{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,26]],"date-time":"2024-06-26T13:14:48Z","timestamp":1719407688140},"reference-count":51,"publisher":"Bentham Science Publishers Ltd.","issue":"3","content-domain":{"domain":["eurekaselect.com"],"crossmark-restriction":true},"short-container-title":["CRR"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:sec>\n<jats:title>Introduction:<\/jats:title>\n<jats:p>Overweight and obesity are common in patients with Rheumatoid Arthritis (RA), with a probable impact on bearing foot joints.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Aim:<\/jats:title>\n<jats:p>Our study aimed to explore the impact of Body Mass Index (BMI) on foot health parameters in RA patients.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Methods:<\/jats:title>\n<jats:p>It was a cross-sectional study. Domains of foot health explored were: foot pain (Numeric Rating Scale), foot-related activity limitations (Foot Function Index (FFI), and WOMAC scale), foot synovitis, foot deformity (Platto Score (PS)), radiological joint damage and footwear problems.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Results:<\/jats:title>\n<jats:p>Fifty RA were included, 82% were female. The mean age was 45.68 \u00b1 10.3 years. The mean DAS28-CRP was 3.25 \u00b1 0.98. Sixty-six percent were overweight or obese, with a mean BMI of 29 Kg\/m2 \u00b1 5.74. The average foot pain intensity while walking was 6 \u00b1 1.75. The mean swollen foot joint was 2.2 \u00b1 1.55. The average foot structural index was 7.8 \u00b1 2.73. The mean FFI Disability score was 32 \u00b1 14.2 and WOMAC score was 33.8 \u00b1 13.98. Half of our patients had footwear prob-lems predominantly because of claw toe (40%). High BMI was significantly correlated with foot pain and foot-related activity limitations. It was also correlated with foot deformities assessed with PS (B=4.78; CI(3.87-5.68); p = 0.02), foot synovitis (OR=4.66, CI(2.61-8.32); p &lt; 0.001) and prob-lems with footwear (OR= 0.32; CI(0.18-0.56); p = 0.05). However, it was significantly associated with less radiological joint damage (CI(-0.7-1.1); p = 0.01) and lower foot sharp score (B = -13.9; CI(-0.34-0.01); P = 0.06).<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Conclusion:<\/jats:title>\n<jats:p>Despite our findings of a possible protective effect of obesity on structural damage, obesity is still an important cause of increased pain, functional disability, and impaired QoL in RA patients.<\/jats:p>\n<\/jats:sec>","DOI":"10.2174\/1573397119666221124152856","type":"journal-article","created":{"date-parts":[[2022,11,25]],"date-time":"2022-11-25T06:00:17Z","timestamp":1669356017000},"page":"373-379","update-policy":"http:\/\/dx.doi.org\/10.2174\/bsp_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Foot Functional Disability in Rheumatoid Arthritis: The Involvement of\nBody Mass Index"],"prefix":"10.2174","volume":"19","author":[{"given":"Soumaya","family":"Boussaid","sequence":"additional","affiliation":[{"name":"Rheumatology Department, Rabta Hospital, Tunis, Tunisia"},{"name":"Faculty of Medicine of Tunis, University Tunis el Manar,\nTunis, Tunisia"},{"name":"Research Unit LR 05 SP 01, la Rabta Hospital, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarra","family":"Jeriri","sequence":"additional","affiliation":[{"name":"Rheumatology Department, Rabta Hospital, Tunis, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emna","family":"Hannech","sequence":"additional","affiliation":[{"name":"Rheumatology Department, Rabta Hospital, Tunis, Tunisia"},{"name":"Faculty of Medicine of Tunis, University Tunis el Manar,\nTunis, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonia","family":"Rekik","sequence":"additional","affiliation":[{"name":"Rheumatology Department, Rabta Hospital, Tunis, Tunisia"},{"name":"Faculty of Medicine of Tunis, University Tunis el Manar,\nTunis, Tunisia"},{"name":"Research Unit LR 05 SP 01, la Rabta Hospital, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samia","family":"Jammali","sequence":"additional","affiliation":[{"name":"Rheumatology Department, Rabta Hospital, Tunis, Tunisia"},{"name":"Faculty of Medicine of Tunis, University Tunis el Manar,\nTunis, Tunisia"},{"name":"Research Unit LR 05 SP 01, la Rabta Hospital, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elhem","family":"Cheour","sequence":"additional","affiliation":[{"name":"Rheumatology Department, Rabta Hospital, Tunis, Tunisia"},{"name":"Faculty of Medicine of Tunis, University Tunis el Manar,\nTunis, Tunisia"},{"name":"Pain Treatment Center, la Rabta Hospital, Tunis, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hela","family":"Sahli","sequence":"additional","affiliation":[{"name":"Rheumatology Department, Rabta Hospital, Tunis, Tunisia"},{"name":"Faculty of Medicine of Tunis, University Tunis el Manar,\nTunis, Tunisia"},{"name":"Research Unit LR 05 SP 01, la Rabta Hospital, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Elleuch","sequence":"additional","affiliation":[{"name":"Rheumatology Department, Rabta Hospital, Tunis, Tunisia"},{"name":"Faculty of Medicine of Tunis, University Tunis el Manar,\nTunis, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"965","reference":[{"key":"ref=1","doi-asserted-by":"publisher","first-page":"1094","DOI":"10.1016\/S0140-6736(10)60826-4","volume":"376","author":"Scott D.L.","year":"2010","unstructured":"Scott D.L.; Wolfe F.; Huizinga T.W.J.; Rheumatoid arthritis. 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