类风湿性关节炎患者的肥胖特征
Yuma Saito1, Mochihito Suzuki1, Toshihisa Kojima1,2
1Department of Orthopedic Surgery and Rheumatology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Geriatrics & gerontology international
|August 23, 2025
概括
肥胖症影响8.4%的类风湿性关节炎患者,导致身体功能和生活质量明显恶化. 这凸显了对治疗类风湿性关节炎有针对性的干预措施的必要性.
科学领域:
- 关节病学
- 老年学
- 代谢健康
背景情况:
- 风湿性关节炎是一种慢性炎症性疾病.
- 肥胖症和肥胖症在老年人群中很常见,可以作为肥胖症共存.
- 在RA患者中,肥胖症的患病率和影响尚不清楚.
研究的目的:
- 为了确定类风湿性关节炎 (RA) 患者的肥胖率.
- 识别与RA中肥胖相关的因素.
- 评估肥胖症对 RA 身体功能和患者报告的结果的影响.
主要方法:
- 这是一项前性队列研究,涉及40至79岁的321名RA患者.
- 根据已确定的标准将其分为正常,肥胖,肉和肉性肥胖群.
- 身体功能的评估 (例如,时间和行动测试) 和PRO (例如,健康评估问卷-残疾指数).
主要成果:
- 在RA患者队列中,发现了8. 4%的肥胖症.
- 肥胖症群体的时间上升和出发 (TUG) 和健康评估问卷-残疾指数 (HAQ-DI) 得分显著提高.
- 与其他组相比,在sarcopenic肥胖症组观察到更差的身体功能和PROs.
结论:
- 在得到良好控制的 RA 患者中,肥胖症占很大比例 (8. 4%).
- 患有肥胖症的患者身体功能显著受损,生活质量降低.
- 这些发现强调了在关节炎患者护理中解决肥胖症的重要性.
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