Factors Associated with Nutrition of Japanese Patients with Rheumatoid Arthritis Who Underwent the Mini Nutritional Assessment (MNA), Health Assessment Questionnaire Disability Index, and Body Composition Assessment by Bioelectrical Impedance Analysis

Mochizuki, Takeshi; Yano, Koichiro; Ikari, Katsunori; Okazaki, Ken

doi:10.3177/jnsv.66.219

Cited by 8 publications

(6 citation statements)

References 26 publications

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“…14 In terms of the bioimpedance body composition parameters studied, almost all patients in this sample had high fat mass and low lean mass, reflecting findings from other populations' studies. 14,15,24 In RA, muscle mass deterioration is credited to the elevation of pro-inflammatory cytokines that favor proteolysis through the ubiquitin-proteasome pathway and induce anabolic resistance in the muscles. 25 The tendency to gain fat mass is attributed to a decrease in physical activity associated with normal dietary intake, resulting in a positive energy balance.…”

Section: Discussionmentioning

confidence: 99%

“…The study of anthropometric parameters alone is not sufficient, 8,14 as may be shown in patients who are obese and have cachexia. Therefore, it is necessary to make use of other instruments, such as the determination of body composition and/or the mini nutritional assessment (MNA) 15 …”

Section: Introductionmentioning

confidence: 99%

“…MNA is considered to be a reliable method to evaluate nutritional status; it has been used mainly in elderly people, showing a sensitivity of 97.9% with a specificity of 100% in this population 1 . It has also been applied to study nutrition in RA 1,8,14,15 . Elkan et al 14 found that MNA had the highest sensitivity to identify undernourished individuals when comparing several tools used to evaluate nutrition in RA, and thus it should be used as a screening instrument in this setting.…”

Section: Introductionmentioning

confidence: 99%

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Rheumatoid arthritis and nutritional profile: A study in Brazilian females

et al. 2022

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Background: Patients with rheumatoid arthritis (RA) may have nutritional impairment.In RA, muscle loss is associated with an increase in fat tissue, and the patients may not have body mass index (BMI) alterations. Aim:To study the nutritional status in a sample of patients with RA in Brazil through mini nutritional assessment (MNA) and electric bioimpedance and its relationship to BMI, functionality, disease activity, and treatment.Methods: Seventy-one RA females were included. Chart review was used to obtain epidemiological, clinical, and treatment data. Patients answered the MNA and were submitted to electrical bioimpedance and anthropometric measurements. Disease activity was assessed through simple disease activity index (SDAI), clinical disease activity index (CDAI), and function, through health assessment questionnaire (HAQ).Results: According to MNA, 23 (32.4%) patients were at risk for malnutrition and 1(1.4%) was malnourished. MNA were associated with disease activity and function impairment (SDAI P = .02; CDAI P = .02, and HAQ P = .002) but not with used medications. According to BMI, 76% were overweight or obese. An increased percentage of body fat was found in 98.7% and a lower percentage of lean mass in 95.7%. Disease activity and function were not associated with the percentage of body fat of any used medications, with a lower percentage of body fat in those using abatacept (P = .01). Conclusion:Almost one-third of patients had nutritional impairment according to MNA which was associated with disease activity and loss of function. Almost the whole sample had an increased percentage of fat mass and a diminished percentage of muscle mass that could not be linked with disease activity, function or used medications. K E Y W O R D Snutrition, obesity, rheumatoid arthritis Rheumatoid arthritis (RA) is a chronic autoimmune disease with profound repercussions on the patient's quality of life. Chronic pain, stiffness, fatigue, and disability bring isolation, unemployment, and economic losses, are some of the consequences of a long-term disease. 1 Furthermore, RA patients' survival may be reduced due to lung impairment, 2,3 infections, and cardiovascular diseases associated with accelerated atherosclerosis. 4 The nutrition of these patients is also affected, which may make the disease even more dangerous and kill more people. 1,5 Cachexia in RA or rheumatoid cachexia is different from classic cachexia found in neoplastic diseases or in severe cardiac conditions. It is due to inadequate dietary consumption and is associated with weight loss. In RA, the muscle loss is somewhat compensated by an increase in body fat, so the body mass index (BMI) remains unaltered or even higher than before and it is called obese cachexia.It is thought to affect two-thirds of these patients 6 and has been linked to high inflammatory activity. 7 Increased production of proinflammatory cytokines such as interleukin (IL)-1 and tumor necrosis factor (TNF)α, and the presence of high levels of inflammatory biomarkers such as C-reactive...

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Rheumatoid arthritis and nutritional profile: A study in Brazilian females

et al. 2022

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“…В работе японских ученых, оценивших нутритивный статус по MNA у больных РА, доля лиц с мальнутрицией составила 3,7%. Авторы выявили более низкие показатели МПК, оцененной по Ткритерию, у пациентов со сниженным питанием [14].…”

Section: Discussionunclassified

Nutritional status in patients with rheumatoid arthritis: is there an association with the sarcopenic phenotype of body composition?

