Psoriatic disease and body composition: A systematic review and narrative synthesis

被引:24
|
作者
Blake, Tim [1 ,2 ]
Gullick, Nicola J. [1 ]
Hutchinson, Charles E. [2 ,3 ]
Barber, Thomas M. [2 ,4 ]
机构
[1] Univ Hosp Coventry & Warwickshire NHS Trust, Rheumatol Dept, Coventry, W Midlands, England
[2] Univ Warwick, Warwick Med Sch, Coventry, W Midlands, England
[3] Univ Hosp Coventry & Warwickshire NHS Trust, Dept Imaging, Coventry, W Midlands, England
[4] Univ Hosp Coventry & Warwickshire NHS Trust, Warwickshire Inst Study Diabet Endocrinol & Metab, Coventry, W Midlands, England
来源
PLOS ONE | 2020年 / 15卷 / 08期
关键词
BIOELECTRICAL-IMPEDANCE ANALYSIS; PHASE-ANGLE; BIOIMPEDANCE ANALYSIS; INDEX; POPULATION; MODERATE; THERAPY; WEIGHT; LIFE;
D O I
10.1371/journal.pone.0237598
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Background Obesity is a leading comorbidity in psoriatic disease, including both psoriasis (PsO) and psoriatic arthritis (PsA), and is associated with adverse metabolic and cardiovascular (CV) outcomes. Anthropometric parameters, such as weight, body mass index (BMI) and waist-to-hip ratio, have been extensively reported in psoriatic disease. However, the associations of body composition and fat distribution with psoriasis have not yet been fully defined. Objectives To identify whether patients with psoriatic disease, including psoriatic arthritis, have altered body composition compared with the general population, and to review existing modalities for the assessment of body composition. Methods Electronic searches of the literature were conducted in PubMed, Medline (Ovid(R)), Embase (Ovid(R)), Cochrane Central Register of Controlled Trials (CENTRAL) and Google Scholar. Titles and abstracts were reviewed by two authors independently against a set of prespecified inclusion/exclusion criteria. The research question was answered with a systematic literature review and results were summarized narratively. Results Twenty-five full text articles met the inclusion criteria and were included in the final narrative analysis. The studies were of heterogeneous design and used a range of objective measures to assess body composition, including simple anthropometric measures, bioimpedance analysis (BIA), dual energy X-ray absorptiometry (DXA) and computed tomography (CT). Few studies met all the quality assessment criteria. Clinical heterogeneity prevented meta-analysis. Conclusions Patients with psoriatic disease reveal defined body composition changes that are independent of obesity and the customary metabolic syndrome, including higher overall body fat, visceral fat and sarcopenia. These findings emphasize that patients with psoriatic disease should be screened for abnormal adipose effects beyond their weight and body mass index (BMI). Our findings show that the last decade has seen an exciting expansion of research interest in the development and validation of new modalities for the assessment of body composition. There is no consensus on the optimal assessment method of body composition for this diverse group; hence there is a need for validation of existing modalities and standardization of assessment tools.
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页数:22
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