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Table 3 Characteristics of studies and body composition in rheumatoid arthritis patients under bDMARDs treatment

From: Effect of biological disease-modifying antirheumatic drugs on body composition in patients with rheumatoid arthritis: a systematic review and meta-analysis

References

Study design

Total N

No of patients/intervation

No of patients/control

Duration

Age (mean)

BC assessment

Total Weight kg before/after (SD)

BMI before/after (SD)(CI)***

FM kg /or %* before/after (SD)

FFM kg before/after (SD) (CI)***

Marcora et al. [19]

Prospective Rand Cohort

26

12 TNFi

14 RA MTX

6

52

DXA

76.4 (14.4) 77.5 (16.1)

28.0 (7) na

31.7 (8.2) 32.3 (8.5)

43.8 (10) 44.3 (10.9)

Serelis et al. [11]

Prospective Cohort

19

19 TNFi

no

12

54

DXA

69.5 (12.6) 69.8 (12.6)

26.1 (4.98) 26.3 (4.12)

28.4 (10.1) 28.5 (10.2)

39.7 (7.4) 39.8 (7.3)

Engvall et al [12].

Prospective Rand Cohort

40

18 TNFi

22 RA csDMARD

21

57.7

DXA

na

24.7 (3.7) Δ + 0.89

24.4 (7.5) Δ + 37.7**

45.9 (9.4) Δ + 570

Kopec-Medrek et al. [15]

Prospective Cohort

32

16 TNFi

16 healthy

14

na

DXA

69.2 (3.64) 70.8 (3.44)

26.0 (1.29) 26.6 (1.23)

26.7 (2.9) 28.0 (2.6)**

40.2 (1.46) 40.5 (1.07)

Toussirot et al. [16]

Prospective Cohort

20

8 TNFi

12 AS TNFi

24

60.5

DXA

66.4 (4.4) 67.5 (4.3)

23.4 (0.73) 24.1 (0.8)**

18.6 (1.8) 20.0 (1.8)

46.0 (4.2) 45.8 (4.3)

Tournadre et al. [23]

Prospective Cohort

42

21 TCZ

21 Met. Syndrome

12

57.8

DXA

61.8 (19.3) 63.7 (16.1)**

23.6 (6.7) 24.8 (5.9)**

19.5 (1.2) 19.5 (9.5)

42.1 (1.1) 43.2 (1.1)**

Van den Oever et al. [20]

Prospective Cohort

56

28 TNFi

28 OA

6

54

DXA

na

26.2 (4.0) 25.7 (3.5)

37% (11)* 37% (11)*

46.1 (7.6) 46.7 (7.7)

Toussirot et al. [21]

Prospective Cohort

107

107 TCZ

No

12

56.6

DXA

70.3 (15.1) 72 (15.3)**

26.4 (5.5) 27.2 (5.8)

27.7 (12.1) 28.1 (1.1)

40.7 (8.4) 42.1 (8.9)**

Hasegawa et al. [30]

Prospective Cohort

48

34 TNFi, 9ABT, 5TCZ

No

12

64.2

DXA

54.6 (12.4) 55.8 (13.6)**

na

na

5.1 (0.5)# 5.3 (0.7)**

Vial et al. [28]

Prospective Cohort

83

47 TNF

18 csDMARD 10 RTX, 6 ABT, 2 TCZ

12

58.5

DXA

na

26.7 (6.4) 27.0 (6.5)

25.3 (12.2) 25.4 (11.5)

49.6 (10.8) 50.7 (11.3)**

Metsios et al. [24]

Prospective Cohort

32

20 TNFi

12 healthy

3

60

Bioimp

79.4 (15.6) 78.8 (16.6)

28.3 (3.7) 28.1 (4.1)

38.8% (7.5)* 36.0% (7.4)*

50.9 (12.7) 51.1 (12.5)

Ferraz-Amaro et al. [13]

Prospective Cohort

120

16 TNFi

34 AR csDMARD 70 healthy

12

53.6

Bioimp

72.0 (14.0) 73.9 (13.7)**

26.9 (3.88) 28.0 (4.57)**

19.8 (7) 22.0 (9.7)

53.7 (48.7–62.3)***

50.5 (44.2–58.5)

Chin-Yen Chen et al. [25]

Prospective Cohort

30

20 TNFi

10 RA csDMARD

12

54.7

Bioimp

55.8 (10.6) 57.7 (11.3)**

22.0 (3.2) 22.8 (3.6)**

29.5% (5.8)* 30.7% (6.0)*

na

Ramos et al. [18]

Transversal

123

21 TNFi

23 RA csDMARD 79 healthy

48

54.8

Skin fold

na

28.1 (25–31)*** na

na

na

Brown et al. [14]

Prospective Cohort

168

168 TNFi

no

24

63.8

BMI

75.3 (17.59) Δ + 1.80**

26.5 (5.19) na

na

na

Sfriso et al. [17]

Prospective Cohort

131

91 TNFi

40 RA MTX

24

59.9

BMI

62.2 Δ + 2.4**

23.25 na

na

na

Chapman et al. [26]

Prospective Cohort

19

19 TCZ

no

6

49.6

BMI

na

25.5 (21–32)*** 26.0 (21–32)**

na

na

Choi et al. [22]

Prospective Cohort

131

87 TCZ

44 RA MTX

6

52.8

BMI

53.4 (8.6) 4.3 (8.4)**

22.6 na

na

na

  1. Data in bold showed statistical significance
  2. ABT, abatacept; csDMARD, conventional synthetic disease modifying antirheumatic drug (englobing: MTX, methotrexate; SSZ, sulfasalazine; LFN, leflunomide; HCQ, hydroxychloroquine); RTX, rituximab; TCZ, tocilizumab; TNFi, tumor necrosis factor inhibitos (englobing: ADA, adalimumab; ETN, etanercept; IFX, infliximab; CZP, certolizumab pegol; GOL, golimumab). AS, ankylosing spondylitis; Bioimp, bioimpedance; BMI, body mass index; Met. Syndrome, metabolic syndrome; na, not available; OA, ostheoarthritis; RA, rheumatoid arthritis; Bioimp, bioimpedance; BMI, body mass index; BC, body composition; DXA, dual X-ray absorptiometry; FFM, fat free mass; FM, fat mass; na, not available; SD, standard deviation
  3. *Data available in percentage; **p-value < 0.05; ***CI: confidence interval; # muscle index in sarcopenic group