Association between Nutritional Status, Lifestyle Habits, and Disease Activity in Dalmatian Patients with Rheumatoid Arthritis

被引:3
|
作者
Radic, Mislav [1 ,2 ]
Vlak, Ivan [3 ]
Vuckovic, Marijana [4 ]
Radic, Josipa [2 ,4 ]
Besic, Erim [5 ]
Vlak, Tonko [3 ,6 ]
机构
[1] Univ Hosp Split, Ctr Excellence Syst Sclerosis Croatia, Internal Med Dept, Rheumatol Allergol & Clin Immunol Div, Split 21000, Croatia
[2] Univ Split, Sch Med, Dept Internal Med, Split 21000, Croatia
[3] Univ Hosp Split, Inst Phys Med & Rehabil Rheumatol, Soltanska 1, Split 21000, Croatia
[4] Univ Hosp Split, Internal Med Dept, Nephrol & Haemodialysis Div, Split 21000, Croatia
[5] Univ Zagreb, Fac Pharm & Biochem, Dept Biophys, Zagreb 10000, Croatia
[6] Univ Split, Sch Med, Dept Phys & Rehabil Med, Split 21000, Croatia
关键词
rheumatoid arthritis; nutritional risk; muscle mass; muscle strength; disease activity; RISK-FACTORS; PREVALENCE; SARCOPENIA;
D O I
10.3390/nu15071738
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
The aim of this study was to evaluate body composition, handgrip strength, quality of life, disease duration and activity and lifestyle habits in patients with rheumatoid arthritis (RA) and to evaluate possible associations between all of the abovementioned factors. Seventy-five stable RA patients were included. Data on sociodemographic data, disease activity, quality of life, nutritional risk, body mass composition, anthropometric parameters, and clinical and laboratory parameters were collected for each study participant. The results showed that the mean score of the disease activity score (DAS28) was 5.4, the mean score of the health assessment questionnaire-disability index (HAQ-DI) was 1.19, and the mean disease duration in our population was 13.9 years. Our studied population had a long disease duration and high disease activity. Positive predictors of muscle mass in RA patients were daily caloric intake, fat-free mass, bone mass, basal metabolic rate, total body water, weight, body mass index (BMI), height, and muscle strength. There were no significant negative predictors. Positive predictors of muscle strength in RA patients were daily caloric intake, basal metabolic rate, predicted muscle mass, fat-free mass, bone mass, weight, total body water, metabolic age, hemoglobin, BMI, and number of exercises per week. In contrast, negative predictors of muscle strength were number of comorbidities, number of swollen joints, DAS, number of tender joints, erythrocyte sedimentation rate (ESR), and duration of RA. An association was also found between bone mineral density and both muscle mass and muscle strength. A structured nutritional approach in terms of multidisciplinary collaboration between rheumatologist, dietitian and physical medicine specialist is needed in the Dalmatian RA population.
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页数:12
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