Assessment of Serum Lipid Profiles and High-sensitivity C-reactive Protein Among Patients Suffering from Rheumatoid Arthritis at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: A Cross-Sectional Study

Gashaw Dessie,1 Yewondwossen Tadesse,2 Birhanu Demelash,2 Solomon Genet3 1Department of Biochemistry, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia; 2Department of Internal Medicine, School of Medicine, Addis Ababa University, Addis Ababa, Ethiop...

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Autores principales: Dessie G, Tadesse Y, Genet S
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Publicado: Dove Medical Press 2020
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spelling oai:doaj.org-article:040b20604a9746889d8ee5bbd75229ef2021-12-02T10:05:06ZAssessment of Serum Lipid Profiles and High-sensitivity C-reactive Protein Among Patients Suffering from Rheumatoid Arthritis at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: A Cross-Sectional Study1179-156Xhttps://doaj.org/article/040b20604a9746889d8ee5bbd75229ef2020-09-01T00:00:00Zhttps://www.dovepress.com/assessment-of-serum-lipid-profiles-and-high-sensitivity-c-reactive-pro-peer-reviewed-article-OARRRhttps://doaj.org/toc/1179-156XGashaw Dessie,1 Yewondwossen Tadesse,2 Birhanu Demelash,2 Solomon Genet3 1Department of Biochemistry, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia; 2Department of Internal Medicine, School of Medicine, Addis Ababa University, Addis Ababa, Ethiopia; 3Department of Biochemistry, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, EthiopiaCorrespondence: Gashaw DessieDepartment of Biochemistry, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaTel +251 975152796Email dessiegashaw@yahoo.comBackground: Rheumatoid arthritis (RA) is a chronic inflammatory disease characterized by severe joint pain, swelling, damage, and disability which leads to joint destruction and loss of function. The complication of RA is associated with cardiovascular diseases, particularly due to systemic inflammation and dyslipidemia. The purpose of this study was to assess the development of atherosclerosis, which acts as a major risk factor for cardiovascular complications in RA patients.Methods: A hospital-based cross-sectional study was conducted at the Rheumatology Clinic of Tikur Anbessa Specialized Hospital. The study made a comparison of risk factors (dyslipidemia and inflammatory status) between individuals having RA as a case group and apparently healthy individuals as a control group. Simple descriptive statistics, one-way ANOVA, independent sample t-test and multivariate analysis were utilized for statistical analysis. p-value of < 0.05 at the 95% confidence level was considered as statistically significant.Results: The result of this study demonstrated that there was a significant elevation of mean ±SD of TC, TC/HDL, LDL/HDL, and lowered value of HDL-C was seen among RA patients than controls (P-value < 0.05). The mean ±SD of inflammatory marker, high-sensitivity C-reactive protein (hsCRP), was significantly higher among RA patients compared to controls (P< 0.05). HDL-C had a significant negative correlation with a hsCRP whereas TC/HDL-C and LDL/HDL-C had a significant positive correlation with hsCRP (P< 0.05).Conclusion: In this study, RA patients had lipid abnormalities and elevated systemic inflammation than controls. An increase in hsCRP and dyslipidemia status among RA patients indicates the possible development of an atherosclerotic event. Therefore, assessment of lipid profiles and hsCRP in early RA patients may be helpful to assess the possible development of cardiovascular complications.Keywords: rheumatoid arthritis, lipid profiles, high-sensitivity C-reactive proteinDessie GTadesse YGenet SDove Medical Pressarticlerheumatoid arthritislipid profileshigh sensitivity c-reactive proteinDiseases of the musculoskeletal systemRC925-935ENOpen Access Rheumatology: Research and Reviews, Vol Volume 12, Pp 223-232 (2020)
institution DOAJ
collection DOAJ
language EN
topic rheumatoid arthritis
lipid profiles
high sensitivity c-reactive protein
Diseases of the musculoskeletal system
RC925-935
spellingShingle rheumatoid arthritis
lipid profiles
high sensitivity c-reactive protein
Diseases of the musculoskeletal system
RC925-935
Dessie G
Tadesse Y
