Spondyloarthritis & psoriatic arthritis

Obesity and its associations with clinical manifestations and disease burden of patients with spondyloarthritis: An ancillary study from the ASAS-PerSpA project

Semin Arthritis RheumPublished Cross-sectional study

Authors' conclusion

Obesity invites a biological therapy burden, work productivity loss, and worse patient-reported health status in patients with SpA.

Study context

Population
Patients with SpA in the ASAS-PerSpA cross-sectional study, 24 countries
Participants
4,449 patients24 countries
Exposure
Obese vs overweight vs normal-weight patients
Outcome
Clinical manifestations and disease burden: btDMARD use and history, SpA-related surgery, work productivity loss and patient-reported health status
Methodological detailsancillary analysis, multinational (24 countries), adjusted for age, gender and smoking
  • Ancillary analysis
  • Multinational (24 countries)
  • Adjusted for age, gender and smoking

Main finding

As reported in the abstract

Obese/overweight patients had higher btDMARD burden, btDMARD inefficacy, work impairment and worse patient-reported health
P < 0.05 for all

Observational data: associations, not effects.

Further findings

Comparison by BMI at age 20 years (BMI20y)

Similar differences found

Original publication

Obesity and its associations with clinical manifestations and disease burden of patients with spondyloarthritis: An ancillary study from the ASAS-PerSpA project. Semin Arthritis Rheum. Published 28 December 2025. doi:10.1016/j.semarthrit.2025.152904

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