Association of adiponectin levels with disease activity score, RA factor and ESR in rheumatoid arthritis patients
Keywords:
adiponectin, disease activity score ESR, RA factor, rheumatoid arthritisAbstract
Introduction: Rheumatoid arthritis is a chronic inflammatory polyarthritis of relatively common occurrence affecting about 1-2% of adult population world-wide and 0.75% of Indian adults. The disease occurs at all ages and affects all ethnic groups. For early diagnosis and progression of rheumatoid arthritis might be useful for to better treatment of the patients. Present study aimed to assessment of adiponectin in newly diagnosed and remission rheumatoid arthritis patients. Materials and Methods: 100 Rheumatoid arthritis patients and 50 healthy volunteers with matching age, gender, and BMI were included in the study. All the subjects' biochemical, disease activity score, RA factor,ESR Rheumatoid Arthritis Patients and serum adiponectin levels were assessed. SPSS and Microsoft Excel Spreadsheets were used to conduct the necessary statistical analysis. Results: The patients with rheumatoid arthritis shown significantly higher levels of fasting blood sugar, postprandial blood sugars ,triglycerides , RA factor, ESR when compared to healthy controls (P=0.001**). Additionally we also discovered to be considerably significantly elevated levels of serum adiponectin (P= 0.001**). Furthermore there was very high significant positive correlation between serum adiponectin and disease activity score, RA factor, ESR.
Downloads
References
Aletaha D, Funovits J, Neogi T, Felson DT, Silman AJ, Bingham CO, et al. 2010 rheumatoid arthritis classification criteria: an American College of Rheumatology/ European League Against Rheumatism collaborative initiative. Arthritis Rheum. 2010;62:2569-2581.
Alkady EA, Ahmed HM, Tag L, Abdou MA. Serum and synovial adiponectin, resistin and visfatin levels in rheumatoid arthritis patients. Relation to disease activity. Z Rheumatol. 2011;78:602-8.
Arnett FC, Edworthy SM, Bloch DA, Mc Shane DJ, Fries JF, Cooper NS, et al. The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum. 1988;31:315-24.
Cao H, Lin J, Chen W, Xu G, Sun C. Baseline adiponectin and leptin levels in predicting an increased risk of disease activity in rheumatoid arthritis: A meta-analysis and systematic review. Autoimmunity. 2016;49:547-53.
Ebina K, Fukuhara A, Ando W, Hirao M, Koga T, Oshina K, et al. Serum adiponectin concentrations correlate with severity of rheumatoid arthritis evaluated by extent of joint destruction. Clin Rheumatol. 2009;28:445-51.
El-Hini SH, Mohamed FI, Hassan AA, Fatma A, Mahmoud A, Ibraheem HM. Visfatin and adiponectin as novel markers for evaluation of metabolic disturbance in recently diagnosed rheumatoid arthritis patients. Rheumatol Int. 2013;33:2283-9.
El-Hini SH, Mohamed FI, Hassan AA, Fatma A, Mahmoud A, Ibraheem HM. Visfatin and adiponectin as novel markers for evaluation of metabolic disturbance in recently diagnosed rheumatoid arthritis patients. Rheumatol Int. 2013;33:2283-9.
Handa R, Rao UR, Lewis JF, Rambhad G, Shiff S, Ghia CJ. Literature review of rheumatoid arthritis in India. Int J Rheum Dis. 2016;19:440-51.
Kondrat ELV, Gorbunova YN, Popkova TV, Nasonov EL. The role of adipose tissue in rheumatoid arthritis. Kiln Med (Mosk). 2014;92:62-7.
Lahita RG. Sex hormones and the immune system-Part 1. Human data. Baillieres Clin Rheumatol 1990;4:1-12.
Lee YH, Bae SC. Circulating adiponectin and visfatin levels in rheumatoid arthritis and their correlation with disease activity: A meta-analysis. Int J Rheum Dis. 2017. [Epub ahead of print].
