Metabolic Syndrome in Rheumatoid Arthritis
Inflammation is a key component of obesity and type 2 diabetes mellitus also as risk factors of cardiovascular disease. Patients with chronic inflammatory diseases such as rheumatoid arthritis or systemic lupus erythematosus have an increased risk of cardiovascular diseases. The expected higher prev...
Main Authors: | , , , , , , |
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Format: | Article |
Language: | English |
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Sciendo
2012-12-01
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Series: | Acta Medica Martiniana |
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Online Access: | https://doi.org/10.2478/v10201-011-0040-6 |
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author | Manka V Galajda P Sagova I Klimentova A Kantarova D Stancik M Mokan M |
author_facet | Manka V Galajda P Sagova I Klimentova A Kantarova D Stancik M Mokan M |
author_sort | Manka V |
collection | DOAJ |
description | Inflammation is a key component of obesity and type 2 diabetes mellitus also as risk factors of cardiovascular disease. Patients with chronic inflammatory diseases such as rheumatoid arthritis or systemic lupus erythematosus have an increased risk of cardiovascular diseases. The expected higher prevalence of metabolic syndrome and its components in rheumatic diseases (such as possible cause of increased cardiovascular risk) was confirmed in rheumatoid arthritis, systemic lupus, ankylosing spondylitis and psoriatic arthritis. The aim of our study was to assess the relationship of rheumatoid arthritis to increased cardiovascular risk in the presence of risk factors involved in complex of metabolic syndrome, including prediabetic state, central obesity, atherogenic dyslipidemia, and hypertension. In the sample of patients with rheumatoid arthritis, the prevalence of the metabolic syndrome according to IDF, AHA/NHLBI and also NCEP ATPIII criteria compared with the Slovak population in all age groups is higher. In patients older than 60 years according to IDF criteria was more than 55 %. Patients treated with methotrexate had the lowest prevalence of metabolic syndrome, even lower than the control population. The most frequented component of the metabolic syndrome was obesity (whether in the evaluation of waist circumference or BMI). Also, patients with higher inflammatory activity (evaluated by CRP) had a higher prevalence of metabolic syndrome. |
first_indexed | 2024-04-11T16:14:01Z |
format | Article |
id | doaj.art-2ed90a6ed736444981325e418b0db71b |
institution | Directory Open Access Journal |
issn | 1335-8421 |
language | English |
last_indexed | 2024-04-11T16:14:01Z |
publishDate | 2012-12-01 |
publisher | Sciendo |
record_format | Article |
series | Acta Medica Martiniana |
spelling | doaj.art-2ed90a6ed736444981325e418b0db71b2022-12-22T04:14:36ZengSciendoActa Medica Martiniana1335-84212012-12-01123192710.2478/v10201-011-0040-6Metabolic Syndrome in Rheumatoid ArthritisManka V0Galajda P1Sagova I2Klimentova A3Kantarova D4Stancik M5Mokan M61st Clinic of Internal Medicine, Jessenius Faculty of Medicine, Comenius University and University Hospital in Martin, Kollarova 2, 036 01 Martin, Slovakia, Phone: + 421902283041st Clinic of Internal Medicine, Jessenius Faculty of Medicine, Comenius University and University Hospital in Martin, Slovakia1st Clinic of Internal Medicine, Jessenius Faculty of Medicine, Comenius University and University Hospital in Martin, Slovakia1st Clinic of Internal Medicine, Jessenius Faculty of Medicine, Comenius University and University Hospital in Martin, Slovakia1st Clinic of Internal Medicine, Jessenius Faculty of Medicine, Comenius University and University Hospital in Martin, Slovakia1st Clinic of Internal Medicine, Jessenius Faculty of Medicine, Comenius University and University Hospital in Martin, Slovakia1st Clinic of Internal Medicine, Jessenius Faculty of Medicine, Comenius University and University Hospital in Martin, SlovakiaInflammation is a key component of obesity and type 2 diabetes mellitus also as risk factors of cardiovascular disease. Patients with chronic inflammatory diseases such as rheumatoid arthritis or systemic lupus erythematosus have an increased risk of cardiovascular diseases. The expected higher prevalence of metabolic syndrome and its components in rheumatic diseases (such as possible cause of increased cardiovascular risk) was confirmed in rheumatoid arthritis, systemic lupus, ankylosing spondylitis and psoriatic arthritis. The aim of our study was to assess the relationship of rheumatoid arthritis to increased cardiovascular risk in the presence of risk factors involved in complex of metabolic syndrome, including prediabetic state, central obesity, atherogenic dyslipidemia, and hypertension. In the sample of patients with rheumatoid arthritis, the prevalence of the metabolic syndrome according to IDF, AHA/NHLBI and also NCEP ATPIII criteria compared with the Slovak population in all age groups is higher. In patients older than 60 years according to IDF criteria was more than 55 %. Patients treated with methotrexate had the lowest prevalence of metabolic syndrome, even lower than the control population. The most frequented component of the metabolic syndrome was obesity (whether in the evaluation of waist circumference or BMI). Also, patients with higher inflammatory activity (evaluated by CRP) had a higher prevalence of metabolic syndrome.https://doi.org/10.2478/v10201-011-0040-6metabolic syndromeinsulin resistancecardiovascular riskinflammatory connective tissue disease |
spellingShingle | Manka V Galajda P Sagova I Klimentova A Kantarova D Stancik M Mokan M Metabolic Syndrome in Rheumatoid Arthritis Acta Medica Martiniana metabolic syndrome insulin resistance cardiovascular risk inflammatory connective tissue disease |
title | Metabolic Syndrome in Rheumatoid Arthritis |
title_full | Metabolic Syndrome in Rheumatoid Arthritis |
title_fullStr | Metabolic Syndrome in Rheumatoid Arthritis |
title_full_unstemmed | Metabolic Syndrome in Rheumatoid Arthritis |
title_short | Metabolic Syndrome in Rheumatoid Arthritis |
title_sort | metabolic syndrome in rheumatoid arthritis |
topic | metabolic syndrome insulin resistance cardiovascular risk inflammatory connective tissue disease |
url | https://doi.org/10.2478/v10201-011-0040-6 |
work_keys_str_mv | AT mankav metabolicsyndromeinrheumatoidarthritis AT galajdap metabolicsyndromeinrheumatoidarthritis AT sagovai metabolicsyndromeinrheumatoidarthritis AT klimentovaa metabolicsyndromeinrheumatoidarthritis AT kantarovad metabolicsyndromeinrheumatoidarthritis AT stancikm metabolicsyndromeinrheumatoidarthritis AT mokanm metabolicsyndromeinrheumatoidarthritis |