Genet S
Assessment of Serum Lipid Profiles and High-sensitivity C-reactive Protein Among Patients Suffering from Rheumatoid Arthritis at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: A Cross-Sectional Study
description Gashaw Dessie,1 Yewondwossen Tadesse,2 Birhanu Demelash,2 Solomon Genet3 1Department of Biochemistry, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia; 2Department of Internal Medicine, School of Medicine, Addis Ababa University, Addis Ababa, Ethiopia; 3Department of Biochemistry, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, EthiopiaCorrespondence: Gashaw DessieDepartment of Biochemistry, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaTel +251 975152796Email dessiegashaw@yahoo.comBackground: Rheumatoid arthritis (RA) is a chronic inflammatory disease characterized by severe joint pain, swelling, damage, and disability which leads to joint destruction and loss of function. The complication of RA is associated with cardiovascular diseases, particularly due to systemic inflammation and dyslipidemia. The purpose of this study was to assess the development of atherosclerosis, which acts as a major risk factor for cardiovascular complications in RA patients.Methods: A hospital-based cross-sectional study was conducted at the Rheumatology Clinic of Tikur Anbessa Specialized Hospital. The study made a comparison of risk factors (dyslipidemia and inflammatory status) between individuals having RA as a case group and apparently healthy individuals as a control group. Simple descriptive statistics, one-way ANOVA, independent sample t-test and multivariate analysis were utilized for statistical analysis. p-value of < 0.05 at the 95% confidence level was considered as statistically significant.Results: The result of this study demonstrated that there was a significant elevation of mean ±SD of TC, TC/HDL, LDL/HDL, and lowered value of HDL-C was seen among RA patients than controls (P-value < 0.05). The mean ±SD of inflammatory marker, high-sensitivity C-reactive protein (hsCRP), was significantly higher among RA patients compared to controls (P< 0.05). HDL-C had a significant negative correlation with a hsCRP whereas TC/HDL-C and LDL/HDL-C had a significant positive correlation with hsCRP (P< 0.05).Conclusion: In this study, RA patients had lipid abnormalities and elevated systemic inflammation than controls. An increase in hsCRP and dyslipidemia status among RA patients indicates the possible development of an atherosclerotic event. Therefore, assessment of lipid profiles and hsCRP in early RA patients may be helpful to assess the possible development of cardiovascular complications.Keywords: rheumatoid arthritis, lipid profiles, high-sensitivity C-reactive protein
format article
author Dessie G
Tadesse Y
Genet S
author_facet Dessie G
Tadesse Y
Genet S
author_sort Dessie G
title Assessment of Serum Lipid Profiles and High-sensitivity C-reactive Protein Among Patients Suffering from Rheumatoid Arthritis at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: A Cross-Sectional Study
title_short Assessment of Serum Lipid Profiles and High-sensitivity C-reactive Protein Among Patients Suffering from Rheumatoid Arthritis at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: A Cross-Sectional Study
title_full Assessment of Serum Lipid Profiles and High-sensitivity C-reactive Protein Among Patients Suffering from Rheumatoid Arthritis at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: A Cross-Sectional Study
title_fullStr Assessment of Serum Lipid Profiles and High-sensitivity C-reactive Protein Among Patients Suffering from Rheumatoid Arthritis at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: A Cross-Sectional Study
title_full_unstemmed Assessment of Serum Lipid Profiles and High-sensitivity C-reactive Protein Among Patients Suffering from Rheumatoid Arthritis at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: A Cross-Sectional Study
title_sort assessment of serum lipid profiles and high-sensitivity c-reactive protein among patients suffering from rheumatoid arthritis at tikur anbessa specialized hospital, addis ababa, ethiopia: a cross-sectional study
publisher Dove Medical Press
publishDate 2020
url https://doaj.org/article/040b20604a9746889d8ee5bbd75229ef
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