Quality of life and strength, but not cytokines, are associated with DAS-28 in active and inactive rheumatoid arthritis

Objective: Evaluate and correlate data between relevant cytokines, disease progression, and handgrip and quality of life among RA patients at different stages of disease progression. Method: Thirty-three RA patients were recruited for analysis, using comparisons and correlations, between levels of c...

Descripción completa

Detalles Bibliográficos
Autores: Travizan, Marina, Vitaliano Graminha, Cristiane, Molinero Andrade Ratkevicius, Cristhiane, Farnesi Assunção, Thaís Soares, Botelho Teodoro, Reginaldo, Stefenoni Krüger, Gabriella, Jerônimo, Erik Augusto, Pessato Timóteo, Rodolfo
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:Brasil
Institución:Hospital de Clínicas de Itajubá
Repositorio:Revista Ciências em Saúde
Idioma:inglés
OAI Identifier:oai:ojs.portalrcs.hcitajuba.org.br:article/1493
Acceso en línea:https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/hsjhci.v14.2024.e1493
Access Level:acceso abierto
Palabra clave:Rheumatoid Artrits
Quality of Life
Pain
DAS-28
SF-36
Hand Strength
Artrite Reumatóide
Qualidade de Vida
Dor
Força da Mão
Descripción
Sumario:Objective: Evaluate and correlate data between relevant cytokines, disease progression, and handgrip and quality of life among RA patients at different stages of disease progression. Method: Thirty-three RA patients were recruited for analysis, using comparisons and correlations, between levels of circulating cytokines (IFN-γ, TNF-α, IL-4, IL-6, IL-10, IL-17, IL-1β, and TNF receptors I and II), activity of the disease (evaluated using the DAS-28), handgrip (Hydraulic dynamometer), and quality of life (SF-36). Result: RA patients in different disease stages showed increases of IL-6 and IL-10 compared control group. Positive correlation between IL-6 with TNF-α, and IL-4 with IL-10 was found. Handgrip strength and quality of life were not related to cytokine levels. However, remission patients had better strength and quality of life indices compared to the active patients. In addition, handgrip of the non-dominant side, physical functions, role limitations physical health, pain, energy/fatigue and social functions have a negative correlation with the DAS28-PCR. Conclusion: High levels of IL-6 and IL-10 were observed in the chronic RA patients, but the values did not show correlation with disease activity, handgrip strength and quality of life. Disease activity show correlation with handgrip strength and quality of life. Furthermore, remission patients had better strength and quality of life indices compared to the active patients.