Most Read Articles
01 Oct 2013

Heart disease is still New Zealand’s biggest killer, with one Kiwi dying from coronary heart disease every 90 minutes. Pharmacy Today New Zealand looks at how pharmacists can help

Pearl Toh, 11 Oct 2017
Clinical practice is an art guided by good science, and clinical practice guideline (CPG) is meant to guide in integrating the art and science of clinical practice for the long-term benefits of patients, said Dr Abdul Rashid Abdul Rahman, a consultant cardiovascular physician at An-Nur Specialist Hospital in Bangi, Malaysia, during the 13th Asian-Pacific Congress of Hypertension (APCH) held in Singapore.
08 Oct 2017
Treatment with vismodegib does not appear to increase the risk of subsequent squamous cell carcinoma (SCC) in comparison with standard surgical treatment of basal cell carcinoma (BCC), a recent study suggests.
01 Sep 2017
Complementary medicines can play an important part in maintaining wellness, preventing deficiencies and optimizing health outcomes, says Dr Lesley Braun PhD, Director of the Blackmores Institute. 

Fat mass reduces response to TNF-α blockers in patients with ankylosing spondylitis

20 Sep 2017

Higher body fat content at baseline in patients with ankylosing spondylitis (AS) is likely to weaken response to treatment with tumour necrosis factor-α (TNF-α) blockers, measured by the Ankylosing Spondylitis Disease Activity Score containing C-reactive protein (ASDAS-CRP) and the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), suggests a recent study.

This may also lead to lower response rates in female patients. In addition, a trend toward muscle mass recovery is seen in male patients after treatment.

Researchers investigated the relationship between body composition and response to TNF-α blocker treatment in AS patients, and examined the change in body composition after treatment, accounting for sex and age. All participants met the modified New York criteria for AS and were naïve to TNF-α blocker.

Patients were followed for a minimum of 6 months following the initiation of etanercept or adalimumab. ASDAS-CRP and BASDAI were reported. The investigators used whole body dual-energy X-ray absorptiometry to assess body composition. Body fat percentage (BF%), fat mass index (FMI), and fat free mass index (FFMI) were reported as absolute values and as percentiles.

A total of 41 patients (61 percent men) were included, with a median follow-up of 14.3 months (interquartile range, 8.4 to 19.4).

Multivariate regression analysis revealed that more fat at baseline (whether BF%, FMI or FMI percentile) significantly correlated with a lower change of achieving a clinically important improvement in the ASDAS-CRP or BASDAI after treatment.

No significant change was observed in the body composition after treatment. However, there was a trend toward muscle recovery in men (FFMI change from 34.0th to 37.4th percentile), according to researchers.

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Most Read Articles
01 Oct 2013

Heart disease is still New Zealand’s biggest killer, with one Kiwi dying from coronary heart disease every 90 minutes. Pharmacy Today New Zealand looks at how pharmacists can help

Pearl Toh, 11 Oct 2017
Clinical practice is an art guided by good science, and clinical practice guideline (CPG) is meant to guide in integrating the art and science of clinical practice for the long-term benefits of patients, said Dr Abdul Rashid Abdul Rahman, a consultant cardiovascular physician at An-Nur Specialist Hospital in Bangi, Malaysia, during the 13th Asian-Pacific Congress of Hypertension (APCH) held in Singapore.
08 Oct 2017
Treatment with vismodegib does not appear to increase the risk of subsequent squamous cell carcinoma (SCC) in comparison with standard surgical treatment of basal cell carcinoma (BCC), a recent study suggests.
01 Sep 2017
Complementary medicines can play an important part in maintaining wellness, preventing deficiencies and optimizing health outcomes, says Dr Lesley Braun PhD, Director of the Blackmores Institute.