Skip to main content
Log in

Prevalence of rheumatoid arthritis in the adult Indian population

  • Originals
  • Published:
Rheumatology International Aims and scope Submit manuscript

Summary

The prevalence of rheumatoid arthritis was studied in the adult Indian population. As the first step, a house-to-house survey of a rural population near Delhi was conducted by two trained health workers. The target population comprised 44 551 adults (over 16 years old). The health workers identified the possible cases of rheumatoid arthritis (RA) using a questionnaire. These cases were then further evaluated by the authors using the 1987 revised ARA criteria for the diagnosis of RA. A response rate of 89.5% was obtained and 3393 persons were listed as possible cases of RA by the health workers. Of these, 299 satisfied the revised ARA criteria for the diagnosis of RA, giving a prevalence of 0.75%. Projected to the whole population, this would give a total of about seven million patients in India. The prevalence of RA in India is quite similar to that reported from the developed countries. It is higher than that reported from China, Indonesia, Philippines and rural Africa. These findings are in keeping with the fact that the north Indian population is genetically closer to the Caucasians than to other ethnic groups.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Lawrence JS (1977) Rheumatism in populations. Heinemann, London, pp 104–133

    Google Scholar 

  2. Frosst CE (1982) The impact of arthritis on the Australian community. IMG Consultants, Sydney, pp 1–9

    Google Scholar 

  3. Wolfe AM (1968) The epidemiology of rheumatoid arthritis: a review. Bull Rheum Dis 19:518–521

    Google Scholar 

  4. Nuki G, Brooks R, Buchanan WW (1973) Economics of arthritis. Bull Rheum Dis 23:726–733

    Google Scholar 

  5. Cooper B, Rice D (1976) The economic cost of illness revisited. Soc Sci Bull 39:21–36

    Google Scholar 

  6. Meenan RF, Yelin EH, Henke CJ, Curtis DL, Epstein WV (1978) The costs of rheumatoid arthritis: a patient oriented study of chronic disease costs. Arthritis Rheum 21:827–833

    Google Scholar 

  7. Yelin E, Feshback DM, Meenan RF, Epstein WV (1979) Social problems, services and policy for persons with chronic diseases: The case of rheumatoid arthritis. Soc Sci Med 130:13–20

    Google Scholar 

  8. Darby D, Glaser S, Wilkinson I (1981) Health care and life style. New South Wales University Press, Sydney

    Google Scholar 

  9. World Health Organization (1983) Mid-term programme October, no. 13-17, NCD/MTP/83

  10. Sharma A, Malaviya AN, Kapoor SK (1987) Point prevalence of rheumatoid arthritis in a semi-rural area near Delhi, India. SEAPAL Bull 5:31–33

    Google Scholar 

  11. Arnett FC, Edworthy SM, Daniel AB et al (1988) The American Rheumatism Association 1987 revised criteria for classification of rheumatoid arthritis. Arthritis Rheum 31:315–324

    Google Scholar 

  12. Mitchell D (1985) Rheumatoid arthritis: etiology, diagnosis, management. In: Utsinger PD, Zvaifler NJ, Ehrlich GE (eds) Epidemiology of rheumatoid arthritis. Lippincott, Philadelphia, pp 133–150

    Google Scholar 

  13. Greenwood BM (1968) Autoimmune diseases and parasitic infections in Nigerians. Lancet II:380–382

    Google Scholar 

  14. Hochberg MC (1983) Epidemiology of rheumatoid arthritis in developed countries. J Rheumatol [Suppl] 10:7–9

    Google Scholar 

  15. Valkenburg HA (1983) Study constraints in African and other epidemiological surveys. J Rheumatol [Suppl] 10:78–81

    Google Scholar 

  16. Beasley P (1983) Low prevalence of rheumatoid arthritis in Chinese. J Rheumatol [Suppl] 10:1–5

    Google Scholar 

  17. Manahan L, Caragay R, Muirden KD, Allander E, Valkenburg HA, Wigley RD (1985) Rheumatic pain in a Philippine village: a WHO-ILAR COPCORD study. Rheumatol Int 5:149–154

    Google Scholar 

  18. Darmawan J, Wiraman HS, Soenarto HS, Wigley RD, Muirden KD, Valkenburgh HA (1983) Population study of rheumatic disease in Sermarang and Bandungan. The Indonesian COPCORD. 5th SEAPAL Congress, Bangkok, pp 122–123

  19. Mehra NK, Taneja V, Kailash S, Raizada N, Vaidya MC (1986) Distribution of HLA antigens in a sample of north Indian Hindu population. Tissue Antigens 27:64–74

    Google Scholar 

  20. Dugowson CE, Nelson JL, Koepsell TD (1989) Evaluation of the 1988 criteria for rheumatoid arthritis: application to a newly diagnosed cohort (abstract). Arthritis Rheum 32 [Suppl]:S63

  21. Silman AJ (1988) The 1987 revised ARA criteria for rheumatoid arthritis. Br J Rheumatol 27:341–343

    Google Scholar 

  22. Yang JL, Zhang NZ, Dong Y (1989) Comparative study of diagnostic criteria for rheumatoid arthritis in Chinese patients. Chung Hua Nei Ko Tsa Chih 28:71–73

    Google Scholar 

  23. Kobayashi S, Sugawara M, Takahashi H et al (1989) Evaluation of the 1987 revised ARA criteria for rheumatoid arthritis in Japan. Ryumachi 29:97–104

    Google Scholar 

  24. Moens HJB, van der Laar MAFJ, van der Korst JK (1992) Comparison of the sensitivity and specificity of the 1958 and the 1987 criteria for the diagnosis of rheumatoid arthritis. J Rheumatol 19:198–203

    Google Scholar 

  25. World Health Organization/International League Against Rheumatism (1982) Joint taskforce meeting on rheumatic diseases prevention and control. Geneva, 24–26 May (NCD/OND/183.1)

  26. Malaviya AN, Mehra NK, Dasgupta B, Khan KM, Rao URK, Agarwal A, Tiwari SC (1983) Clinical and immunogenetic studies in rheumatoid arthritis in India. Rheumatol Int 3:105–108

    Google Scholar 

  27. Malaviya AN, Misra R, Banerjee S, Kumar A, Tiwari SC, Bhuyan UN, Guleria JS (1985) Systemic lupus erythematosus in North Indian Asians: a prospective analysis of clinical and immunological features. Rheumatol Int 6:97–101

    Google Scholar 

  28. Malaviya AN, Kumar A, Singh RR, Sehgal GS, Mehra NK, Tiwari SC (1987) The spectrum of rheumatic diseases as seen by a tertiary referral centre in Northern India. SEAPAL Bull 5:11–17

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Malaviya, A.N., Kapoor, S.K., Singh, R.R. et al. Prevalence of rheumatoid arthritis in the adult Indian population. Rheumatol Int 13, 131–134 (1993). https://doi.org/10.1007/BF00301258

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00301258

Key words

Navigation