Yıl: 2013 Cilt: 28 Sayı: 3 Sayfa Aralığı: 181 - 188 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

The Correlation between Pack-Years of Smoking and Disease Activity, Quality of Life, Spinal Mobility, and Sacroiliitis Grading in Patients with Ankylosing Spondylitis

Öz:
Amaç: Bu çalışmada İranlı ankilozan spondilit (AS) hastalarında sigara paket yılı ve hastalık aktivitesi, yaşam kalitesi, spinal mobilite ve sakroileit derecelendirmesi ve AS arasındaki ilişki araştırıldı.Hastalar ve yöntemler: Sigara içme durumlarına ve sigara paket yılına göre toplam 160 AS hastası değerlendirildi. Sonuç ölçümleri hastalık aktivitesi, yaşam kalitesi, spinal mobilite ve sakroileit derecelendirmesi olup, sırasıyla Bath Ankilozan Spondilit Hastalık Aktivite İndeksi (BASDAI), Ankilozan Spondilit Yaşam Kalitesi (ASQoL), Bath Ankilozan Spondilit Metroloji İndeksi (BASMI) ve radyografi ile değerlendirildi.Bulgular: Hafif veya orta düzeyde hastalığı olanlara kıyasla, şiddetli sakroileiti olan hastalarda sigara içme miktarı anlamlı düzeyde daha yüksekti (p=0.001). Tek değişkenli analizde sigara paket yılı ve BASDAI [regression coefficient (B)=0.05, standard error (SE)=0.02, %95 CI: 0.006-0.10; p=0.03], ASQoL (B=0.15, SE=0.06, %95 CI: 0.04-0.26; p=0.007) ve BASMI (B=0.05, SE=0.02, %95 CI: 0.006-0.08; p=0.03) arasında bir ilişki izlendi. Çok değişkenli analizde ise, sigara paket yılı ve BASDAI ve ASQoL arasında anlamlı bir ilişkiye rastlandı.Sonuç: Bir grup İranlı AS hastasında sigara miktarı ve hastalık aktivitesi ve yaşam kalitesi arasında bağımsız bir ilişki olduğu doğrulandı. Ayrıca içilen sigara miktarı ve spinal mobilite arasında da bir ilişki vardı; ancak bu başka ilintili faktörlere bağlıydı. Sigara içen hastalara, daha iyi sonuçlar elde etmeleri için, sigarayı bırakmaları veya daha az içmeleri telkin edilmelidir
Anahtar Kelime:

Konular: Romatoloji

Ankilozan Spondilit Hastalarında Sigara Paket Yılı ve Hastalık Aktivitesi, Yaşam Kalitesi, Spinal Mobilite ve Sakroileit Derecelendirmesi Arasındaki İlişki

Öz:
Objectives: This study aims to investigate the correlation between the pack-years of smoking and disease activity, quality of life, spinal mobility, and sacroiliitis grading and ankylosing spondylitis (AS) in Iranian patients with AS. Patients and methods: A total of 160 AS patients were evaluated according to their smoking status and pack-years of smoking. The outcome measures were disease activity, quality of life, spinal mobility, and sacroiliitis grading, and these were assessed by the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Ankylosing Spondylitis Quality of Life (ASQoL), Bath Ankylosing Spondylitis Metrology Index (BASMI), and radiography, respectively. Results: The smoking quantity was significantly higher in the patients with severe sacroiliitis than those with mild or moderate disease (p=0.001). A univariate analysis revealed an association between the pack-years of smoking and the BASDAI [regression coefficient (B)=0.05, standard error (SE)=0.02, 95% CI: 0.006 to 0.10; p=0.03], ASQoL (B=0.15, SE=0.06, 95% CI: 0.04 to 0.26; p=0.007), and BASMI (B=0.05, SE=0.02, 95% CI: 0.006 to 0.08; p=0.03). A multivariate analysis revealed a significant association between the pack- years of smoking and the BASDAI and ASQoL. Conclusion: An independent correlation between smoking quantity with disease activity and quality of life was confirmed in a group of Iranian AS patients. There was also a relationship between smoking quantity and spinal mobility, however, it was dependent on other related factors. Patients who smoke should be encouraged to quit or smoke less to achieve a better outcome
Anahtar Kelime:

Konular: Romatoloji
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Boonen A, van der Heijde D, Landewé R, Spoorenberg A, Schouten H, Rutten-van Mölken M, et al. Work status and productivity costs due to ankylosing spondylitis: comparison of three European countries. Ann Rheum Dis 2002;61:429-37.
