Abstract
Background: The impact of overweight and obesity on outcomes of patients with Rheumatoid Arthritis (RA) is still uncertain. This study aimed to evaluate the prevalence and influence of overweight and obesity on patients with RA.
Methods: Demographic and clinical data of 185 (38 male and 147 females) RA patients were recorded. According to BMI, patients were categorized into two groups; normal weight and overweight/obese. The two groups were evaluated for clinical, laboratory, radiographic damage and disease activity parameters.
Results: Out of 185 RA patients, 70 (37.8%) were normal weight, and 115 (62.2%) were overweight/obese. There were no significant differences in joint erosion, RF, and Anti-CCP between normal weight and overweight/ obese groups. There were statistically significant differences between both average weight and overweight/ obese groups in VAS, ESR, CRP, and DAS28. Disease duration and older age were associated with high BMI. DAS28 was significantly lower in normal-weight (1.8) compared to the overweight/obese group ( 4.7).
Conclusion: Obesity was prevalent among patients with RA. Obese patients were associated with worse disease activity. Weight reduction may be associated with clinical improvement.
Keywords
Body mass index, Disease activity, Obesity, Rheumatoid arthritis