Inclusion Criteria:  RA (ACR / EULAR 2010 criteria), with an active disease (2.6 <DAS 28 <5.1) Basis treatment for at least 3 months and corticoids <= 10mg / day  And at least 3 risk factors among:  BMI ≥25 kg / m² Low physical activity (IPAQ short version) Active smoking Periodontitis ( bone loss on dental panoramic) Anxiety ( Beck anxiety Index > 16)  Exclusion Criteria:  Patient under protective measure or unable to consent Patient for whom a change in basic treatment for RA is planned within 6 months Active cancer Active infection Antibiotic therapy in the previous 3 months No health cover Diabetes Unbalanced psychiatric pathologies Pregnant or breastfeeding women