Lifestyle characteristics of rheumatoid arthritis patients with sarcopenia

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  • Matsumoto Yoshinari
    Department of Medical Nutrition, Osaka City University Graduate School of Human Life Science, Osaka City University Medical School
  • Sugioka Yuko
    Center for Senile Degenerative Disorders, Osaka City University Medical School
  • Tada Masahiro
    Department of Orthopaedic Surgery, Osaka City University Medical School
  • Okano Tadashi
    Department of Orthopaedic Surgery, Osaka City University Medical School
  • Mamoto Kenji
    Department of Orthopaedic Surgery, Osaka City University Medical School
  • Inui Kentaro
    Department of Orthopaedic Surgery, Osaka City University Medical School
  • Habu Daiki
    Department of Medical Nutrition, Osaka City University Graduate School of Human Life Science, Osaka City University Medical School
  • Koike Tatsuya
    Center for Senile Degenerative Disorders, Osaka City University Medical School Search Institute for Bone and Arthritis Disease, Shirahama Foundation for Health and Welfare

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Other Title
  • 関節リウマチ患者におけるサルコペニア該当者の生活習慣の特徴
  • カンセツ リウマチ カンジャ ニ オケル サルコペニア ガイトウシャ ノ セイカツ シュウカン ノ トクチョウ

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Abstract

Objective: To clarify lifestyle characteristics of rheumatoid arthritis (RA) patients with sarcopenia. <br>Subjects and Methods: A total of 208 consecutive RA outpatients were assessed. Skeletal muscle mass was measured by dual energy x-ray absorptiometry (DXA). The criterion of sarcopenia was defined as a low skeletal muscle index (appendicular muscle mass/height2 , kg/m2; men, ≤6.87 kg/m2; women, ≤5.46 kg/m2; reference population, Japanese young adults aged 18-40 years). Brief-type self-administered diet history questionnaire (BDHQ) was used for investigation of the intake of energy, nutrients and food. <br>Results: In RA patients, the sarcopenia group showed significantly higher disease activity and lower activity of daily living (ADL) compared to those in the non-sarcopenia group. In addition, a greater number of patients in the sarcopenia group had exercise restrictions than in the non-sarcopenia group. Calcium intake had a tendency to be lower, and intake of milk and other dairy products was significantly lower, in the sarcopenia group than in the non-sarcopenia group.<br>Conclusion: Exercise restriction, low ADL, and low intake of milk and other dairy products were determined to be the lifestyle characteristics of RA patients with sarcopenia.

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