{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T16:05:18Z","timestamp":1771430718013,"version":"3.50.1"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Rheumatol Int"],"DOI":"10.1007\/s00296-025-06052-6","type":"journal-article","created":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T03:54:08Z","timestamp":1766116448000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Sex-specific associations between nutritional status, disease activity, and fatigue in psoriatic arthritis: a cross-sectional analysis"],"prefix":"10.1007","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9302-8437","authenticated-orcid":false,"given":"Selin","family":"Cilli Hay\u0131ro\u011flu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1002-962X","authenticated-orcid":false,"given":"Nuran","family":"\u00d6z","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3584-2788","authenticated-orcid":false,"given":"Mehmet Tuncay","family":"Duru\u00f6z","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,12,19]]},"reference":[{"issue":"5","key":"6052_CR1","doi-asserted-by":"publisher","first-page":"729","DOI":"10.1016\/j.jaad.2013.07.023","volume":"69","author":"PJ Mease","year":"2013","unstructured":"Mease PJ, Gladman DD, Papp KA, Khraishi MM, Thaci D, Behrens F, Northington R, Fuiman J, Bananis E, Boggs R, Alvarez D (2013) Prevalence of rheumatologist-diagnosed psoriatic arthritis in patients with psoriasis in European\/North American dermatology clinics. J Am Acad Dermatol 69(5):729\u2013735. https:\/\/doi.org\/10.1016\/j.jaad.2013.07.023","journal-title":"J Am Acad Dermatol"},{"issue":"3","key":"6052_CR2","doi-asserted-by":"publisher","first-page":"438","DOI":"10.3899\/jrheum.220317","volume":"50","author":"DR Jadon","year":"2023","unstructured":"Jadon DR, Corp N, van der Windt DA, Coates LC, Soriano ER, Kavanaugh A, Raine T, Rieder F, Siebert S, Zummer M, Schwartzman S, Rosenbaum JT, Michelsen B, Laxminarayan R, Wu D, Gupta L, Ng B, Jethwa H, De Windt N, Gudu T, Hutton J, O\u2019Sullivan D, Luchetti MM, Stoll M, Singh JA, Peluso R, Rademacher J, Husni ME (2023) Management of concomitant inflammatory bowel disease or uveitis in patients with psoriatic arthritis: an updated review informing the 2021 GRAPPA treatment recommendations. J Rheumatol 50(3):438\u2013450. https:\/\/doi.org\/10.3899\/jrheum.220317","journal-title":"J Rheumatol"},{"issue":"4","key":"6052_CR3","doi-asserted-by":"publisher","first-page":"673","DOI":"10.1136\/annrheumdis-2016-210242","volume":"76","author":"AM Orbai","year":"2017","unstructured":"Orbai AM, de Wit M, Mease P, Shea JA, Gossec L, Leung YY, Tillett W, Elmamoun M, Callis Duffin K, Campbell W, Christensen R, Coates L, Dures E, Eder L, FitzGerald O, Gladman D, Goel N, Grieb SD, Hewlett S, Hoejgaard P, Kalyoncu U, Lindsay C, McHugh N, Shea B, Steinkoenig I, Strand V, Ogdie A (2017) International patient and physician consensus on a psoriatic arthritis core outcome set for clinical trials. Ann Rheum Dis 76(4):673\u2013680. https:\/\/doi.org\/10.1136\/annrheumdis-2016-210242","journal-title":"Ann Rheum Dis"},{"issue":"6","key":"6052_CR4","doi-asserted-by":"publisher","first-page":"745","DOI":"10.1016\/j.clnu.2010.04.006","volume":"29","author":"B Saka","year":"2010","unstructured":"Saka B, Kaya O, Ozturk GB, Erten N, Karan MA (2010) Malnutrition in the elderly and its relationship with other geriatric syndromes. Clin Nutr 29(6):745\u2013748. https:\/\/doi.org\/10.1016\/j.clnu.2010.04.006","journal-title":"Clin Nutr"},{"issue":"1","key":"6052_CR5","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1016\/s0167-5273(02)00237-1","volume":"85","author":"J Walsmith","year":"2002","unstructured":"Walsmith J, Roubenoff R (2002) Cachexia in rheumatoid arthritis. Int J Cardiol 85(1):89\u201399. https:\/\/doi.org\/10.1016\/s0167-5273(02)00237-1","journal-title":"Int J Cardiol"},{"key":"6052_CR6","doi-asserted-by":"publisher","unstructured":"Morales F, Montserrat-de la Paz S, Leon MJ, Rivero-Pino F (2023) Effects of Malnutrition on the Immune System