  • Ward MM. Functional disability predicts total costs in patients with ankylosing spondylitis. Arthritis Rheum 2002;46:223-31.
  • Ward MM, Hendrey MR, Malley JD, Learch TJ, Davis JC Jr, Reveille JD, et al. Clinical and immunogenetic prognostic factors for radiographic severity in ankylosing spondylitis. Arthritis Rheum 2009;61:859-66.
  • Fallahi S, Jamshidi A, Gharibdoost F, Mahmoudi M, Paragomi P, Nicknam M, et al. Urolithiasis in ankylosing spondylitis: Correlation with Bath ankylosing spondylitis disease activity index (BASDAI), Bath ankylosing spondylitis functional index (BASFI) and Bath ankylosing spondylitis metrology index (BASMI). Caspian J Intern Med 2012;3:508-13.
  • Mattey DL, Dawson SR, Healey EL, Packham JC. Relationship between smoking and patient-reported measures of disease outcome in ankylosing spondylitis. J Rheumatol 2011;38:2608-15.
  • Ward MM, Kuzis S. Risk factors for work disability in patients with ankylosing spondylitis. J Rheumatol 2001;28:315-21.
  • Ward MM, Weisman MH, Davis JC Jr, Reveille JD. Risk factors for functional limitations in patients with long-standing ankylosing spondylitis. Arthritis Rheum 2005;53:710-7.
  • van der Linden S, Valkenburg HA, Cats A. Evaluation of diagnostic criteria for ankylosing spondylitis. A proposal for modification of the New York criteria. Arthritis Rheum 1984;27:361-8.
  • Garrett S, Jenkinson T, Kennedy LG, Whitelock H, Gaisford P, Calin A. A new approach to defining disease status in ankylosing spondylitis: the Bath Ankylosing Spondylitis Disease Activity Index. J Rheumatol 1994;21:2286-91.
  • Doward LC, Spoorenberg A, Cook SA, Whalley D, Helliwell PS, Kay LJ, et al. Development of the ASQoL: a quality of life instrument specific to ankylosing spondylitis. Ann Rheum Dis 2003;62:20-6.
  • Bidad K, Fallahi S, Mahmoudi M, Jamshidi A, Farhadi E, Meysamie A, et al. Evaluation of the Iranian versions of the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), the Bath Ankylosing Spondylitis Functional Index (BASFI) and the Patient Acceptable Symptom State (PASS) in patients with ankylosing spondylitis. Rheumatol Int 2012;32:3613-8.
  • Jenkinson TR, Mallorie PA, Whitelock HC, Kennedy LG, Garrett SL, Calin A. Defining spinal mobility in ankylosing spondylitis (AS). The Bath AS Metrology Index. J Rheumatol 1994;21:1694-8.
  • Kaan U, Ferda O. Evaluation of clinical activity and functional impairment in smokers with ankylosing spondylitis. Rheumatol Int 2005;25:357-60.
  • Doran MF, Brophy S, MacKay K, Taylor G, Calin A. Predictors of longterm outcome in ankylosing spondylitis. J Rheumatol 2003;30:316-20.
  • Averns HL, Oxtoby J, Taylor HG, Jones PW, Dziedzic K, Dawes PT. Smoking and outcome in ankylosing spondylitis. Scand J Rheumatol 1996;25:138-42.
  • Ward MM. Predictors of the progression of functional disability in patients with ankylosing spondylitis. J Rheumatol 2002;29:1420-5.
  • Bodur H, Ataman S, Rezvani A, Buğdaycı DS, Cevik R, Birtane M, et al. Quality of life and related variables in patients with ankylosing spondylitis. Qual Life Res 2011;20:543-9.
