Prognostic nutritional index as an indicator for the development of bone fragility fracture in patients with rheumatoid arthritis

© Japan College of Rheumatology 2023. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissionsoup.com..

OBJECTIVES: The validity of prognostic nutritional index (PNI) as an index of incident bone fragility fracture (inc-BFF) in rheumatoid arthritis (RA) patients was investigated.

METHODS: RA patients whom continuously followed up for >3 years were picked up. Patients were classified in accordance with inc-BFF positivity (BFF+ and BFF-). Their clinical background including PNI was statistically examined for inc-BFF. The background factors were compared between the two groups. Patients were narrowed into subgroups according to the factor that showed a significant difference between the two groups, and they were statistically examined according to the PNI for the inc-BFF. The two groups were narrowed with propensity score matching and compared to the PNI.

RESULTS: A total of 278 patients with 44 BFF+ and 234 BFF- were recruited. In the background factors, the presence of prevalent BFF and the simplified disease activity index remission rate had a significantly higher risk ratio. In a subgroup who comorbid lifestyle-related diseases, PNI had a significantly higher risk ratio for the inc-BFF. After the propensity score matching, the PNI showed no significant difference between the two groups.

CONCLUSIONS: PNI is available when patients with RA comorbid lifestyle-related diseases. PNI is not an independent key for the inc-BFF in RA patients.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:34

Enthalten in:

Modern rheumatology - 34(2024), 3 vom: 28. März, Seite 493-499

Sprache:

Englisch

Beteiligte Personen:

Yoshii, Ichiro [VerfasserIn]
Sawada, Naoya [VerfasserIn]
Chijiwa, Tatsumi [VerfasserIn]

Links:

Volltext

Themen:

Fragility fracture
Incidence
Journal Article
Lifestyle-related diseases
Malnutrition
Rheumatoid arthritis

Anmerkungen:

Date Completed 29.03.2024

Date Revised 11.04.2024

published: Print

Citation Status MEDLINE

doi:

10.1093/mr/road058

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM358398096