and Infection and the Role of Nutritional Strategies Regarding Improvements in Children\u2019s Health Status: A Literature Review. Nutrients 16(1). https:\/\/doi.org\/10.3390\/nu16010001","DOI":"10.3390\/nu16010001"},{"issue":"1","key":"6052_CR7","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1007\/s00296-024-05783-2","volume":"45","author":"N Oz","year":"2025","unstructured":"Oz N, Gezer HH, Karabulut Y, Duruoz MT (2025) Association of nutritional status indices with Gastrointestinal symptoms in systemic sclerosis: a cross-sectional study. Rheumatol Int 45(1):21. https:\/\/doi.org\/10.1007\/s00296-024-05783-2","journal-title":"Rheumatol Int"},{"key":"6052_CR8","doi-asserted-by":"publisher","first-page":"993061","DOI":"10.3389\/fnut.2022.993061","volume":"9","author":"P Tian","year":"2022","unstructured":"Tian P, Xiong J, Wu W, Shi S, Chen A, Chen K, Chen W, Wu A, Liao Y (2022) Impact of the malnutrition on mortality in rheumatoid arthritis patients: A cohort study from NHANES 1999\u20132014. Front Nutr 9:993061. https:\/\/doi.org\/10.3389\/fnut.2022.993061","journal-title":"Front Nutr"},{"key":"6052_CR9","doi-asserted-by":"publisher","unstructured":"Ahn SS, Yoo J, Jung SM, Song JJ, Park YB, Lee SW (2019) Comparison of the clinical implications among five different nutritional indices in patients with lupus nephritis. Nutrients 11(7). https:\/\/doi.org\/10.3390\/nu11071456","DOI":"10.3390\/nu11071456"},{"issue":"3","key":"6052_CR10","doi-asserted-by":"publisher","first-page":"e2022216","DOI":"10.1590\/1516-3180.2022.0216.R1.01072022","volume":"141","author":"SBL Gamonal","year":"2022","unstructured":"Gamonal SBL, Gamonal ACC, Marques NCV, Brandao MAF, Raposo NRB (2022) Is vitamin D status relevant to psoriasis and psoriatic arthritis? A retrospective cross-sectional study. Sao Paulo Med J 141(3):e2022216. https:\/\/doi.org\/10.1590\/1516-3180.2022.0216.R1.01072022","journal-title":"Sao Paulo Med J"},{"issue":"4","key":"6052_CR11","doi-asserted-by":"publisher","first-page":"888","DOI":"10.1016\/j.semarthrit.2021.06.008","volume":"51","author":"K Aouad","year":"2021","unstructured":"Aouad K, Moysidou G, Rakotozafiarison A, Fautrel B, Gossec L (2021) Outcome measures used in psoriatic arthritis registries and cohorts: A systematic literature review of 27 registries or 16,183 patients. Semin Arthritis Rheum 51(4):888\u2013894. https:\/\/doi.org\/10.1016\/j.semarthrit.2021.06.008","journal-title":"Semin Arthritis Rheum"},{"issue":"9","key":"6052_CR12","doi-asserted-by":"publisher","first-page":"1878","DOI":"10.3899\/jrheum.100179","volume":"37","author":"JA Husted","year":"2010","unstructured":"Husted JA, Tom BD, Farewell VT, Gladman DD (2010) Longitudinal analysis of fatigue in psoriatic arthritis. J Rheumatol 37(9):1878\u20131884. https:\/\/doi.org\/10.3899\/jrheum.100179","journal-title":"J Rheumatol"},{"issue":"6","key":"6052_CR13","doi-asserted-by":"publisher","first-page":"1012","DOI":"10.1136\/annrheumdis-2014-205207","volume":"73","author":"L Gossec","year":"2014","unstructured":"Gossec L, de Wit M, Kiltz U, Braun J, Kalyoncu U, Scrivo R, Maccarone M, Carton L, Otsa K, Sooaar I, Heiberg T, Bertheussen H, Canete JD, Sanchez Lombarte A, Balanescu A, Dinte A, de Vlam K, Smolen JS, Stamm T, Niedermayer D, Bekes G, Veale D, Helliwell P, Parkinson A, Luger T, Kvien TK, Taskforce EP (2014) A patient-derived and patient-reported outcome measure for assessing psoriatic arthritis: elaboration and preliminary validation of the psoriatic arthritis impact of disease (PsAID) questionnaire, a 13-country EULAR initiative. Ann Rheum Dis 73(6):1012\u20131019. https:\/\/doi.org\/10.1136\/annrheumdis-2014-205207","journal-title":"Ann Rheum Dis"},{"issue":"9","key":"6052_CR14","doi-asserted-by":"publisher","first-page":"1212","DOI":"10.1111\/1756-185X.12505","volume":"20","author":"O Gezer","year":"2017","unstructured":"Gezer O, Batmaz I, Sariyildiz MA, Sula B, Ucmak D, Bozkurt M, Nas K (2017) Sleep quality in patients with psoriatic arthritis. Int J Rheum Dis 