Abstract:1 months (IQR 16.3-65.1 months), respectively (P < 0.001). Of the 91 patients developing diabetes mellitus, 16 were ever and 75 were never TNF␣ inhibitor users, yielding incidence rates of 8.6 and 17.2 per 1,000 person-years (P ؍ 0.048), respectively. Adjusting for covariates, the hazard ratio for incident diabetes mellitus in TNF␣ inhibitor users was 0.49 (95% confidence interval 0.24 -0.99, P ؍ 0.049) compared to the never users. Conclusion. In this inception RA cohort, anti-TNF␣ use was associated with … Show more
“…In another study among patients with RA or psoriasis, the adjusted risk of T2DM was lower for individuals starting a TNF-a antagonist compared with initiation of other nonbiological disease-modifying antirheumatic drugs [85]. These data were confirmed in another cohort of RA patients for whom anti-TNF-a therapy was associated with a 51% reduction in risk of developing T2DM [86].…”
Section: Metabolic Studies In Patients With Inflammatory Rheumatoid Dmentioning
The available data supports the concept that targeting inflammation improves insulin sensitivity and β-cell function; it also ameliorates glucose control in insulin-resistant patients with inflammatory rheumatoid diseases as well in patients with metabolic syndrome or T2DM. Although promising, the observed metabolic effects remain rather modest in most clinical trials. The potential use of combined anti-inflammatory agents targeting both insulin resistance and insulin secretion appears appealing but remains unexplored. Large-scale prospective clinical trials are underway to investigate the safety and efficacy of different anti-inflammatory drugs. Further evidence is needed to support the concept that targeting inflammation pathways may represent a valuable option to tackle the cardiometabolic complications of obesity.
“…In another study among patients with RA or psoriasis, the adjusted risk of T2DM was lower for individuals starting a TNF-a antagonist compared with initiation of other nonbiological disease-modifying antirheumatic drugs [85]. These data were confirmed in another cohort of RA patients for whom anti-TNF-a therapy was associated with a 51% reduction in risk of developing T2DM [86].…”
Section: Metabolic Studies In Patients With Inflammatory Rheumatoid Dmentioning
The available data supports the concept that targeting inflammation improves insulin sensitivity and β-cell function; it also ameliorates glucose control in insulin-resistant patients with inflammatory rheumatoid diseases as well in patients with metabolic syndrome or T2DM. Although promising, the observed metabolic effects remain rather modest in most clinical trials. The potential use of combined anti-inflammatory agents targeting both insulin resistance and insulin secretion appears appealing but remains unexplored. Large-scale prospective clinical trials are underway to investigate the safety and efficacy of different anti-inflammatory drugs. Further evidence is needed to support the concept that targeting inflammation pathways may represent a valuable option to tackle the cardiometabolic complications of obesity.
“…Antohe и соавт. [138], использова-ние ингибиторов ФНОα (адалимумаб, этанерцепт, го-лимумаб, ИНФ) у 1587 пациентов с РА ассоциирова-О б з о р ы [129] Адипонектин ↓ Лептин ↑ Примечание. ↔ -не изменялся, ↑ -увеличивался, ↓ -снижался.…”
Section: терапия ревматоидного артрита и нарушения углеводного обменаunclassified
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