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AB0201 Assessment of protein-energy nutritional status and physical activity of ankylosing spondylitis and rheumatic arthritis patients - preliminary report.
  1. A. Juszkiewicz1,
  2. K. Klos2,
  3. M. Tlustochowicz1,
  4. B. Kisiel1,
  5. A. Raczkiewicz1,
  6. W. Tlustochowicz1
  1. 1Department of Internal Diseases and Rheumatology
  2. 2Department of Infectious Diseases and Allergology, Military Institute of Medicine, Warsaw, Poland


Background Active rheumatic diseases can lead to malnutrition. However, the influence of the remission on the nutritional status is not clear.

Objectives To assess nutritional status and physical activity in ankylosing spondylitis (AS) and rheumatoid arthritis (RA) patients during remission.

Methods 48 AS and RA patients (20 AS patients and 28 RA patients, 20 women and 28 men, mean age was 46.2) and 30 healthy controls were included in the study. AS and RA patients were in clinical remission. All AS patients and 17 out of 28 RA patients were treated with biologic agents. BMI, body fat percentage (BFP) and lean body mass (LBM) were calculated in all subjects (BFP and LBM were calculated on the basis of subscapular, suprailiac, biceps and triceps skinfolds measurements). Physical activity including type of job and regular physical exercises was also assessed.

Results 20 RA/AS patients (41.7%) and 13 controls (43.3%) had normal nutritional status (p>0.05), 19 RA/AS patients (39.6%) and 9 controls (30.0%) were overweight (p>0.05), 7 RA/AS patients (14.6%) and 8 controls (26.7%) were obese (p>0.05). The skinfold thickness as well as BFP (18.7% vs 19.8%) were also similar study and control groups. 2 RA patients had low BMI, both had long-term and advanced disease. 23 RA/AS patients (74.9%) and 13 controls (43.3%) declared regular physical activity (4.6 hours/week and 9.4 hours/week, respectively; p>0.05).

Conclusions We did not find significant differences in nutritional status and physical activity between rheumatic patients in remission and healthy controls. Our results suggest that an adequate disease control may prevent malnutrition in rheumatic disease.

Disclosure of Interest None Declared

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