20(9):1212\u20131218. https:\/\/doi.org\/10.1111\/1756-185X.12505","journal-title":"Int J Rheum Dis"},{"issue":"1","key":"6052_CR15","doi-asserted-by":"publisher","first-page":"13239","DOI":"10.1038\/s41598-020-70252-2","volume":"10","author":"T Hayama","year":"2020","unstructured":"Hayama T, Ozawa T, Okada Y, Tsukamoto M, Fukushima Y, Shimada R, Nozawa K, Matsuda K, Fujii S, Hashiguchi Y (2020) The pretreatment controlling nutritional status (CONUT) score is an independent prognostic factor in patients undergoing resection for colorectal cancer. Sci Rep 10(1):13239. https:\/\/doi.org\/10.1038\/s41598-020-70252-2","journal-title":"Sci Rep"},{"issue":"1","key":"6052_CR16","doi-asserted-by":"publisher","first-page":"2443256","DOI":"10.1080\/07853890.2024.2443256","volume":"57","author":"Z Chen","year":"2025","unstructured":"Chen Z, Zeng L, Cai W, Song X, Xu Q, Xu J, Zhao L, Zeng Y, Zhang X, Wu X, Zhou R, Ying H, Ying K, Chen Y, Yu F (2025) Predictive value of three nutritional indexes for disease activity in patients with inflammatory bowel disease. Ann Med 57(1):2443256. https:\/\/doi.org\/10.1080\/07853890.2024.2443256","journal-title":"Ann Med"},{"issue":"6","key":"6052_CR17","doi-asserted-by":"publisher","first-page":"982","DOI":"10.1080\/14397595.2019.1681653","volume":"30","author":"E Hasegawa","year":"2020","unstructured":"Hasegawa E, Kobayashi D, Kurosawa Y, Taniguchi S, Otani H, Abe A, Ito S, Nakazono K, Murasawa A, Narita I, Ishikawa H (2020) Nutritional status as the risk factor of serious infection in patients with rheumatoid arthritis. Mod Rheumatol 30(6):982\u2013989. https:\/\/doi.org\/10.1080\/14397595.2019.1681653","journal-title":"Mod Rheumatol"},{"issue":"10","key":"6052_CR18","doi-asserted-by":"publisher","first-page":"987","DOI":"10.1007\/s00393-018-0562-y","volume":"78","author":"SC Sandikci","year":"2019","unstructured":"Sandikci SC, Colak S, Aydogan Baykara R, Oktem A, Cure E, Omma A, Kucuk A (2019) Evaluation of restless legs syndrome and sleep disorders in patients with psoriatic arthritis. Z Rheumatol 78(10):987\u2013995. https:\/\/doi.org\/10.1007\/s00393-018-0562-y","journal-title":"Z Rheumatol"},{"issue":"2","key":"6052_CR19","doi-asserted-by":"publisher","first-page":"160","DOI":"10.5606\/ArchRheumatol.2018.6376","volume":"33","author":"MT Duruoz","year":"2018","unstructured":"Duruoz MT, Unal C, Ulutatar F, Sanal Toprak C, Gunduz OH (2018) The validity and reliability of Turkish version of the Jenkins sleep evaluation scale in rheumatoid arthritis. Arch Rheumatol 33(2):160\u2013167. https:\/\/doi.org\/10.5606\/ArchRheumatol.2018.6376","journal-title":"Arch Rheumatol"},{"issue":"4","key":"6052_CR20","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1007\/s00296-025-05830-6","volume":"45","author":"J Gajdecki","year":"2025","unstructured":"Gajdecki J, Stepien B, Gajdecka K, Brzezinska O, Nadel A, Makowska J, Opinc-Rosiak A (2025) Controlling nutritional status score as a sensitive instrument for malnutrition screening in systemic sclerosis - a retrospective study. Rheumatol Int 45(4):80. https:\/\/doi.org\/10.1007\/s00296-025-05830-6","journal-title":"Rheumatol Int"},{"issue":"11","key":"6052_CR21","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1007\/s00296-025-06007-x","volume":"45","author":"M Bader","year":"2025","unstructured":"Bader M, Aouba A, Morello R, Boutemy J, Martin Silva N, Deshayes S, Maigne G, Gallou S, Philip R, de Boysson H, Dumont A (2025) Impact of Gastrointestinal involvement on mortality and malnutrition in systemic sclerosis: an observational cohort of 135 patients. Rheumatol Int 45(11):259. https:\/\/doi.org\/10.1007\/s00296-025-06007-x","journal-title":"Rheumatol Int"},{"issue":"5","key":"6052_CR22","doi-asserted-by":"publisher","first-page":"1461","DOI":"10.1007\/s10067-024-06927-2","volume":"43","author":"N Oz","year":"2024","unstructured":"Oz N, Gezer HH, Cilli Hayiroglu S, Duruoz MT (2024) Evaluation of the prognostic nutritional index (PNI) as a tool for assessing disease activity in rheumatoid arthritis patients. Clin