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...

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Main Authors: Manka V, Galajda P, Sagova I, Klimentova A, Kantarova D, Stancik M, Mokan M
Format: Article
Language:English
Published: Sciendo 2012-12-01
Series:Acta Medica Martiniana
Subjects:
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.
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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