Association between excess body weight and disordered eating attitude among women living with systemic lupus erythematosus

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da Mota, Jhulia C. N. L. ; Smaira, Fabiana, I ; Julio, Juliana Maria Goncalves ; de Carvalho, Beatriz Garcia ; Carvalho, Lucas M. ; Ribeiro, Amanda A. ; Souza, Leticia L. ; Borba, Eduardo F. ; Roschel, Hamilton ; Gualano, Bruno ; Nicoletti, Carolina F.

• Document type: Journal article
• Source: Lupus; v. N/A, p. 9-pg., 2025-04-08.

Abstract

The study aimed to: (i) characterize dietary intake and identify disorders eating attitudes in women with SLE, (ii) evaluate possible differences in both dietary intake and disorders eating attitudes in patients with SLE according to nutritional status, (iii) investigate possible associations between eating disorders attitudes, anthropometric characteristics and food consumption. Methods: This cross-sectional study included 46 premenopausal female patients (18-40 years), with inactive disease, using prednisone <10 mg/day and hydroxychloroquine at a stable dose. Patients were allocated into two groups according to their nutritional status by body mass index (BMI): normal weight (BMI between 18.5 and 24.9 kg/m(2)) and excess weight (BMI >25 kg/m(2)). Food consumption was assessed according to the processing level and energy and macronutrient content. The Disordered Eating Attitude Scale (DEAS) was applied. Results: Patients with excess weight had a higher DEAS score when compared to those with normal weight (34 +/- 8.7 vs 25 +/- 5.9, p = .001). A higher percentage of patients with excess weight demonstrated disturbance in their relationship with food and concerns about food and weight gain versus those with normal weight. DEAS score was positively associated with BMI, abdominal circumference, and fat mass percentage and negatively associated with lipid intake. Conclusion: Disordered eating attitudes differ in SLE patients according to nutritional status, and those with excess weight show higher DEAS scores, which may be related to food and weight gain. (AU)

• FAPESP's process: 20/15126-3 - Progress in epigenetics on autoimmune rheumatic diseases: from basic studies to bedside in Lupus erythematosus, systemic
• Grantee: Carolina Nicoletti Ferreira Fino
• Support Opportunities: Scholarships in Brazil - Young Researchers
• FAPESP's process: 20/01893-2 - Progress in epigenetics on autoimmune rheumatic diseases: from basic studies to bedside in Lupus Erythematosus, Systemic
• Grantee: Carolina Nicoletti Ferreira Fino
• Support Opportunities: Research Grants - Young Investigators Grants
• FAPESP's process: 21/09777-4 - Do patients with lupus and obesity have altered methylation profile of inflammatory-related genes? A cross-sectional study
• Grantee: Lucas de Moura Carvalho
• Support Opportunities: Scholarships in Brazil - Master
• FAPESP's process: 21/09745-5 - Effect of methyl-donor nutrient supplementation on methylation profile of inflammatory-related genes in lupus patients with obesity: a clinical trial
• Grantee: Jhulia Caroline Nunes Leal da Mota
• Support Opportunities: Scholarships in Brazil - Master