Lupus & antiphospholipid syndrome

Patients with systemic lupus erythematosus who are underweight have distinct disease characteristics

LupusPublished Retrospective cohort study

Main finding · High disease activity (SLEDAI-2K ≥10)Result — go to the resultAdjusted odds ratio 0.38 95% CI 0.16–0.92

Authors' conclusion

Patients with SLE who were underweight showed less renal involvement and lower SLEDAI-2K scores compared with those who were not underweight. Moreover, those with SLE who were underweight had a 60% lower risk of exhibiting high disease activity.

Study context

Population
Patients newly diagnosed with systemic lupus erythematosus (SLE)
Participants
218 patients
Exposure
Underweight vs not underweight
  • Underweightn = 35
  • Not underweightn = 183reference
Outcome
High disease activity (SLEDAI-2K ≥10) at diagnosis
Follow-up
At diagnosis
Methodological detailsmultivariable logistic regression
  • Multivariable logistic regression

Main finding

High disease activity (SLEDAI-2K ≥10)

Adjusted odds ratio

0.38

95% CI 0.16–0.92

P = 0.031

By group

Underweightvs Not underweight
aOR 0.38 (95% CI 0.16–0.92); P = 0.031

As reported in the abstract

Observational data: associations, not effects.

Further findings

Renal involvement · at diagnosis

P = 0.040

CRP · at diagnosis

P = 0.028

OutcomeUnderweightNot underweightP value
SLEDAI-2K score · at diagnosis6.7 ± 4.69.1 ± 5.7P = 0.009

Original publication

Patients with systemic lupus erythematosus who are underweight have distinct disease characteristics. Lupus. Published 5 December 2023. doi:10.1177/09612033231220726

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