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    Underweight and obese states both associate with worse disease activity and physical function in patients with established rheumatoid arthritis.

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    Authors
    Stavropoulos-Kalinoglou, Antonios
    Metsios, Giorgos S.
    Panoulas, Vasileios F.
    Nevill, Alan M.
    Jamurtas, Athanasios Z.
    Koutedakis, Yiannis
    Kitas, George D.
    Issue Date
    2009
    
    Metadata
    Show full item record
    Abstract
    Obesity is characterised by low-grade inflammation and could potentially affect disease activity and severity in patients with rheumatoid arthritis (RA). Body mass index (BMI), body fat (BF), erythrocyte sedimentation rate, C-reactive protein, disease activity score 28, physical function (health assessment questionnaire) and presence of erosions and joint surgery were assessed in 294 (female=219) volunteers with established RA [age 63.3 (56.2-69.6); disease duration 13 (7-20) years]. Smoking status, rheumatoid factor and anti-cyclic citrullinated peptide positivity were also assessed. BMI and BF independently associated with disease characteristics. Compared to normal-weight patients, underweight and obese had higher C-reactive protein (p=0.046) and physical dysfunction (p=0.034). BMI or BF did not associate with presence of erosions or joint surgery. In patients with established RA, both very low and very high BMI and BF associate independently with increased disease activity and physical dysfunction; however, this does not seem to associate with presence of erosions or joint surgery. Further longitudinal studies are required to address this apparent dissociation.
    Citation
    Clinical Rheumatology, 28(4): 439-444
    Publisher
    Springer London
    Journal
    Clinical Rheumatology
    URI
    http://hdl.handle.net/2436/66834
    DOI
    10.1007/s10067-008-1073-z
    PubMed ID
    19096748
    Additional Links
    http://www.springerlink.com/content/m0g3322246925q60/
    Type
    Journal article
    Language
    en
    ISSN
    1434-9949
    ae974a485f413a2113503eed53cd6c53
    10.1007/s10067-008-1073-z
    Scopus Count
    Collections
    Faculty of Education, Health and Wellbeing

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