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Unfavourable Blood Fat Levels Predict Rheumatoid Arthritis Up To 10 Years Later

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An unfavourable ratio of blood fats could herald the development of

the inflammatory joint disease rheumatoid arthritis up to 10 years

later, suggests research published ahead of print in the Annals of

Rheumatic Diseases.

 

The authors base their findings on analysis of more than 2000 blood

samples donated to a blood bank in The Netherlands.

 

They analysed the fat content of 1078 deep frozen blood samples from

79 people who had given blood between 1984 and 1999 and subsequently

went on to develop rheumatoid arthritis 10 or more years later.

 

In particular, they looked at levels of total cholesterol, high

density lipoprotein (`good' cholesterol), triglycerides,

apolipoproteins A and B, and lipoprotein (a).

 

The samples were then compared with those taken from 1071 randomly

selected blood donors, matched for age, sex, and storage time.

 

They found that the samples of people who subsequently developed

rheumatoid arthritis had a more unfavourable balance of circulating

blood fats than the samples of those who did not develop the disease.

 

On average, total cholesterol was 4% higher, while high density

lipoprotein levels were 9% lower. Triglycerides were 17% higher and

apolipoprotein B was 6% higher.

 

Taken together, these figures also indicate an increased risk of

ischaemic heart disease, in which the artery walls are thickened and

hardened by fat deposits.

 

This might help to explain the link between an increased risk of

cardiovascular disease among patients with rheumatoid arthritis, say

the authors.

 

And they speculate that a poorer blood fat ratio might make a person

more susceptible to inflammation or inflammatory diseases, such as

rheumatoid arthritis.

 

[Lipids and inflammation: serial measurements of the lipid profile of

blood donors who later developed rheumatoid arthritis] Online First.

Ann Rheum Dis 2006; doi: 10.2236/ard.2006.051672

 

Click here to view full paper:

press.psprings.co.uk/ard/june/ar51672.pdf

 

British Medical Journal

BMA House, Tavistock Sq

London WC1H 9JP

United Kingdom

http://www.bmj.com

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