Reproducibility of total and regional body composition using dual-energy X-ray absorptiometry in rheumatoid arthritis and ankylosing spondylitis.


Journal

Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA
ISSN: 1433-2965
Titre abrégé: Osteoporos Int
Pays: England
ID NLM: 9100105

Informations de publication

Date de publication:
May 2021
Historique:
received: 18 08 2020
accepted: 11 11 2020
pubmed: 3 1 2021
medline: 16 4 2021
entrez: 2 1 2021
Statut: ppublish

Résumé

Several studies have reported changes in body composition in rheumatoid arthritis (RA) and ankylosing spondylitis (AS). Our study showed that body composition measurements obtained by absorptiometry were highly reproducible in patients suffering from these diseases. This study justifies the use of absorptiometry measurements in longitudinal studies in this population. Our study aimed to assess the reproducibility of total and regional body composition in patients with rheumatoid arthritis (RA) and with ankylosing spondylitis (AS) and to compare them to healthy subjects. The study enrolled 80 subjects including 32 healthy subjects, 31 RA patients, and 17 AS patients. Each subject had two scans in one day under the same standard conditions and none ate nor drunk before being repositioned on the table. The reproducibility was assessed through the coefficient of variation (CV), the least significant change (LSC), the intraclass correlation (ICC), and the smallest significant difference (SDD). Total body composition measurements obtained by dual-energy X-ray absorptiometry (DXA) were highly reproducible, and there was no statistically significant difference between reproducibility in healthy subjects, patients with RA, and patients with AS. For total body fat mass (FM), lean mass (LM), and bone mineral content (BMC) in the total population, CV values were 1.71%, 1.25%, and 1.74%, respectively; ICC values were 0.998, 0.996, and 0.993, respectively; LSC values were 4.88%, 3.7%, and 5.2%, respectively; and SDD values were ± 1.23 Kg, ± 1.47 Kg, and ± 126.0 g, respectively. For regional body FM, LM, and BMC in the total population, CV values in the arms were 8.46%, 4.17%, and 3.79%, respectively; in the legs 6.24%, 3.59%, and 2.04%, respectively, and in the trunk 5.02%, 2.92%, and 5.24%, respectively. Total body tissue mass, FM percentage, FM, LM, and BMC measurements obtained by DXA are highly reproducible in RA and AS.

Identifiants

pubmed: 33386877
doi: 10.1007/s00198-020-05741-1
pii: 10.1007/s00198-020-05741-1
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

991-999

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Auteurs

H J Djossou (HJ)

Rheumatology Department, Military Hospital Mohammed V, PO Box: 1018, Rabat, Morocco. drhjuliend@yahoo.com.

M A Tazi (MA)

Statistics Department, National Institute of Oncology Sidi Mohamed Ben Abdellah, Rabat, Morocco.

M Ahmed Ghassem (M)

Rheumatology Department, Military Hospital Mohammed V, PO Box: 1018, Rabat, Morocco.

N El Ouardi (N)

Rheumatology Department, Military Hospital Mohammed V, PO Box: 1018, Rabat, Morocco.

L Taoubane (L)

Rheumatology Department, Military Hospital Mohammed V, PO Box: 1018, Rabat, Morocco.

A Majjad (A)

Rheumatology Department, Military Hospital Mohammed V, PO Box: 1018, Rabat, Morocco.

S Sadni (S)

Rheumatology Department, Military Hospital Mohammed V, PO Box: 1018, Rabat, Morocco.

H Toufik (H)

Rheumatology Department, Military Hospital Mohammed V, PO Box: 1018, Rabat, Morocco.

L Achemlal (L)

Rheumatology Department, Military Hospital Mohammed V, PO Box: 1018, Rabat, Morocco.

A El Maghraoui (A)

Cabinet of Rheumatology, Av. Mohamed V, Street Bait Lahm, Buil B, n°6, Rabat, Morocco.

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