Avaliação do estado nutricional e da atividade física em pacientes com lúpus eritematoso sistêmico

Abstract

Introduction: Patients with systemic lupus erythematosus (SLE) may present nutritional changes triggered by disease or treatment, and these conditions may interfere with prognosis. Objective: Assess the nutritional status, physical activity and associated factors in patients with SLE under treatment at the Service of Rheumatology of Hospital das Clínicas/ Universidade Federal de Minas Gerais. Methods: A cross-sectional study evaluating the nutritional status, clinical laboratory findings, sociodemographic, and treatment characteristics of 170 SLE female patients. Results: Patients aged between 18 and 60 years were included. The mean (SD) age of patients and duration of SLE was 39.1 (10.0) and 9.9 (6.2) years, respectively. Two (1.2%) patients were classified as grade I underweight, 59 (34.7%) eutrophic, 61 (35.9%) as overweight, 37 (21.8%) as grade I obesity, seven (4,1%) as grade II obesity, and four (2,4%) as grade III obesity. Overweight and obesity were significantly associated with older age, lower education, higher SLE damage index, higher serum concentration of complement, higher incidence of hypertension and diabetes mellitus, presence of ovarian failure, and less frequent use of antimalarials Regarding physical activity, 39 patients (22.9%) were classified as inactive, 100 (58.8%) insufficiently active, and 31 (18.2%) active. Of the latter, 13 (43.3%) were in the eutrophic group. Conclusion: Excess weight was high in this population and associated with some traditional risk factors for cardiovascular disease and SLE poor prognosis. Therefore, encouraging weight control must be part of the main goals in treating SLE patients.

The systemic lúpus erythematosus and women's selfimage carrier / O lúpus eritematoso sistêmico e a autoimagem da mulher portadora / El lupus eritematoso sistémico y el portadora autoimagen de las mujeres

“…As manifestações clínicas incluem o comprometimento cutâneo (vasculites, rash cutâneo, hiperemia), emagrecimento, febre, cefaleias, alopecia, astenia, mialgia, entre outros. Além disso, podem-se apresentar comprometimento em vísceras, como fígado e pâncreas (1) .…”

Performing laparoscopic sleeve gastrectomy in an obese patient with systemic lupus erythematosus undergoing long-term steroid therapy: a case report

“…Regarding the relationship between SLE and obesity, two thirds of patients with SLE were overweight or obese [2]. In obese patients with SLE, functional ability and health-related quality of life are lower than that in normal weighing patients with SLE [13, 14].…”

“…Systemic lupus erythematosus (SLE), an autoimmune disease characterized by systemic inflammatory lesions caused by tissue deposition of immune complexes such as DNA-anti-DNA antibodies, is often associated with obesity [1, 2]. Symptoms of SLE are worsened by obesity but can improve by weight loss through diet therapy [3].…”

O Impacto Da Atividade Física Na Artrite Reumatóide

“…A média de tempo de doença não varia muito entre os estudos, (18)(19)(20) o mesmo com a média de idade (18,20,21) e IMC. (4,22) Um estudo sobre a avaliação da atividade física e nutricional de pacientes com Lúpus Eritematoso Sistêmico (22) também não mostrou significância estatística entre o NAF e o IMC.…”