The High Prevalence of Sarcopenia in Rheumatoid Arthritis in the Korean Population: A Nationwide Cross-Sectional Study

Rheumatoid arthritis (RA) includes musculoskeletal symptoms that lead to disuse atrophy of muscles and changes in body composition. Musculoskeletal symptoms and loss of physical function may be associated with sarcopenia, which is characterized by muscle loss. This study aimed to investigate the pre...

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Main Authors: Dongwoo Kim, Yu Jin Lee, Eui Seop Song, Ahreum Kim, Cho Hee Bang, Jae Hyun Jung
Format: Article
Language:English
Published: MDPI AG 2023-05-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/11/10/1401
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author Dongwoo Kim
Yu Jin Lee
Eui Seop Song
Ahreum Kim
Cho Hee Bang
Jae Hyun Jung
author_facet Dongwoo Kim
Yu Jin Lee
Eui Seop Song
Ahreum Kim
Cho Hee Bang
Jae Hyun Jung
author_sort Dongwoo Kim
collection DOAJ
description Rheumatoid arthritis (RA) includes musculoskeletal symptoms that lead to disuse atrophy of muscles and changes in body composition. Musculoskeletal symptoms and loss of physical function may be associated with sarcopenia, which is characterized by muscle loss. This study aimed to investigate the prevalence of sarcopenia and its association with RA in a Korean population. We analyzed nationwide data from the Korea National Health and Nutrition Examination Survey of 7389 men and 9798 women. Binomial logistic regression models were used to calculate the odds ratios (ORs) and 95% confidence intervals (CIs) for sarcopenia prevalence in participants with RA. The prevalence of sarcopenia was 23.0% in men, 25.0% in women, 61.5% in men with RA, 32.3% in women with RA, 22.8% in men without RA, and 24.9% in women without RA. After adjusting for potential confounding variables, the prevalence of sarcopenia was higher in men with RA than in men without RA (OR, 3.11; 95% CI, 1.29–7.46), but this difference was not observed in women. In subgroup analysis which was stratified by age (age under 40, age between 40 and 59, age over 60), the OR for sarcopenia was higher in men with age over 60 years (OR, 4.12; 95% CI, 1.48–11.44) and women with age between 40 and 59 (OR, 2.29; 95% CI, 1.05–5.00). The prevalence of sarcopenia was higher in Korean men with RA and women with RA in middle age, suggesting the management of muscle loss will be needed, especially in Koreans with RA.
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spelling doaj.art-612c92046326438d8986bae9e2f467b72023-11-18T01:31:49ZengMDPI AGHealthcare2227-90322023-05-011110140110.3390/healthcare11101401The High Prevalence of Sarcopenia in Rheumatoid Arthritis in the Korean Population: A Nationwide Cross-Sectional StudyDongwoo Kim0Yu Jin Lee1Eui Seop Song2Ahreum Kim3Cho Hee Bang4Jae Hyun Jung5Department of Medicine, Korea University College of Medicine, Seoul 02841, Republic of KoreaDepartment of Medicine, Korea University College of Medicine, Seoul 02841, Republic of KoreaDepartment of Medicine, Korea University College of Medicine, Seoul 02841, Republic of KoreaDepartment of Medicine, CHA University School of Medicine, Seongnam 13496, Republic of KoreaDepartment of Nursing, College of Health Science, Honam University, Gwangju 62399, Republic of KoreaDepartment of Medicine, Korea University College of Medicine, Seoul 02841, Republic of KoreaRheumatoid arthritis (RA) includes musculoskeletal symptoms that lead to disuse atrophy of muscles and changes in body composition. Musculoskeletal symptoms and loss of physical function may be associated with sarcopenia, which is characterized by muscle loss. This study aimed to investigate the prevalence of sarcopenia and its association with RA in a Korean population. We analyzed nationwide data from the Korea National Health and Nutrition Examination Survey of 7389 men and 9798 women. Binomial logistic regression models were used to calculate the odds ratios (ORs) and 95% confidence intervals (CIs) for sarcopenia prevalence in participants with RA. The prevalence of sarcopenia was 23.0% in men, 25.0% in women, 61.5% in men with RA, 32.3% in women with RA, 22.8% in men without RA, and 24.9% in women without RA. After adjusting for potential confounding variables, the prevalence of sarcopenia was higher in men with RA than in men without RA (OR, 3.11; 95% CI, 1.29–7.46), but this difference was not observed in women. In subgroup analysis which was stratified by age (age under 40, age between 40 and 59, age over 60), the OR for sarcopenia was higher in men with age over 60 years (OR, 4.12; 95% CI, 1.48–11.44) and women with age between 40 and 59 (OR, 2.29; 95% CI, 1.05–5.00). The prevalence of sarcopenia was higher in Korean men with RA and women with RA in middle age, suggesting the management of muscle loss will be needed, especially in Koreans with RA.https://www.mdpi.com/2227-9032/11/10/1401rheumatoid arthritissarcopeniaprevalence
spellingShingle Dongwoo Kim
Yu Jin Lee
Eui Seop Song
Ahreum Kim
Cho Hee Bang
Jae Hyun Jung
The High Prevalence of Sarcopenia in Rheumatoid Arthritis in the Korean Population: A Nationwide Cross-Sectional Study
Healthcare
rheumatoid arthritis
sarcopenia
prevalence
title The High Prevalence of Sarcopenia in Rheumatoid Arthritis in the Korean Population: A Nationwide Cross-Sectional Study
title_full The High Prevalence of Sarcopenia in Rheumatoid Arthritis in the Korean Population: A Nationwide Cross-Sectional Study
title_fullStr The High Prevalence of Sarcopenia in Rheumatoid Arthritis in the Korean Population: A Nationwide Cross-Sectional Study
title_full_unstemmed The High Prevalence of Sarcopenia in Rheumatoid Arthritis in the Korean Population: A Nationwide Cross-Sectional Study
title_short The High Prevalence of Sarcopenia in Rheumatoid Arthritis in the Korean Population: A Nationwide Cross-Sectional Study
title_sort high prevalence of sarcopenia in rheumatoid arthritis in the korean population a nationwide cross sectional study
topic rheumatoid arthritis
sarcopenia
prevalence
url https://www.mdpi.com/2227-9032/11/10/1401
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