The relation of body image perception with body mass index, gender and disease activity in ankylosing spondylitis and rheumatoid arthritis
Tuba Tulay Koca1, Hasan Gogebakan2, Gozde Yildirim Cetin2
1Sutcu Imam University, Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Kahramanmaras, Turkey
2Sutcu Imam University, Faculty of Medicine, Department of İnternal Medicine, Division of Rheumatology, Kahramanmaras, Turkey
Aim: Ankylosing spondylitis (AS) and Rheumatoid arthritis (RA) diseases causes physical deformities and chronic pain which lead to impairment in the body image perception (BIP) of the body.
Material and Methods: Sixty (N=60) AS patients and 55 RA patients were included into the study. Age, gender, body mass index (BMI), duration of diagnosis, education and disease activity of the patients were recorded.
Results: At the mean age of 38.5 ± 9.8 years, 46 male (M) and 14 female (F) patients with AS were included in the study. In patients with AS, BIP score was positively correlated only with peripheral joint involvement (r = 0.32 / p = 0.005). At mean age of 52.1 ± 13 years, 12 male and 43 female patients with RA were included. The BIP score in RA patients did not correlatewith any parameter. The BIP score was not significantly different between the two groups. In the AS group, BIP score was significantly higher in female gender (F = 110.2 ± 29 / M = 95.8 ± 20.5; p = 0.041). In the whole group only in male gender BIP score was negatively correlated with duration of diagnosis (r = -0.264, p = 0.047); it was positively correlated with BASFI (r = 0.306; p = 0.041).
Conclusion: In the early active periods of the rheumatologic diseases and in the later stages of them with the progress of physical disability, BIP may get worse. A better understanding of factors affecting BIP will increase the success of treatment regimens.
Keywords: Rheumatoid Arthritis; Ankylosing Spondylitis; Body Image Perception.