  • Chung HY, Machado P, van der Heijde D, D'Agostino MA, Dougados M. Smokers in early axial spondyloarthritis have earlier disease onset, more disease activity, inflammation and damage, and poorer function and health-related quality of life: results from the DESIR cohort. Ann Rheum Dis 2012;71:809-16.
  • Poddubnyy D, Haibel H, Listing J, Märker-Hermann E, Zeidler H, Braun J, et al. Baseline radiographic damage, elevated acute-phase reactant levels, and cigarette smoking status predict spinal radiographic progression in early axial spondylarthritis. Arthritis Rheum 2012;64:1388-98.
  • Mattey DL, Packham JC, Nixon NB, Coates L, Creamer P, Hailwood S, et al. Association of cytokine and matrix metalloproteinase profiles with disease activity and function in ankylosing spondylitis. Arthritis Res Ther 2012;14:R127.
  • Bermudez EA, Rifai N, Buring JE, Manson JE, Ridker PM. Relation between markers of systemic vascular inflammation and smoking in women. Am J Cardiol 2002;89:1117-9.
  • Glossop JR, Dawes PT, Mattey DL. Association between cigarette smoking and release of tumour necrosis factor alpha and its soluble receptors by peripheral blood mononuclear cells in patients with rheumatoid arthritis. Rheumatology (Oxford) 2006;45:1223-9.
  • Pryor WA, Stone K, Zang LY, Bermşdez E. Fractionation of aqueous cigarette tar extracts: fractions that contain the tar radical cause DNA damage. Chem Res Toxicol 1998;11:441-8.
  • Smith MR, Kinmonth AL, Luben RN, Bingham S, Day NE, Wareham NJ, et al. Smoking status and differential white cell count in men and women in the EPIC-Norfolk population. Atherosclerosis 2003;169:331-7.
  • Friedman GD, Siegelaub AB, Seltzer CC, Feldman R, Collen MF. Smoking habits and the leukocyte count. Arch Environ Health 1973;26:137-43.
  • Tanigawa T, Araki S, Nakata A, Kitamura F, Yasumoto M, Sakurai S, et al. Increase in memory (CD4+CD29+ and CD4+CD45RO+) T and naive (CD4+CD45RA+) T-cell subpopulations in smokers. Arch Environ Health 1998;53:378-83.
  • Saevarsdottir S, Wedrén S, Seddighzadeh M, Bengtsson C, Wesley A, Lindblad S, et al. Patients with early rheumatoid arthritis who smoke are less likely to respond to treatment with methotrexate and tumor necrosis factor inhibitors: observations from the Epidemiological Investigation of Rheumatoid Arthritis and the Swedish Rheumatology Register cohorts. Arthritis Rheum 2011;63:26-36.
APA FALLAHI S, JAMSHIDI A, GHARIBDOOST F, MAHMOUDI M, AHMADZADEH N, NICKNAM M (2013). The Correlation between Pack-Years of Smoking and Disease Activity, Quality of Life, Spinal Mobility, and Sacroiliitis Grading in Patients with Ankylosing Spondylitis. , 181 - 188.
Chicago FALLAHI Sasan,JAMSHIDI Ahmad Reza,GHARIBDOOST Farhad,MAHMOUDI Mahdi,AHMADZADEH Nooshin,NICKNAM Mohammad Hossein The Correlation between Pack-Years of Smoking and Disease Activity, Quality of Life, Spinal Mobility, and Sacroiliitis Grading in Patients with Ankylosing Spondylitis. (2013): 181 - 188.
MLA FALLAHI Sasan,JAMSHIDI Ahmad Reza,GHARIBDOOST Farhad,MAHMOUDI Mahdi,AHMADZADEH Nooshin,NICKNAM Mohammad Hossein The Correlation between Pack-Years of Smoking and Disease Activity, Quality of Life, Spinal Mobility, and Sacroiliitis Grading in Patients with Ankylosing Spondylitis. , 2013, ss.181 - 188.
AMA FALLAHI S,JAMSHIDI A,GHARIBDOOST F,MAHMOUDI M,AHMADZADEH N,NICKNAM M The Correlation between Pack-Years of Smoking and Disease Activity, Quality of Life, Spinal Mobility, and Sacroiliitis Grading in Patients with Ankylosing Spondylitis. . 2013; 181 - 188.
