Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Apr;43(4):1299-1310.
doi: 10.1007/s10067-024-06918-3. Epub 2024 Mar 4.

Geriatric nutrition risk index: a more powerful index identifying muscle mass loss in patients with rheumatoid arthritis

Jie Pan  1 , Tao Wu  1 , Jian-Da Ma  1 , Pei-Wen Jia  1 , Yao-Wei Zou  1 , Zhi-Ming Ouyang  1 , Hu-Wei Zheng  1 , Jian-Zi Lin, Qian Zhang  1 , Ye Lu  1 , Le-Feng Chen  1 , Ze-Hong Yang  2 , Ying-Ying Zhu  3 , Qing-Yang Song  4 , Yun Su  4 , Lin-Wang Su  4 , Wei Dai  5 , Jun Dai  6 , Lie Dai  7
Affiliations

Geriatric nutrition risk index: a more powerful index identifying muscle mass loss in patients with rheumatoid arthritis

Jie Pan et al. Clin Rheumatol. 2024 Apr.

Abstract

Objective: To explore the association of geriatric nutrition risk index (GNRI), a traditional albumin-body weight calculation, with myopenia in patients with rheumatoid arthritis (RA) and compare its ability to identify myopenia with protein indicators.

Methods: This cross-sectional study was carried out based on a Chinese RA cohort. Clinical data and protein indicators (including albumin, globulin, albumin to globulin ratio, prealbumin, hemoglobin) were collected. GNRI was estimated by serum albumin and body weight. Myopenia was indicated as muscle mass loss measured by bioelectric impedance analysis.

Results: There were 789 RA patients included with mean age 52.6 ± 12.6 years and 77.6% female. There were 41.3%, 18.0%, 27.5%, 13.2% patients with no (GNRI > 98), low (GNRI 92 to ≤ 98), moderate (GNRI 82 to < 92), and major nutrition-related risk (GNRI < 82). There were 406 (51.5%) RA patients with myopenia, RA patients with major nutrition-related risk had the highest prevalence of myopenia (87.5% vs. 73.3% vs. 50.0% vs. 26.1%). Multivariate logistic analysis showed that compared with no risk, RA patients with low (OR = 3.23, 95% CI: 1.86-5.61), moderate (OR = 9.56, 95% CI: 5.70-16.01), and major nutrition-related risk (OR = 28.91, 95% CI: 13.54-61.71) were associated with higher prevalence of myopenia. Receiver operating characteristic curves showed that GNRI (AUC = 0.79) performed a better identifiable ability toward myopenia than serum albumin (AUC = 0.66) or others indicators (AUC range 0.59 to 0.65), respectively.

Conclusion: GNRI, an objective and convenient albumin-weight index, may be preferable for identifying myopenia in RA patients. Key Points • We firstly elucidated the association of GNRI with muscle mass loss among RA patients, and compared its ability to identify muscle mass loss with serum albumin or other protein indicators. • Major nutrition-related risk identified by GNRI showed the highest risk of muscle mass loss, GNRI demonstrated a greater ability to identify myopenia in RA patients. which indicated GNRI was an objective and convenient albumin-weight index to identify myopenia in RA patients.

Keywords: Geriatric nutrition risk index; Muscle mass loss; Myopenia; Rheumatoid arthritis.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

References

    1. Gravallese EM, Firestein GS (2023) Rheumatoid Arthritis - Common Origins Divergent Mechanisms. N Engl J Med 388(6):529–542. https://doi.org/10.1056/NEJMra2103726 - DOI - PubMed
    1. Tański W, Wójciga J, Jankowska-Polańska B (2021) Association between Malnutrition and Quality of Life in Elderly Patients with Rheumatoid Arthritis. Nutrients 13(4):1259. https://doi.org/10.3390/nu13041259 - DOI - PubMed - PMC
    1. Tian P, Xiong J, Wu W, Shi S, Chen A, Chen K, Chen W, Wu A, Liao Y (2023) Impact of the malnutrition on mortality in Rheumatoid arthritis patients: A cohort study from NHANES 1999–2014. Front Nutr 4(9):993061. https://doi.org/10.3389/fnut.2022.993061 - DOI
    1. Rall LC, Roubenoff R (2004) Rheumatoid cachexia: metabolic abnormalities, mechanisms and interventions. Rheumatology (Oxford) 43(10):1219–1223. https://doi.org/10.1093/rheumatology/keh321 - DOI - PubMed
    1. Jutley GS, Sahota K, Sahbudin I, Filer A, Arayssi T, Young SP, Raza K (2021) Relationship Between Inflammation and Metabolism in Patients With Newly Presenting Rheumatoid Arthritis. Front Immunol 28(12):676105. https://doi.org/10.3389/fimmu.2021.676105 - DOI

LinkOut - more resources