Li P, Yang L, Ma CL, Liu B, Zhang X, Ding R, et al. Low-molecular-weight adiponectin is more closely associated with disease activity of rheumatoid arthritis than other adiponectin multimeric forms. Clin Rheumatol. 2015;34:1025-30.
Myasoedova E, Crowson CS, Kremers HM, Therneau TM, Gabriel SE. Is the incidence of rheumatoid arthritis rising? Results from Olmsted County, Minnesota, 1955-2007. Arthritis Rheum. 2010;62:1576–1582.
Nagashima T, Okubo-Fornbacher H, Aoki Y, Kamata Y, Kimura H, Kamimura T et al. Increase in plasma levels of adiponectin after administration of anti-tumor necrosis factor agents in patients with rheumatoid arthritis. J Rheumatol. 2008 ;35:936–8.
Oranskii SP, Eliseeva LN, Khanfetian RA. Body structure and serum concentration of adiponectin and cytokines in rheumatoid arthritis combined with obesity. Vopr Pitan. 2013;82:10-4.
Ozgen M, Koca SS, Dagli N, Bolin M, Ustundag B, Isik A. serum adiponectin and vaspin levels in rheumatoid arthritis. Arch Med Res. 2010;41:457-63.
Peter E. Lipsky. Rheumatoid arthritis. In: Anthony S Fauci, Braunwald E, Dennis L Kasper et al, editors. Harrison's Principles of Internal Medicine.17th Edition. USA: McGraw- Hill companies, Inc; 2008.2083-86, 2074-78.
Pinals RS, Masi AT, Larsen RA. Preliminary criteria for clinical remission in rheumatoid arthritis. Arthritis Rheum. 1981;24:1308-15.
Popa C, Netea MG, Graaf JD, Hoogen FHJV, Radstake TRDJ, Toenhake-dijkstra H, et al. Circulating adiponectin concentrations during tumor necrosis factor blocked in patients with active rheumatoid arthritis. J Rheumatol. 2009;36:724-30.
Rho YH, Joseph S, Oeser A, Chung CP, Gebretsadik T, Shintani A, et al. Adipocytokines are associated with radiographic joint damage in rheumatoid arthritis. Arthritis Rheum. 2009;60:1906-14.
Schaffler A, Ehling A, Neumann E, Herfarth H, Tarner I, Scholmerich J, et al. Adipocytokines in synovial fluid. JAMA. 2003;290:1709-10.
Scott DL, Wolfe F, Huizinga TW. Rheumatoid arthritis. Lancet. 2010;376:1094-108.
Sharma JN, Arora RB. Arthritis in ancient Indian literature. Indian J Hist Sci. 1973;8:37-42.
Sharma JN. Cardiovascular system and its diseases in ancient Indian literature. Indian J Chest Dis. 1967;9:32-40.
Silman AJ, Pearson JE. Epidemiology and genetics of rheumatoid arthritis. Arthritis Res. 2002;4(suppl 3):S265-S272.
Tang CH, Chiu YC, Tan TW, Yang RS, Fu WM. Adiponectin enhances IL-6 production in human synovial fibroblast via an AdipoR1 receptor, AMPK, p38, and NF-kappa B pathway. J Immunol. 2007;179:5483-92.
Targonska-Stepniak B, Dryglewska M, Majdan M. Adiponectin and leptin serum concentrations in patients with rheumatoid arthritis. Rheumatol Int. 2010;30:731-7.
Turesson C, McClelland RL, Christianson TJH, Matteson EL. Severe extra‐articular disease manifestations are associated with an increased risk of first ever cardiovascular events in patients with rheumatoid arthritis. Ann Rheum Dis. 2007; 66:70–75.
Yosino T, Kusunoki N, Tanaka N, Kaneko K, Kusunoki Y, Endo H, et al. Elevated levels of resistin, leptin and adiponectin are associated with C-reactive protein and also other clinical conditions in rheumatoid arthritis. Intern Med. 2011;50:269-75.
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.