi M. El-Gamal, Department of Family Medicine,
Ibn Sina National College. Al Mahjer Street. Jeddah, Kingdom of Saudi Arabia.
Tel: 6356555-6355882 / Fax: 6375344 – P.O. Box 31906 Jeddah 21418
Email: drfathimhelgamal1996@hotmail.com

Received: November 2020; Accepted: December 2020; Published: January 1, 2021. Citation: Fathi M. El-Gamal et al. Impact of age on the clinical aspects and management of patients with rheumatoid arthritis, among adults in Saudi Arabia. World Family Medicine. 2021; 19(1): 57-64 DOI: 10.5742/MEWFM.2021.93949

Abstract


Background: Rheumatoid arthritis is a common chronic inflammatory disease; it is the most common inflammatory arthritis in Saudi Arabia.

Objectives: To explore the impact of age on the clinical aspects and management of patients with rheumatoid arthritis, among adults, in Saudi Arabia.

Methods: A cross-sectional survey was conducted, online, using Google form which was sent to patients with Rheumatoid arthritis, in Jeddah, Saudi Arabia. The total number enrolled was 122 patients. Data was collected using a predesigned questionnaire which provided information on the socio-demographic characteristics, age of onset of rheumatoid arthritis, comorbidities, symptoms and signs, and lines of management. Chi Square test of significance was used. The level of significance was 0.05.

Result: Rheumatoid Arthritis occurred in 41.8% of the patients before the age of 20 years, in 28.7% by the age of 20 to < 30 years, in 20.5% by the age of 30 to < 40 years, and in 9% by the age of 40 years and older. Autoimmune diseases, skin allergies, and intake of medication without doctor prescription, were significantly more common among those aged 36 to 46 years old (p < 0.05). Loss of appetite was common among those aged 16 to 25 years old (p<0.5). Cardiovascular diseases, burning in the mouth, neck pain, use of over the counter treatments, and use of biological treatment, were significantly more common among those aged 46 years or older (p<0.05). RF, anti-CCP, LFT, FRT, and CBC were the common investigations done, with no age differences. Although Cortisone, and methotrexate drugs were given more in those aged 46 years and over, no significant age differences were found. The majority of the patients did not visit the rheumatology clinics regularly.

Conclusion: Rheumatoid arthritis did not appear to be an old age disorder; it was common before the age of 20 years. Clinical picture and lines of management differed among different age groups. This evaluation raised questions for future studies and improved care for RA. Extrapolation of these differences, and also lack of access to care, may help health care providers to implement a promotional strategy to address this health care issue.

Key words: Rheumatoid arthritis, Age, clinical aspects, Saudi Arabia.







 


 
.................................................................................................................