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Being obese is just plain unhealthy. All that excess fat can make outcomes worse for patients with any of a number of diseases, including rheumatoid arthritis.
A recent study showed that morbidly obese patients with inflammatory polyarthritis - which includes diseases like rheumatoid arthritis - had higher levels of disability than arthritis patients who were not obese. Morbidly obese patients had about twice the odds of disability compared to those who were not obese