Psoriatic arthritis typically emerges between ages 30 and 55, meaning many individuals face decades of managing this autoimmune condition. As people age, the risk of bone and joint issues like osteoporosis and osteoarthritis also rises. Proactive steps can help maintain healthy bones and joints long-term.
The Importance of Weight Management
Excess weight puts significant stress on joints, worsening psoriatic arthritis and reducing the effectiveness of some medications. Fat cells release inflammatory proteins that intensify the condition. Research shows weight loss can improve symptoms and lower the risk of related health problems like high blood pressure and diabetes. Consult a doctor for safe weight-loss strategies.
Protecting Bone Health
Psoriatic arthritis primarily affects joints, but bone health is crucial as you age. Although the disease itself doesn’t necessarily increase osteoporosis risk, screenings are recommended for all individuals, particularly women over 65 or postmenopausal women with risk factors. Men should consider bone density scans at 70 or earlier if they take steroids, which can weaken bones even in low doses. Regular blood tests for calcium and vitamin D are also essential.
Staying Active Safely
Exercise can reduce disease activity and improve well-being, but choose wisely. High-impact activities like running can harm joints. Opt for low-impact options: walking, swimming, Pilates, or tai chi. Tai chi is particularly effective for osteoarthritis, as recommended by major rheumatology organizations.
Prioritizing Mental Health
Chronic conditions like psoriatic arthritis can take a toll on mental well-being. Studies show a 22% higher risk of depression in people with the condition. Depression exacerbates pain and inflammation. Manage stress through techniques like deep breathing, yoga, and maintaining social connections. Consider a referral to a mental health professional.
Hormonal Changes and Psoriatic Arthritis
Menopause can worsen psoriatic arthritis due to declining estrogen levels. Menopause symptoms such as insomnia, stress, and mood swings can promote inflammation. Hormone replacement therapy may not help, and some research suggests it could increase the risk of autoimmune conditions. Discuss symptom management with your rheumatologist if menopause affects your arthritis.
Regular Check-Ins with Your Doctor
Treatment effectiveness can change over time. Frequent appointments with a rheumatologist are vital for long-term management, especially given the availability of new treatments and the risk of permanent joint damage if inflammation isn’t controlled. Schedule follow-ups before leaving the office to ensure timely care.
Conclusion: Living with psoriatic arthritis requires proactive management, especially as you age. Maintaining a healthy weight, protecting bone health, exercising safely, prioritizing mental well-being, and staying informed about hormonal changes are all crucial steps. Regular consultations with a rheumatologist ensure treatment remains effective over time.
Editorial Sources:
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Resources:
Psoriatic Arthritis. Mayo Clinic. September 19, 2025.
Delzell E. How Fat Affects PsA. Arthritis Foundation.
Kumthekar A et al. Obesity and Psoriatic Arthritis: A Narrative Review. Rheumatology and Therapy. September 2020.
US Preventive Services Task Force. Screening for Osteoporosis to Prevent Fractures: US Preventive Services Task Force Recommendation Statement. JAMA. January 14, 2025.
Berg S. What Doctors Wish Patients Knew About Osteoporosis. American Medical Association. May 3, 2024.
Kessler J et al. Psoriatic Arthritis and Physical Activity: A Systematic Review. Clinical Rheumatology. November 2021.
Kolasinski SL et al. 2019 American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee. Arthritis & Rheumatology. February 2020.
Ratnakaran B. Why Should We Care About the Mental Health of Older Adults? AMA Journal of Ethics. October 2023.
Zhao SS et al. Systematic Review of Mental Health Comorbidities in Psoriatic Arthritis. Clinical Rheumatology. January 2020.
Manage Stress to Improve Psoriatic Arthritis Symptoms. Mayo Clinic. January 2, 2025.
Rath L. Menopause With a Rheumatic Disease. Arthritis Foundation. September 23, 2022.
Tskhakaia I et al. Contraceptives or Hormone Replacement Therapy and Associations With Autoimmune Conditions: Exploring Effects of Estrogen Analog Supplementation. ACR Open Rheumatology. January 2025.
Meet Our Experts:
Samir Dalvi, MD
Medical Reviewer
Samir Dalvi, MD, is a board-certified rheumatologist. He has over 14 years of experience in caring for patients with rheumatologic diseases, including osteoarthritis, rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, lupus, and gout.
Jessica Migala
Author
Jessica Migala is a freelance writer with over 15 years of experience, specializing in health, nutrition, fitness, and beauty. She has written extensively about vision care, diabetes, dermatology, gastrointestinal health, cardiovascular health, cancer, pregnancy, and gynecology. She was previously an assistant editor at Prevention where she wrote monthly science-based beauty news items and feature stories.
She has contributed to more than 40 print and digital publications, including Cosmopolitan, O:The Oprah Magazine, Real Simple, Woman’s Day, Women’s Health, Fitness, Family Circle, Health, Prevention, Self, VICE, and more. Migala lives in the Chicago suburbs with her husband, two young boys, rescue beagle, and 15 fish. When not reporting, she likes running, bike rides, and a glass of wine (in moderation, of course).
