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Lifestyle and body composition changes in patients with rheumatoid arthritis during the COVID-19 pandemic: A retrospective, observational study

OBJECTIVES: Behavioral restrictions and staying at home during the COVID-19 pandemic have affected lifestyles. It was hypothesized that patients with rheumatoid arthritis (RA) decreased their activities of daily living (ADL) and exercise during the pandemic. The aim of this study is to investigate t...

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Autores principales: Tada, Masahiro, Yamada, Yutaro, Mandai, Koji, Matsumoto, Yoshinari, Hidaka, Noriaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Osteoporosis 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10034844/
https://www.ncbi.nlm.nih.gov/pubmed/37035091
http://dx.doi.org/10.1016/j.afos.2023.03.003
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author Tada, Masahiro
Yamada, Yutaro
Mandai, Koji
Matsumoto, Yoshinari
Hidaka, Noriaki
author_facet Tada, Masahiro
Yamada, Yutaro
Mandai, Koji
Matsumoto, Yoshinari
Hidaka, Noriaki
author_sort Tada, Masahiro
collection PubMed
description OBJECTIVES: Behavioral restrictions and staying at home during the COVID-19 pandemic have affected lifestyles. It was hypothesized that patients with rheumatoid arthritis (RA) decreased their activities of daily living (ADL) and exercise during the pandemic. The aim of this study is to investigate the changes in lifestyle and body composition. METHODS: Data were obtained from an observational study (CHIKARA study). Of 100 RA patients, 70 (57 women, 13 men) were followed-up with measurements of grip strength, as well as muscle mass, fat mass, and basal metabolic rate by a body composition analyzer. Changes in ADL and exercise were evaluated using a visual analog scale. The relationships between changes in ADL or exercise and body composition were investigated. RESULTS: Muscle mass and grip strength were significantly lower after behavioral restrictions compared to the periods before restrictions (34.0 vs 34.7 kg, P < 0.001; 16.2 vs 17.2 kg, P = 0.013, respectively). Fat mass was significantly greater after behavioral restrictions compared to the periods before restrictions (16.2 vs 15.5 kg, P = 0.014). The mean decrease in ADL was 44%, whereas that of exercise was 20%. The change in muscle mass (β = −0.335, P = 0.007) was the only independent factor for the change in exercise on multivariate analysis. CONCLUSIONS: Muscle mass and grip strength decreased and fat mass increased in RA patients with the behavioral restrictions of the COVID-19 pandemic. Muscle mass decreased in patients without exercise. Maintenance of muscle mass may be important during the COVID-19 pandemic.
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spelling pubmed-100348442023-03-23 Lifestyle and body composition changes in patients with rheumatoid arthritis during the COVID-19 pandemic: A retrospective, observational study Tada, Masahiro Yamada, Yutaro Mandai, Koji Matsumoto, Yoshinari Hidaka, Noriaki Osteoporos Sarcopenia Original Article OBJECTIVES: Behavioral restrictions and staying at home during the COVID-19 pandemic have affected lifestyles. It was hypothesized that patients with rheumatoid arthritis (RA) decreased their activities of daily living (ADL) and exercise during the pandemic. The aim of this study is to investigate the changes in lifestyle and body composition. METHODS: Data were obtained from an observational study (CHIKARA study). Of 100 RA patients, 70 (57 women, 13 men) were followed-up with measurements of grip strength, as well as muscle mass, fat mass, and basal metabolic rate by a body composition analyzer. Changes in ADL and exercise were evaluated using a visual analog scale. The relationships between changes in ADL or exercise and body composition were investigated. RESULTS: Muscle mass and grip strength were significantly lower after behavioral restrictions compared to the periods before restrictions (34.0 vs 34.7 kg, P < 0.001; 16.2 vs 17.2 kg, P = 0.013, respectively). Fat mass was significantly greater after behavioral restrictions compared to the periods before restrictions (16.2 vs 15.5 kg, P = 0.014). The mean decrease in ADL was 44%, whereas that of exercise was 20%. The change in muscle mass (β = −0.335, P = 0.007) was the only independent factor for the change in exercise on multivariate analysis. CONCLUSIONS: Muscle mass and grip strength decreased and fat mass increased in RA patients with the behavioral restrictions of the COVID-19 pandemic. Muscle mass decreased in patients without exercise. Maintenance of muscle mass may be important during the COVID-19 pandemic. Korean Society of Osteoporosis 2023-03 2023-03-23 /pmc/articles/PMC10034844/ /pubmed/37035091 http://dx.doi.org/10.1016/j.afos.2023.03.003 Text en © 2023 The Korean Society of Osteoporosis. Publishing services by Elsevier B.V.
spellingShingle Original Article
Tada, Masahiro
Yamada, Yutaro
Mandai, Koji
Matsumoto, Yoshinari
Hidaka, Noriaki
Lifestyle and body composition changes in patients with rheumatoid arthritis during the COVID-19 pandemic: A retrospective, observational study
title Lifestyle and body composition changes in patients with rheumatoid arthritis during the COVID-19 pandemic: A retrospective, observational study
title_full Lifestyle and body composition changes in patients with rheumatoid arthritis during the COVID-19 pandemic: A retrospective, observational study
title_fullStr Lifestyle and body composition changes in patients with rheumatoid arthritis during the COVID-19 pandemic: A retrospective, observational study
title_full_unstemmed Lifestyle and body composition changes in patients with rheumatoid arthritis during the COVID-19 pandemic: A retrospective, observational study
title_short Lifestyle and body composition changes in patients with rheumatoid arthritis during the COVID-19 pandemic: A retrospective, observational study
title_sort lifestyle and body composition changes in patients with rheumatoid arthritis during the covid-19 pandemic: a retrospective, observational study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10034844/
https://www.ncbi.nlm.nih.gov/pubmed/37035091
http://dx.doi.org/10.1016/j.afos.2023.03.003
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