title: Rheumatoid cachexia and other nutritional alterations in rheumatologic diseases.
abstract: The prevalence of nutritional alterations in rheumatologic diseases ranges from 4 to 95%, depending on the detection method used. Formerly described as the single term rheumatoid cachexia, nutritional alterations can currently be grouped and subdivided based on the physiopathological mechanisms involved: chronic disease-related inflammatory conditions (cachexia), malnutrition associated to acute malnutrition inflammatory conditions (protein-caloric malnutrition) and starvation-related malnutrition. Clinical manifestations of malnutrition associated to rheumatic diseases vary from the patient with low weight or overweight and obesity; with lean body mass depletion as well as functional repercussions, and impact of quality of life as a common denominator. Additionally, the associated increase in body fat mass increases the risk for cardiovascular morbidity. A multidisciplinary approach towards rheumatic diseases should include aspects oriented towards prevention, early identification, diagnosis and correction of nutritional alterations.
authors.affiliation: Departamento de Medicina Interna y Nutrición Clínica, Hospital Central Dr. Ignacio Morones Prieto/UASLP, San Luis Potosí, México. Electronic address: gilberto.hurtado@uaslp.mx.
authors.forename: Gilberto Fabián
authors.initials: GF
authors.lastname: Hurtado-Torres
authors.affiliation: Departamento de Medicina Interna y Nutrición Clínica, Hospital Central Dr. Ignacio Morones Prieto/UASLP, San Luis Potosí, México.
authors.forename: Lourdes Larisa
authors.initials: LL
authors.lastname: González-Baranda
authors.affiliation: Unidad Regional de Reumatología y Osteoporosis, Hospital Central Dr. Ignacio Morones Prieto/UASLP, San Luis Potosí, México.
authors.forename: Carlos
authors.initials: C
authors.lastname: Abud-Mendoza
mesh_terms: D002100:Cachexia / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D044342:Malnutrition / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D009765:Obesity / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D012216:Rheumatic Diseases / Q000150:complications* / Q000503:physiopathology
keywords: Caquexia reumatológica; Desnutrición; Enfermedades reumatológicas; Evaluación nutricional; Lean body mass; Malnutrition; Masa magra; Nutritional assessment; Obesidad; Obesity; Overweight; Reumatoid cachexia; Rheumatologic diseases; Sarcopenia; Sobrepeso