Spondyloarthritis & psoriatic arthritis

More than skin-deep: visceral fat is strongly associated with disease activity, function and metabolic indices in psoriatic disease

Arthritis Res TherPublished Cross-sectional study

An erratum to this article was published (Arthritis Res Ther, 4 Jul 2023 ↗)

Authors' conclusion

In this pilot study, patients with PsD revealed excessive total adipose tissue and a greater volume of metabolically unfavourable ectopic fat, including VAT, compared with BMI-matched controls, which also correlated with HAQ, disease activity and overall dysmetabolism.

Study context

Population
Patients with psoriatic disease (psoriasis (PsO) and psoriatic arthritis (PsA); median disease duration 15 years; median age 52 years) and BMI-matched controls
Participants
30 vs 30
Exposure
Psoriatic disease vs BMI-matched controls
  • PsDn = 30
  • Controlsn = 30reference
Outcome
Body composition by air displacement plethysmography and MRI-derived fat segmentation (FatSegNet)
Methodological detailspilot study, BMI-matched controls
  • Pilot study
  • BMI-matched controls

Main finding

As reported in the abstract

MRI-derived body composition (whole-body volume, subcutaneous adipose tissue (SAT), VAT, abdominal adipose tissue (AAT), VAT/AAT, VAT/SAT)
  • All MRI-derived body composition parameters higher in PsD than controls, specifically in those with active disease

Observational data: associations, not effects.

Further findings

Correlations of body composition with metabolic indices, function and disease activity

Body mass, body fat, whole-body volume and whole-body visceral adipose tissue (VAT) correlated with higher triglycerides, cholesterol:HDL, insulin resistance, lower adiponectin, higher Health Assessment Questionnaire (HAQ) and lower minimal disease activity (MDA)

Original publication

More than skin-deep: visceral fat is strongly associated with disease activity, function and metabolic indices in psoriatic disease. Arthritis Res Ther. Published 23 June 2023. doi:10.1186/s13075-023-03085-9

Composed by AI from the published abstract and checked against it. How Briefs are made →

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