Rheumatol 43(5):1461\u20131467. https:\/\/doi.org\/10.1007\/s10067-024-06927-2","journal-title":"Clin Rheumatol"},{"key":"6052_CR23","doi-asserted-by":"publisher","unstructured":"Rotondo C, Cantatore FP, Cici D, Erroi F, Sciacca S, Rella V, Corrado A (2023) Vitamin D status and psoriatic arthritis: association with the risk for sacroiliitis and influence on the retention rate of methotrexate monotherapy and first biological drug Survival-A retrospective study. Int J Mol Sci 24(6). https:\/\/doi.org\/10.3390\/ijms24065368","DOI":"10.3390\/ijms24065368"},{"key":"6052_CR24","doi-asserted-by":"publisher","unstructured":"Athanassiou L, Kostoglou-Athanassiou I, Koutsilieris M, Shoenfeld Y (2023) Vitamin D and autoimmune rheumatic diseases. Biomolecules 13(4). https:\/\/doi.org\/10.3390\/biom13040709","DOI":"10.3390\/biom13040709"},{"issue":"7","key":"6052_CR25","doi-asserted-by":"publisher","first-page":"3189","DOI":"10.1093\/rheumatology\/keaa768","volume":"60","author":"SS Zhao","year":"2021","unstructured":"Zhao SS, Jones GT, Macfarlane GJ, Hughes DM, Moots RJ, Goodson NJ (2021) Association between comorbidities and disease activity in axial spondyloarthritis: results from the BSRBR-AS. Rheumatology (Oxford) 60(7):3189\u20133198. https:\/\/doi.org\/10.1093\/rheumatology\/keaa768","journal-title":"Rheumatology (Oxford)"},{"issue":"1","key":"6052_CR26","doi-asserted-by":"publisher","first-page":"461","DOI":"10.1186\/s12877-025-06110-5","volume":"25","author":"L Wang","year":"2025","unstructured":"Wang L, Dai X, Ai J, Li X, Deng A, Yang X, Zhang Y, Tian D, He L (2025) The relationship between sarcopenia, nutritional status, physical function, and quality of life in elderly cancer patients: a path analysis. BMC Geriatr 25(1):461. https:\/\/doi.org\/10.1186\/s12877-025-06110-5","journal-title":"BMC Geriatr"},{"key":"6052_CR27","doi-asserted-by":"publisher","first-page":"107890","DOI":"10.1016\/j.parkreldis.2025.107890","volume":"137","author":"NE Soke","year":"2025","unstructured":"Soke NE, Kara G, Yardimci H, Kocer B, Erkoc Ataoglu NE, Tokcaer Bora HA (2025) Assessment of nutritional status in elderly hospitalised patients with parkinson\u2019s disease: validation of CONUT and GNRI. Parkinsonism Relat Disord 137:107890. https:\/\/doi.org\/10.1016\/j.parkreldis.2025.107890","journal-title":"Parkinsonism Relat Disord"}],"container-title":["Rheumatology International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00296-025-06052-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00296-025-06052-6","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00296-025-06052-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T15:14:19Z","timestamp":1771427659000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00296-025-06052-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,19]]},"references-count":27,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,1]]}},"alternative-id":["6052"],"URL":"https:\/\/doi.org\/10.1007\/s00296-025-06052-6","relation":{},"ISSN":["1437-160X"],"issn-type":[{"value":"1437-160X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,19]]},"assertion":[{"value":"13 September 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 November 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 December 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that there are no conflicts of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"All procedures performed in studies involving human participants were performed in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Ethical approval was taken from the Marmara University Ethics Committee (approval no:675 and date: 18\/07\/2025).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was obtained from all subjects before enrollment.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"Additional informed consent was obtained from all individual participants for whom identifying information is included in this article.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}}],"article-number":"21"}}