Evidence map›Paper›PMID 41360603›Full record

Trial reportRMD open2025

Early-life animal and farming exposures and the risk of rheumatoid arthritis: findings from the E3N French cohort study.

Perrine Dusser, Yann Nguyen, Claire Perrin, Pauline Frénoy, Xavier Mariette, Marie-Christine Boutron-Ruault, Raphaëlle Varraso, Gianluca Severi, Carine Salliot, Raphaele Seror

Registry-linked trialAbstract readObservational StudyClinical Trial
In one paragraph

Trial report in RMD open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03285230 (The French E3N Prospective Cohort Study), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03285230 active not recruitingnot on this map

The French E3N Prospective Cohort Study (Etude Epidémiologique auprès de Femmes de la Mutuelle Générale de l'Education Nationale)

TypeobservationalSponsorInstitut National de la Santé Et de la Recherche Médicale, FranceRan1990 to 2046Enrolled100,000ConditionsBreast Cancer, Colo-rectal Cancer, Parkinson Disease, Asthma
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Perrine DusserCentre for Research in Epidemiology and Population Health (CESP), "Exposome and Heredity" Team, Université Paris-Saclay, Gif-sur-Yvette, Île-de-France, France.ORCID 0000-0001-8118-0848
Yann NguyenCentre de Recherche en Immunologie des Maladies, Université Paris-Saclay, INSERM U1184, Le Kremlin-Bicêtre, Île-de-France, France.ORCID 0000-0002-0866-3824
Claire PerrinCentre for Research in Epidemiology and Population Health (CESP), "Exposome and Heredity" Team, Université Paris-Saclay, Gif-sur-Yvette, Île-de-France, France.
Pauline FrénoyCentre for Research in Epidemiology and Population Health (CESP), "Exposome and Heredity" Team, Université Paris-Saclay, Gif-sur-Yvette, Île-de-France, France.
Xavier MarietteRheumatology Department, AP-HP, Hôpital Bicêtre, Université Paris-Saclay, Le Kremlin Bicêtre, Île-de-France, France.ORCID 0000-0002-4244-5417
Marie-Christine Boutron-RuaultCentre for Research in Epidemiology and Population Health (CESP), "Exposome and Heredity" Team, Université Paris-Saclay, Gif-sur-Yvette, Île-de-France, France.
Raphaëlle VarrasoÉquipe d'Épidémiologie Respiratoire Intégrative, CESP, Université Paris-Saclay, INSERM U1018, Gustave Roussy, Villejuif, Île-de-France, France.
Gianluca SeveriCentre for Research in Epidemiology and Population Health (CESP), "Exposome and Heredity" Team, Université Paris-Saclay, Gif-sur-Yvette, Île-de-France, France.
Carine Salliot *Laboratoire Interdisciplinaire pour l'Innovation et la Recherche en Santé Orléanaise (LI2RSO), Université d'Orléans, Orléans, Centre-Val de Loire, France.ORCID 0000-0003-1066-4161
Raphaele Seror *Rheumatology Department, AP-HP, Hôpital Bicêtre, Université Paris-Saclay, Le Kremlin Bicêtre, Île-de-France, France raphaele.seror@aphp.fr.ORCID 0000-0002-5523-1856

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of this study is to assess the association between childhood exposure to pets and farm animals and the risk of developing rheumatoid arthritis (RA) in adulthood, using data from a large prospective cohort.

methodsWe analysed 78 473 women from the Etude Epidémiologique auprès des femmes de la Mutuelle générale de l'Education Nationale cohort, among whom 698 incident cases of RA were identified and validated. Childhood exposure to domestic pets (cats, dogs) and farm animals, as well as the age at first exposure, was self-reported by participants using predefined categorical options (eg, never, <1 year, 1-2 years, etc). HRs were estimated using Cox models, with confounders selected via directed acyclic graphs.

resultsEarly exposure to pets (cats/dogs) between the ages of 1 year and 2 years compared with no exposure was associated with a lower risk of RA (adjusted HR (aHR) 0.57, 95% CI 0.34 to 0.95), regardless of smoking status. However, no association was observed with pet exposure at earlier (<1 year) or later ages. Conversely, exposure to farm animals (cows, sheep, pigs) during childhood was borderline associated with an increased risk of RA (aHR 1.26, 95% CI 1.00 to 1.59), irrespective of age at exposure.

conclusionHow and when children are exposed to animals could affect the risk of developing RA. Our results suggest a potential inverse association restricted to pet exposure at ages 1-2 years, but not at other ages, whereas exposure to farm animals was positively associated. These findings should be interpreted cautiously and warrant further investigation. TRIAL REGISTRATION NUMBER: NCT03285230.

Indexed as

Arthritis, RheumatoidEnvironmental ExposurePetsAdultAgedAgricultureAnimalsAnimals, DomesticCatsChild, PreschoolDogsFemaleFranceHumansInfantMiddle Agedchildhood exposuresprospective cohortrheumatoid arthritis

Identifiers

PMID41360603
PMCPMC12684115

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.