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牛皮和骨质疏松症在患有牛皮性关节炎的患者:一个单中心的回顾性研究
Kenji Takami1, Mari Higashiyama2, Shigeyoshi Tsuji3
1Department of Orthopaedic Surgery, Nippon Life Hospital, Osaka, Japan; Psoriasis Center, Nippon Life Hospital, Osaka, Japan.
Nutrition (Burbank, Los Angeles County, Calif.)
|November 6, 2024
概括
牛皮关节炎 (PsA) 患者有5.1%的肉症和相关的较低骨密度. 肌肉质量,骨矿物质密度和BMI是相互关联的,在PsA管理中具有临床意义.
科学领域:
- 类风湿病学 类风湿病学
- 老年学是指老年学的学科.
- 代谢性骨疾病 代谢性骨疾病
背景情况:
- 炎症性疾病与骨质疏松症和肉症有关.
- 关于牛皮关节炎 (PsA) 中这些情况的数据有限.
研究的目的:
- 为了确定PsA患者的肉类和骨质疏松症的患病率.
- 为了调查萨尔科佩尼亚和骨质疏松症在PsA之间的关联.
主要方法:
- 在2010-2021年间诊断的320名PsA患者 (CASPAR标准) 的回顾性分析.
- 包括156名患者进行双能X射线吸收计 (DXA) 来评估身体组成和骨密度.
主要成果:
- 萨科佩尼亚和前萨科佩尼亚的发病率分别为5.1%和16.7%.
- 低体质指数 (BMI) 和T-分数观察到在sarcopenic患者.
- 骨肌肉指数 (SMI) 和BMI是不同骨部位的骨矿物质密度的显著预测指标.
结论:
- 麻症影响5.1%的PsA患者,骨质疏松症的发病率为5.7% (男性) 和7.5% (女性).
- SMI,T-分数和BMI显著相关.
- 这些参数在PsA的临床管理中需要考虑.
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