Xibillé-Friedmann DX, Ortiz-Panozo E, Bustos Rivera-Bahena C, Sandoval-Ríos M, Hernández-Góngora SE, Dominguez-Hernandez L, Montiel-Hernández JL. Leptin and adiponectin as predictors of disease activity in rheumatoid arthritis.
Clin Exp Rheumatol 2015;
33:471-477. [PMID:
25936395]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2014] [Accepted: 02/10/2015] [Indexed: 06/04/2023]
Abstract
OBJECTIVES
To assess whether baseline levels of leptin and adiponectin predict disease activity or response to treatment in patients with RA at 6 months, 1 and 2 years of follow-up.
METHODS
A consecutive cohort of patients, classified according to the 2010 ACR/EULAR RA criteria, was evaluated at baseline, 6 months, 1 and 2 years. All were treated with steroids and/or DMARDs. None received biologics. Blood was taken at a baseline to determine plasma anti-CCP, leptin and adiponectin. The relationship between leptin, adiponectin, DAS28 and changes in DAS28 was assessed by multivariable linear and logistic regression from baseline to follow-up.
RESULTS
127 patients completed 6 months, 91 one year and 52 two years of follow-up. All were female, mean age 45 years (18-70), time since onset of disease 7.5 years (0-36). A U-shaped relationship between DAS28 and leptin baseline levels was seen. Adjusting for different factors, leptin levels at baseline predicted higher DAS28 at 6 months and, in patients who were not overweight or obese, predicted disease activity at 6 months, 1 and 2 years. In patients who were not overweight or obese, baseline leptin was able to predict response to treatment at 6 and 12 months.
CONCLUSIONS
In the short term, baseline leptin levels predict disease activity in all RA patients and response to treatment in RA patients with normal weight.
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