Dobrovolskaya¹,

Демин²,

Nikitinskaya³

et al. 2022

Naučno-praktičeskaâ revmatologiâ

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Aim – to evaluate the nutritional status and its relationship with the sarcopenic phenotype of body composition in women with rheumatoid arthritis (RA).Material and methods. The study included 91 women aged 40 to 75 years with RA according to ACR/EULAR criteria (2010) and a disease duration of at least 1 year. A questionnaire, laboratory and densitometric examination were conducted. Nutritional status was assessed using a MNA (Mini Nutricial Assessment) questionnaire.Results. Malnutrition and at risk of malnutrition according to the MNA were detected in 44.0% of patients with RA. These patients differed from those with normal nutritional status with a higher risk of osteoporotic hip fractures according to FRAX (p=0.035), lower appendicular muscle mass (AMM) (p=0.048) and lower self-assessment of health status (p=0.012). Patients significantly differed in nutritional status according to MNA, daily intake of calcium with food, circumferences of the mid-upper arm, calf, waist and hips, depending on the presence of sarcopenic phenotype. Multivariate regression analysis showed that the sarcopenic phenotype was associated with a nutritional status according to MNA less than 24 points (odds ratio (OR) – 6.14; p=0.036), daily calcium intake less than 500 mg (OR=9.55; p=0.007) and mid-upper arm circumference less than 25 cm (OR=9.32; p=0.015).Conclusion. Malnutrition was found in almost half of the patients with RA. It was revealed that a low nutritional status according to the MNA, low calcium intake and mid-upper arm circumference less than 25 cm increased the risk of having a sarcopenic phenotype in women with RA.

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“…Nutritional status was assessed using the Mini-Nutritional Assessment (MNA; Nestlé) [ 45 ]. The MNA is a nutrition screening tool specifically designed for older adults [ 46 ] and is widely used in Japan [ 26 , 47 , 48 ]. The MNA is a 30-point scale composed of 18 items that assess four aspects of nutritional status: an anthropometric assessment (body mass index, weight loss, upper middle arm circumference, and calf circumference), a global assessment (mobility, prescription medications, independent living, psychological stress or acute disability, pressure ulcers or bedsores, and neuropsychological problems), a dietary assessment (complete daily diet, decreased dietary intake, fluid intake, protein intake, fruit and vegetable intake, and feeding methods), and self-assessment (nutritional status and health status) [ 49 ].…”

Section: Methodsmentioning

confidence: 99%

Association between oral condition and subjective psychological well-being among older adults attending a university hospital dental clinic: A cross-sectional study

Takeuchi,

Sawada,

Ekuni

et al. 2023

PLoS ONE

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Positive psychological well-being has a favorable impact on survival rates in both healthy and unhealthy populations. Oral health is also associated with psychological well-being, is multidimensional in nature, and includes physical, psychological, emotional, and social domains that are integral to overall health and well-being. This study aimed to identify the associations between individual and environmental characteristics, oral condition and nutritional status in relation to subjective well-being among older adults using the Wilson and Cleary conceptual model. The participants were older adults (age ≥ 60 years) attending a university hospital. Subjective well-being was assessed using the World Health Organization-5 Well-Being Index, oral condition was assessed based on the number of bacteria in the tongue coating, oral wettability, tongue pressure, occlusal force, oral diadochokinesis, and masticatory ability, and subjective swallowing function was assessed using the Eating Assessment Tool, number of remaining teeth, and number of functional teeth. In addition, factors related to well-being, including social networks, life–space mobility, nutritional status, smoking history, drinking history, and medical history were assessed. In the analysis, structural equation modeling was used to investigate the association between oral condition and subjective well-being. Confirmatory factor analysis revealed oral condition as a latent variable, including tongue pressure, oral diadochokinesis /pa/, /ta/, /ka/, occlusal force, masticatory ability, subjective swallowing function, and number of functional teeth. Structural Equation Modeling revealed that oral condition was positively correlated with nutritional status, and nutritional status was positively correlated with the World Health Organization-5 Well-Being Index. These findings suggest that oral condition may influence subjective well-being via nutritional status or social environmental factors.

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Factors Associated with Nutrition of Japanese Patients with Rheumatoid Arthritis Who Underwent the Mini Nutritional Assessment (MNA), Health Assessment Questionnaire Disability Index, and Body Composition Assessment by Bioelectrical Impedance Analysis

Cited by 8 publications

References 26 publications

Rheumatoid arthritis and nutritional profile: A study in Brazilian females

Rheumatoid arthritis and nutritional profile: A study in Brazilian females

Nutritional status in patients with rheumatoid arthritis: is there an association with the sarcopenic phenotype of body composition?

Association between oral condition and subjective psychological well-being among older adults attending a university hospital dental clinic: A cross-sectional study

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