Prevalence of Obesity in Rheumatologic Diseases and Its Relationship with Disease Activity

Objective:Obesity is a common health problem and a complex disease that is defined as overly fat deposition in adipotic tissue. Studies conducted in our country (Turkey) have reported prevalence of obesity between 12 and 22 percent. Obesity has been shown to be associated with several rheumatic dise...

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Main Authors: Semra Haliloğlu, Ayşe Çarlıoğlu, Hülya Uzkeser, Abdulmuttalip Arslan, Yasemin Yumuşakhuylu
Format: Article
Language:English
Published: Galenos Yayinevi 2022-12-01
Series:Bagcilar Medical Bulletin
Subjects:
Online Access: http://behmedicalbulletin.org/archives/archive-detail/article-preview/prevalence-of-obesity-in-rheumatologic-diseases-an/57483
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author Semra Haliloğlu
Ayşe Çarlıoğlu
Hülya Uzkeser
Abdulmuttalip Arslan
Yasemin Yumuşakhuylu
author_facet Semra Haliloğlu
Ayşe Çarlıoğlu
Hülya Uzkeser
Abdulmuttalip Arslan
Yasemin Yumuşakhuylu
author_sort Semra Haliloğlu
collection DOAJ
description Objective:Obesity is a common health problem and a complex disease that is defined as overly fat deposition in adipotic tissue. Studies conducted in our country (Turkey) have reported prevalence of obesity between 12 and 22 percent. Obesity has been shown to be associated with several rheumatic diseases and inflammation. The aim of this study is to assess the prevalence of obesity in rheumatologic diseases, and possible relationships between disease activity and accompanying obesity.Method:A total of 1064 newly patients diagnosed with osteoarthritis (OA), rheumatoid arthritis (RA), ankylosing spondylitis (AS), systemic lupus erythematosus (SLE), fibromyalgia (FM), gout, Behçet’s disease (BD), vasculitis, polymyalgia rheumatica (PMR), Sjögren’s syndrome (SS), Familial Mediterranean fever, polymyositis, and systemic sclerosis (SSc) were included in the study. Age, gender, disease activity scores, and laboratory and clinical findings were all recorded.Results:Obesity incidences were found to be 4.5% in RA, 3.2% in SLE, 1.6% in AS, 40.1% in OA, 11.2% in FM, 19.7% in gout, 1.8% in BD, 15% in vasculitis, 13.7% in PMR, 8% in SS, and 8.3% in SSc. Obesity and OA were revealed to have a statistically significant association. Disease activity scores were statistically significantly higher in obese FM patients compared to non-obese patients (p<0.001). We found a low rate of obesity in inflammatory rheumatic diseases, and we could not find a relationship between obesity and disease activity.Conclusion:While recent studies have associated obesity with inflammation, interestingly, in our study, obesity was found to be related to OA and FM, but was not associated with inflammatory rheumatic diseases. The relationship with OA may be explained by mechanical factors, but more comprehensive studies are needed on the relationship with obesity and inflammatory rheumatic diseases.
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spelling doaj.art-fe5114f8c6c14393a987de499b2125f92023-02-15T16:09:55ZengGalenos YayineviBagcilar Medical Bulletin2547-94312022-12-017432633210.4274/BMB.galenos.2022.2021-11-11813049054Prevalence of Obesity in Rheumatologic Diseases and Its Relationship with Disease ActivitySemra Haliloğlu0Ayşe Çarlıoğlu1Hülya Uzkeser2Abdulmuttalip Arslan3Yasemin Yumuşakhuylu4 University of Health Sciences Turkey, Kartal Dr. Lütfi Kırdar Training and Research Hospital, Clinic of Physical Medicine and Rehabilitation, İstanbul, Turkey Lokman Hekim University Faculty of Medicine, Department of Endocrinology, Ankara, Turkey Atatürk University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Erzurum, Turkey Kangal State Hospital, Clinic of Internal Medicine, Sivas, Turkey İstanbul Medeniyet University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, İstanbul, Turkey Objective:Obesity is a common health problem and a complex disease that is defined as overly fat deposition in adipotic tissue. Studies conducted in our country (Turkey) have reported prevalence of obesity between 12 and 22 percent. Obesity has been shown to be associated with several rheumatic diseases and inflammation. The aim of this study is to assess the prevalence of obesity in rheumatologic diseases, and possible relationships between disease activity and accompanying obesity.Method:A total of 1064 newly patients diagnosed with osteoarthritis (OA), rheumatoid arthritis (RA), ankylosing spondylitis (AS), systemic lupus erythematosus (SLE), fibromyalgia (FM), gout, Behçet’s disease (BD), vasculitis, polymyalgia rheumatica (PMR), Sjögren’s syndrome (SS), Familial Mediterranean fever, polymyositis, and systemic sclerosis (SSc) were included in the study. Age, gender, disease activity scores, and laboratory and clinical findings were all recorded.Results:Obesity incidences were found to be 4.5% in RA, 3.2% in SLE, 1.6% in AS, 40.1% in OA, 11.2% in FM, 19.7% in gout, 1.8% in BD, 15% in vasculitis, 13.7% in PMR, 8% in SS, and 8.3% in SSc. Obesity and OA were revealed to have a statistically significant association. Disease activity scores were statistically significantly higher in obese FM patients compared to non-obese patients (p<0.001). We found a low rate of obesity in inflammatory rheumatic diseases, and we could not find a relationship between obesity and disease activity.Conclusion:While recent studies have associated obesity with inflammation, interestingly, in our study, obesity was found to be related to OA and FM, but was not associated with inflammatory rheumatic diseases. The relationship with OA may be explained by mechanical factors, but more comprehensive studies are needed on the relationship with obesity and inflammatory rheumatic diseases. http://behmedicalbulletin.org/archives/archive-detail/article-preview/prevalence-of-obesity-in-rheumatologic-diseases-an/57483 ankylosing spondylitisdisease activityobesityosteoarthritisrheumatoid arthritisrheumatological diseases
spellingShingle Semra Haliloğlu
Ayşe Çarlıoğlu
Hülya Uzkeser
Abdulmuttalip Arslan
Yasemin Yumuşakhuylu
Prevalence of Obesity in Rheumatologic Diseases and Its Relationship with Disease Activity
Bagcilar Medical Bulletin
ankylosing spondylitis
disease activity
obesity
osteoarthritis
rheumatoid arthritis
rheumatological diseases
title Prevalence of Obesity in Rheumatologic Diseases and Its Relationship with Disease Activity
title_full Prevalence of Obesity in Rheumatologic Diseases and Its Relationship with Disease Activity
title_fullStr Prevalence of Obesity in Rheumatologic Diseases and Its Relationship with Disease Activity
title_full_unstemmed Prevalence of Obesity in Rheumatologic Diseases and Its Relationship with Disease Activity
title_short Prevalence of Obesity in Rheumatologic Diseases and Its Relationship with Disease Activity
title_sort prevalence of obesity in rheumatologic diseases and its relationship with disease activity
topic ankylosing spondylitis
disease activity
obesity
osteoarthritis
rheumatoid arthritis
rheumatological diseases
url http://behmedicalbulletin.org/archives/archive-detail/article-preview/prevalence-of-obesity-in-rheumatologic-diseases-an/57483
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