Research Article

Myostatin Levels and the Risk of Myopenia and Rheumatoid Cachexia in Women with Rheumatoid Arthritis

Table 3

Comparison of clinical characteristics between RA patients with and without cachexia in the univariable analysis.

RA+cachexia
RA+noncachectic
value

Age, median (range)56 (42-80)59 (18-89)0.75
Menopause, (%)28 (93)104 (80)0.07
Sedentary, (%)20 (67)85 (65)0.85
BMI (kg/m2), median (range)26.6 (23.1-29.4)25.8 (16.5-39.5)0.59
Disease duration, median (range)13 (1-35)10 (1-40)0.75
Deteriorated functional class (II-IV), (%)23 (77)91 (70)0.43
DAS 28, median (range)3.13 (1.27-5.05)2.93 (0.91-7.19)0.29
DAS28-14 (47)46 (35)0.24
SMI (kg/m2), median (range)5.15 (4.29-6.03)5.65 (2.69-9.53)0.001
Low muscle mass,  kg/m2, (%)24 (80)62 (47)0.001
Myostatin (ng/mL), median (range)17.59 (1.4-67.3)11.4 (1.2-140)0.52
High myostatin levels (≥17 ng/mL)16 (53)38 (29)0.01

DAS28-ESR: Disease Activity Score (28 joints), Erythrocyte Sedimentation Rate. DAS28- indicates moderate or severe disease activity in RA patients. SMI: Skeletal Muscle Index. Quantitative variables expressed in medians and ranges and compared by Mann–Whitney tests; qualitative variables expressed in frequency and % and compared by chi-square tests.