Evaluation of neck circumference in patients with rheumatoid arthritis

• Autor(a) principal: Balsamo, Sandor
• Data de Publicação: 2018
• Outros Autores: Jochims, Isadora, de Santana, Frederico Santos, Resende, Rafael, Ferreira, Clarissa, de Jesus, Heglisson Gadelha, Nascimento, Dahan da Cunha, Sousa, Leandro, Miranda, Raphaela Franco, Tavares, Heider de Jesus, Muniz, Luciana, Santos-Neto, Leopoldo Luiz, da Mota, Licia Maria Henrique, Gomides, Ana Paula Monteiro
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista brasileira de obesidade, nutrição e emagrecimento
• Texto Completo: https://www.rbone.com.br/index.php/rbone/article/view/589
• topic: Obesity; Neck perimeter; Body adiposity; Rheumatoid arthritis; Obesidad; Perimetro del cuello; Adiposidad corporal; Artritis reumatoide; Obesità; Perimetro del collo; Adiposità corporea; Artrite reumatoide; Obesidade; Perimetria do pescoço; Adiposidade corporal; Artrite reumatóide; Obesidade; Perimetria do pescoço; Adiposidade corporal; Artrite reumatóide

Introduction and aims: Patients with Rheumatoid Arthritis (RA) present altered body composition. Neck circumference (CP) is associated with the inflammatory state and metabolic changes. There are no studies evaluating CP in Brazilian patients with RA. The aim of the present study was to verify the relationship of neck circumference with relative muscle strength and obesity markers in female patients with RA. Materials and Methods: A cross-sectional study with 57 women with Rheumatoid Arthritis. The patients were divided according to the value of the circumference of the neck in: Group 1 = CP <35 cm (n = 28) and Group 2: = CP ≥ 35cm (n = 29). DAS28, HAQ, relative manual grip strength and markers of obesity (body mass, perimetry: neck, waist, hip, body mass index, waist hip ratio, body fat index) were evaluated in both groups. Results: All body fat markers of patients with greater circumference presented higher values (all with p <0.01); As well as lower relative manual grip strength. There was no significant difference (p = 0.23) in the level of disease activity, however, patients with lower neck circumference presented a trend (p = 0.07) to the best level of functional capacity. Conclusions: Patients with RA with higher CP had lower relative muscle strength and higher body adiposity. The circumference of the neck may have a simple and low cost clinical application in the identification of metabolic alterations in patients with RA.