Use este identificador para citar ou linkar para este item: http://hdl.handle.net/1843/63273
Tipo: Artigo de Periódico
Título: High prevalence of obesity in rheumatoid arthritis patients: association with disease activity, hypertension, dyslipidemia and diabetes, a multi-center study
Autor(es): Maria Fernanda Brandão de Resende Guimarães
Carlos Ewerton Maia Rodrigues
Kirla Wagner Poti Gomes
Carla Jorge Machado
Claiton Viegas Brenol
Susana Ferreira Krampe
Nicole Pamplona Bueno de Andrade
Adriana Maria Kakehasi
Resumo: Introduction: Rheumatoid arthritis (RA) is a well-documented independent risk factor for cardiovascular disease.Obesity may provide an additional link between inflammation and accelerated atherosclerosis in RA.Objective: To evaluate the association between obesity and disease parameters and cardiovascular risk factors in RApatients.Method: Cross-sectional study of a cohort of RA patients from three Brazilian teaching hospitals. Information on demographics, clinical parameters and the presence of cardiovascular risk factors was collected. Blood pressure, weight,height and waist circumference (WC) were measured during the first consultation. Laboratory data were retrieved from medical records. Obesity was defined according to the NCEP/ATPIII and IDF guidelines. The prevalence of obesity was determined cross-sectionally. Disease activity was evaluated using the DAS28 system (remission < 2.6; low 2.6–3.1; moderate 3.2–5.0; high > 5.1).Results: The sample consisted of 791 RA patients aged 54.7 ± 12.0 years, of whom 86.9% were women and 59.9% wereCaucasian. The mean disease duration was 12.8 ± 8.9 years. Three quarters were rheumatoid factor-positive, the mean body mass index (BMI) was 27.1 ± 4.9, and the mean WC was 93.5 ± 12.5 cm. The observed risk factors included dyslipidemia(34.3%), type-2 diabetes (15%), hypertension (49.2%) and family history of premature cardiovascular disease (16.5%). BMI defined obesity was highly prevalent (26.9%) and associated with age, hypertension and dyslipidemia. Increased WC was associated with diabetes, hypertension, dyslipidemia and disease activity. Conclusion: Obesity was highly prevalent in RA patients and associated with disease activity
Assunto: Arthritis, Rheumatoid
Hypertension
Dyslipidemia
Diabetes
Idioma: eng
País: Brasil
Editor: Universidade Federal de Minas Gerais
Sigla da Instituição: UFMG
Departamento: MED - DEPARTAMENTO DE APARELHO LOCOMOTOR
MED - DEPARTAMENTO DE CLÍNICA MÉDICA
MED - DEPARTAMENTO DE MEDICINA PREVENTIVA SOCIAL
Tipo de Acesso: Acesso Aberto
Identificador DOI: 10.1186/s42358-019-0089-1
URI: http://hdl.handle.net/1843/63273
Data do documento: 2019
metadata.dc.url.externa: https://doi.org/10.20947/S0102-3098a0099
metadata.dc.relation.ispartof: Revista Brasileira De Estudos De População
Aparece nas coleções:Artigo de Periódico

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