Vancouver FALLAHI S,JAMSHIDI A,GHARIBDOOST F,MAHMOUDI M,AHMADZADEH N,NICKNAM M The Correlation between Pack-Years of Smoking and Disease Activity, Quality of Life, Spinal Mobility, and Sacroiliitis Grading in Patients with Ankylosing Spondylitis. . 2013; 181 - 188.
IEEE FALLAHI S,JAMSHIDI A,GHARIBDOOST F,MAHMOUDI M,AHMADZADEH N,NICKNAM M "The Correlation between Pack-Years of Smoking and Disease Activity, Quality of Life, Spinal Mobility, and Sacroiliitis Grading in Patients with Ankylosing Spondylitis." , ss.181 - 188, 2013.
ISNAD FALLAHI, Sasan vd. "The Correlation between Pack-Years of Smoking and Disease Activity, Quality of Life, Spinal Mobility, and Sacroiliitis Grading in Patients with Ankylosing Spondylitis". (2013), 181-188.
APA FALLAHI S, JAMSHIDI A, GHARIBDOOST F, MAHMOUDI M, AHMADZADEH N, NICKNAM M (2013). The Correlation between Pack-Years of Smoking and Disease Activity, Quality of Life, Spinal Mobility, and Sacroiliitis Grading in Patients with Ankylosing Spondylitis. Turkish Journal of Rheumatology(.)Archives of Rheumatology, 28(3), 181 - 188.
Chicago FALLAHI Sasan,JAMSHIDI Ahmad Reza,GHARIBDOOST Farhad,MAHMOUDI Mahdi,AHMADZADEH Nooshin,NICKNAM Mohammad Hossein The Correlation between Pack-Years of Smoking and Disease Activity, Quality of Life, Spinal Mobility, and Sacroiliitis Grading in Patients with Ankylosing Spondylitis. Turkish Journal of Rheumatology(.)Archives of Rheumatology 28, no.3 (2013): 181 - 188.
MLA FALLAHI Sasan,JAMSHIDI Ahmad Reza,GHARIBDOOST Farhad,MAHMOUDI Mahdi,AHMADZADEH Nooshin,NICKNAM Mohammad Hossein The Correlation between Pack-Years of Smoking and Disease Activity, Quality of Life, Spinal Mobility, and Sacroiliitis Grading in Patients with Ankylosing Spondylitis. Turkish Journal of Rheumatology(.)Archives of Rheumatology, vol.28, no.3, 2013, ss.181 - 188.
AMA FALLAHI S,JAMSHIDI A,GHARIBDOOST F,MAHMOUDI M,AHMADZADEH N,NICKNAM M The Correlation between Pack-Years of Smoking and Disease Activity, Quality of Life, Spinal Mobility, and Sacroiliitis Grading in Patients with Ankylosing Spondylitis. Turkish Journal of Rheumatology(.)Archives of Rheumatology. 2013; 28(3): 181 - 188.
Vancouver FALLAHI S,JAMSHIDI A,GHARIBDOOST F,MAHMOUDI M,AHMADZADEH N,NICKNAM M The Correlation between Pack-Years of Smoking and Disease Activity, Quality of Life, Spinal Mobility, and Sacroiliitis Grading in Patients with Ankylosing Spondylitis. Turkish Journal of Rheumatology(.)Archives of Rheumatology. 2013; 28(3): 181 - 188.
IEEE FALLAHI S,JAMSHIDI A,GHARIBDOOST F,MAHMOUDI M,AHMADZADEH N,NICKNAM M "The Correlation between Pack-Years of Smoking and Disease Activity, Quality of Life, Spinal Mobility, and Sacroiliitis Grading in Patients with Ankylosing Spondylitis." Turkish Journal of Rheumatology(.)Archives of Rheumatology, 28, ss.181 - 188, 2013.
ISNAD FALLAHI, Sasan vd. "The Correlation between Pack-Years of Smoking and Disease Activity, Quality of Life, Spinal Mobility, and Sacroiliitis Grading in Patients with Ankylosing Spondylitis". Turkish Journal of Rheumatology(.)Archives of Rheumatology 28/3 (2013), 181-188.