Assessment of Cardiovascular Risk Factors in Patients with Juvenile Idiopathic Arthritis

Introduction: The aim of this study was to assess the exposure to cardiovascular disease (CVD) risk factors in patients with juvenile idiopathic arthritis (JIA). Intima–media complex thickness (IMT), selected metabolic parameters and health behaviors were assessed in the course of the study. Methods...

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Main Authors: Marta Gruca, Justyna Zamojska, Katarzyna Niewiadomska-Jarosik, Agnieszka Wosiak, Aleksandra Stasiak, Karolina Sikorska, Jerzy Stańczyk, Elżbieta Smolewska
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/15/7/1700
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author Marta Gruca
Justyna Zamojska
Katarzyna Niewiadomska-Jarosik
Agnieszka Wosiak
Aleksandra Stasiak
Karolina Sikorska
Jerzy Stańczyk
Elżbieta Smolewska
author_facet Marta Gruca
Justyna Zamojska
Katarzyna Niewiadomska-Jarosik
Agnieszka Wosiak
Aleksandra Stasiak
Karolina Sikorska
Jerzy Stańczyk
Elżbieta Smolewska
author_sort Marta Gruca
collection DOAJ
description Introduction: The aim of this study was to assess the exposure to cardiovascular disease (CVD) risk factors in patients with juvenile idiopathic arthritis (JIA). Intima–media complex thickness (IMT), selected metabolic parameters and health behaviors were assessed in the course of the study. Methods: The study included study group, which consisted of 45 patients with JIA and 37 healthy age- and sex-matched children in the control group. Analyses in both groups included anthropometric parameters, laboratory tests, IMT and a questionnaire on exposure to modifiable CVD risk factors. Results: The study confirmed that CVD risk factors were present in both groups of patients. Significantly more children with JIA had abnormal BMI (<i>p</i> = 0.006) compared to the control group. Children in the study group were more likely to consume fruit regularly (<i>p</i> = 0.021) and less likely to consume fast food (<i>p</i> = 0.011) and sweetened beverages (<i>p</i> = 0.042) than children in the control group. Only 1 patient with JIA met criteria for ideal cardiovascular health. Dietary habits were not associated with IMT values, BMI, presence of joint pain or biochemical parameters in the study group. Conclusions: Patients with JIA are exposed to cardiovascular risk factors equally to their healthy peers. Ideal cardiovascular health should be pursued in the pediatric population with particular attention paid to patients with chronic diseases (i.e., JIA). The application of carotid artery IMT measurement in the assessment of CVD risk requires studies on a larger group of patients.
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spelling doaj.art-fde5b0ca407046cc86f63a60e98c02932023-11-17T17:20:48ZengMDPI AGNutrients2072-66432023-03-01157170010.3390/nu15071700Assessment of Cardiovascular Risk Factors in Patients with Juvenile Idiopathic ArthritisMarta Gruca0Justyna Zamojska1Katarzyna Niewiadomska-Jarosik2Agnieszka Wosiak3Aleksandra Stasiak4Karolina Sikorska5Jerzy Stańczyk6Elżbieta Smolewska7Department of Pediatric Cardiology and Rheumatology, Medical University of Lodz, Sporna 36/50, 91-738 Lodz, PolandDepartment of Pediatric Cardiology and Rheumatology, Medical University of Lodz, Sporna 36/50, 91-738 Lodz, PolandDepartment of Pediatric Cardiology and Rheumatology, Medical University of Lodz, Sporna 36/50, 91-738 Lodz, PolandInstitute of Information Technology, Lodz University of Technology, 91-738 Lodz, PolandDepartment of Pediatric Cardiology and Rheumatology, Medical University of Lodz, Sporna 36/50, 91-738 Lodz, PolandPaediatric Department, Independent Public Health Care Complex in Minsk Mazowiecki, Szpitalna 37, 05-300 Warsaw, PolandDepartment of Pediatric Cardiology and Rheumatology, Medical University of Lodz, Sporna 36/50, 91-738 Lodz, PolandDepartment of Pediatric Cardiology and Rheumatology, Medical University of Lodz, Sporna 36/50, 91-738 Lodz, PolandIntroduction: The aim of this study was to assess the exposure to cardiovascular disease (CVD) risk factors in patients with juvenile idiopathic arthritis (JIA). Intima–media complex thickness (IMT), selected metabolic parameters and health behaviors were assessed in the course of the study. Methods: The study included study group, which consisted of 45 patients with JIA and 37 healthy age- and sex-matched children in the control group. Analyses in both groups included anthropometric parameters, laboratory tests, IMT and a questionnaire on exposure to modifiable CVD risk factors. Results: The study confirmed that CVD risk factors were present in both groups of patients. Significantly more children with JIA had abnormal BMI (<i>p</i> = 0.006) compared to the control group. Children in the study group were more likely to consume fruit regularly (<i>p</i> = 0.021) and less likely to consume fast food (<i>p</i> = 0.011) and sweetened beverages (<i>p</i> = 0.042) than children in the control group. Only 1 patient with JIA met criteria for ideal cardiovascular health. Dietary habits were not associated with IMT values, BMI, presence of joint pain or biochemical parameters in the study group. Conclusions: Patients with JIA are exposed to cardiovascular risk factors equally to their healthy peers. Ideal cardiovascular health should be pursued in the pediatric population with particular attention paid to patients with chronic diseases (i.e., JIA). The application of carotid artery IMT measurement in the assessment of CVD risk requires studies on a larger group of patients.https://www.mdpi.com/2072-6643/15/7/1700juvenile idiopathic arthritisnutritionphysical activitypreventioncardiovascular diseasechronic disease
spellingShingle Marta Gruca
Justyna Zamojska
Katarzyna Niewiadomska-Jarosik
Agnieszka Wosiak
Aleksandra Stasiak
Karolina Sikorska
Jerzy Stańczyk
Elżbieta Smolewska
Assessment of Cardiovascular Risk Factors in Patients with Juvenile Idiopathic Arthritis
Nutrients
juvenile idiopathic arthritis
nutrition
physical activity
prevention
cardiovascular disease
chronic disease
title Assessment of Cardiovascular Risk Factors in Patients with Juvenile Idiopathic Arthritis
title_full Assessment of Cardiovascular Risk Factors in Patients with Juvenile Idiopathic Arthritis
title_fullStr Assessment of Cardiovascular Risk Factors in Patients with Juvenile Idiopathic Arthritis
title_full_unstemmed Assessment of Cardiovascular Risk Factors in Patients with Juvenile Idiopathic Arthritis
title_short Assessment of Cardiovascular Risk Factors in Patients with Juvenile Idiopathic Arthritis
title_sort assessment of cardiovascular risk factors in patients with juvenile idiopathic arthritis
topic juvenile idiopathic arthritis
nutrition
physical activity
prevention
cardiovascular disease
chronic disease
url https://www.mdpi.com/2072-6643/15/7/1700
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AT agnieszkawosiak assessmentofcardiovascularriskfactorsinpatientswithjuvenileidiopathicarthritis
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