https://doi.org/10.4081/reumatismo.2018.999

Low body mass index in long standing rheumatoid arthritis: relation to RA disease activity and functional indices

Vol. 70 No. 2 (2018)
Submitted: 25 April 2017
Accepted: 23 October 2017
Published: 6 July 2018
Rheumatoid arthritis, Body mass index, DAS28, Radiological erosions.
Abstract Views: 1382
PDF: 667
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

S.M. Gamal
Rheumatology and Rehabilitation Department, Faculty of Medicine, Cairo University, Egypt.
A.K. Alkemary
alkhatib_alkemary@yahoo.com
Internal Medicine Department, Faculty of Medicine, Cairo University, Egypt.
M.A. Abdo
Rheumatology and Rehabilitation Department, Faculty of Medicine, Cairo University, Egypt.
A.H.M. El Dakrony
Rheumatology and Rehabilitation Department, Faculty of Medicine, Cairo University, Egypt.
The aim of the work was to study the relationship between the body mass index (BMI) in longstanding rheumatoid arthritis (RA) and RA disease activity and functional indices. This study included 105 RA patients. For all patients, we recorded the presence of erosions on radiographs, the presence of subcutaneous nodules (SCN), the 28-tender joint count (TJC), 28-swollen joint count (SJC) scores, the visual analogue scale (VAS), physicians’ global assessments (PhGA), the erythrocyte sedimentation rate (ESR), and the rheumatoid factor (RF). The disease activity index (DAS28) and BMI were calculated and current treatment was recorded. Patients were divided into two groups: group I: BMI 25. Group I included 32 (30.5%) patients, whereas group II included 73 (69.5%) patients. There were statistically significant differences between the two groups regarding each of the following: SJC (p=0.006), erosions (p=0.006), DAS28 (p=0.016) and PhGA (p=0.007). All were higher in group I (underweight and normal) than in group II (overweight and obese). No statistically significant differences emerged regarding age (p=0.11), smoking (p=0.69), disease duration (p=0.46), TJC (p=0.14), SCN (p=1.00), HAQ (p=0.26), VAS (p=0.16), ESR (p=0.25), RF (p=0.54) and steroid cumulative dose (p=0.08). Low BMI in longstanding RA patients may indicate more active and erosive disease and it may be considered as a poor prognostic factor.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Crossref
Scopus
Google Scholar
Europe PMC
S.M. Gamal, Rheumatology and Rehabilitation Department, Faculty of Medicine, Cairo University
Assistant professor of Rheumatology and Rehabiliatation- Cairo university

How to Cite

Gamal, S., Alkemary, A., Abdo, M., & El Dakrony, A. (2018). Low body mass index in long standing rheumatoid arthritis: relation to RA disease activity and functional indices. Reumatismo, 70(2), 72–77. https://doi.org/10.4081/reumatismo.2018.999

Authors who publish with this journal agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.

Similar Articles

<< < 29 30 31 32 33 34 35 36 37 38 > >> 

You may also start an advanced similarity search for this article.