Nutritional assessment in rheumatoid arthritis

The nutritional status was assessed in a group of 220 patients with rheumatoid arthritis from three communities (coloured 89 patients, white 88 and black 43). The triceps skinfold (TSF) thickness, upper arm muscle circumference (UAMC), body mass index (BMI) and percentage of ideal body weight (% IBW...

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Published inSouth African medical journal Vol. 76; no. 6; pp. 255 - 257
Main Authors MODY, G. M, BROWN, G. M, MEYERS, O. L, REINACH, S. G
Format Journal Article
LanguageEnglish
Published Pinelands Medical Association of South Africa 16.09.1989
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Abstract The nutritional status was assessed in a group of 220 patients with rheumatoid arthritis from three communities (coloured 89 patients, white 88 and black 43). The triceps skinfold (TSF) thickness, upper arm muscle circumference (UAMC), body mass index (BMI) and percentage of ideal body weight (% IBW) were measured and the serum albumin value determined. The mean age of the coloured patients was 49.8 years, white 57.7 years and black 44.8 years. Forty-five patients (20.5%) had a reduction of one or more anthropometric measurements (TSF, UAMC and/or %IBW) and a further 6 patients (2.7%) had a reduction of the serum albumin value alone. These 51 patients were considered to be malnourished and had a higher mean erythrocyte sedimentation rate and more severe functional disability than the remainder of the patients. The prevalence of malnutrition was lower if diagnosed only on abnormality of the TSF, UAMC and %IBW, since 25 patients (11.4%) had a reduction of only one measurement, 12 (5.5%) had a reduction of 2 and 8 (3.6%) had a reduction of all three measurements. Obesity (BMI greater than 30) was noted in 10.5% and there were no differences in the functional disability, disease activity and use of steroid therapy in the obese patients compared with the rest of the patients.
AbstractList The nutritional status was assessed in a group of 220 patients with rheumatoid arthritis from three communities (coloured 89 patients, white 88 and black 43). The triceps skinfold (TSF) thickness, upper arm muscle circumference (UAMC), body mass index (BMI) and percentage of ideal body weight (% IBW) were measured and the serum albumin value determined. The mean age of the coloured patients was 49.8 years, white 57.7 years and black 44.8 years. Forty-five patients (20.5%) had a reduction of one or more anthropometric measurements (TSF, UAMC and/or %IBW) and a further 6 patients (2.7%) had a reduction of the serum albumin value alone. These 51 patients were considered to be malnourished and had a higher mean erythrocyte sedimentation rate and more severe functional disability than the remainder of the patients. The prevalence of malnutrition was lower if diagnosed only on abnormality of the TSF, UAMC and %IBW, since 25 patients (11.4%) had a reduction of only one measurement, 12 (5.5%) had a reduction of 2 and 8 (3.6%) had a reduction of all three measurements. Obesity (BMI greater than 30) was noted in 10.5% and there were no differences in the functional disability, disease activity and use of steroid therapy in the obese patients compared with the rest of the patients.
Author MEYERS, O. L
REINACH, S. G
BROWN, G. M
MODY, G. M
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Issue 6
Keywords Human
Obesity
Chronic
Rheumatoid arthritis
Africa
Diseases of the osteoarticular system
South Africa
Inflammatory joint disease
Malnutrition
Nutritional status
Language English
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Snippet The nutritional status was assessed in a group of 220 patients with rheumatoid arthritis from three communities (coloured 89 patients, white 88 and black 43)....
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StartPage 255
SubjectTerms Adult
African Americans
African Continental Ancestry Group
Aged
Anthropometry
Arthritis, Rheumatoid - complications
Biological and medical sciences
Body Weight
Diseases of the osteoarticular system
European Continental Ancestry Group
Female
Humans
Inflammatory joint diseases
Male
Medical sciences
Middle Aged
Nutrition Disorders - complications
Nutritional Status
Obesity - complications
South Africa
Tropical medicine
Title Nutritional assessment in rheumatoid arthritis
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