Ruokavaliotoimenpiteet nivelpsoriaasissa (DIPSA)

Active Comparator: Ruokavalio 1

Ruokavalio 1 keskittyy ruokavalioon ja seuraa ruokatyyppejä, lisäravintoa ja tarjoaa ravitsemustukea ravitsemusterapeutin kanssa.

Muut: Ruokavalio 1

Ruokavalio 1 keskittyy syötyihin ruokiin ja vaikutuksiin sairauden tuloksiin.

Active Comparator: Ruokavalio 2

Ruokavalio 2 keskittyy ruokavalioon ja seuraa ruoan määrää, ilmaista ravintoa ja ravitsemustukea ravitsemusterapeutin kanssa.

Muut: Ruokavalio 2

Tämä ruokavalio rajoittaa päivittäin kulutetun ruokaenergian määrää ja vaikutusta sairauden tuloksiin. Tämän määräävät tekijät, kuten kohteen väestötiedot (ikä, sukupuoli, paino, pituus).

Ei väliintuloa: Ruokavalio 3

Diet 3 keskittyy terveellisiin ruokailutottumuksiin ja tarjoaa ravitsemustukea ravitsemusterapeutin kanssa.

Change in Disease Activity in Psoriatic Arthritis (DAPSA)

Disease Activity in Psoriatic Arthritis (DAPSA) is a total of the 5 elements listed below to assess disease activity from both clinical and patient-reported data. The total score falls within a range to indicate level of disease activity: 0-4 = Remission (minimum); 5-14 = Low; 15-28 = Moderate; >28 = High Disease Activity. There is no theoretical upper limit to the DAPSA score.

Total DAPSA score = TJ (Tender Joints) + SJ (Swollen Joints) + CRP (C-reactive protein) + Activity + Pain

1. Tender Joints Count (0-68 joints)
2. Swollen Joints Count (0-66 joints)
3. CRP (mg/dl)

4. Patient's assessment of disease activity and pain:

   1. How active was your rheumatic disease on average during the last week? Scale of 1-10 (Not Active -Active)
   2. How would you describe the overall level of joint pain during the last week? Scale of 1-10 (None-Very Severe)

Metabolinen profiili - paino

Painon muutokset; Paino (kg; Paino ja pituus yhdistetään ilmoittamaan BMI kg/m^2; Painoindeksi (BMI) _ wt/h²; Aikuisten BMI-alueisiin liittyvät vakiopainoluokat on lueteltu seuraavasti;

BMI painon tila:

Alle 18,5 alipaino 18,5 - 24,9 normaali tai terve paino 25,0 - 29,9 ylipaino 30,0 ja yli lihava

Käytetty 19.11.19, https://www.cdc.gov/healthyweight/assessing/bmi/adult_bmi/index.html#Interpreted

Metabolinen profiili-vyötärön mittaus

Vyötärön mitta_cm

Change in Disease Activity in Psoriatic Arthritis (DAPSA)

Disease Activity in Psoriatic Arthritis (DAPSA) is a total of the 5 elements listed below to assess disease activity from both clinical and patient-reported data. The total score falls within a range to indicate level of disease activity: 0-4 = Remission (minimum); 5-14 = Low; 15-28 = Moderate; >28 = High Disease Activity. There is no theoretical upper limit to the DAPSA score.

DAPSA = TJ (Tender Joints) + SJ (Swollen Joints) + CRP (C-reactive protein) + Activity + Pain

1. Tender Joints Count (0-68 joints)
2. Swollen Joints Count (0-66 joints)
3. CRP (mg/dl)

4. Patient's assessment of disease activity and pain:

   1. How active was your rheumatic disease on average during the last week? Scale of 1-10 (Not Active -Active)
   2. How would you describe the overall level of joint pain during the last week? Scale of 1-10 (None-Very Severe)

Patient Reported Outcomes-Psoriatic Arthritis Disease Impact

-Psoriatic Arthritis Disease Impact- Psoriatic Arthritis Impact of Disease (PSAID). The PsAID is a measure developed by the European League Against Rheumatism (EULAR) and is composed of domains selected by an international group of patients with psoriatic arthritis. The questionnaire uses a weighted scoring system (weights were derived by patient impression of importance) and has a range of 0-10. A lower score indicates lower impact of disease from the patient perspective, and a score of 4 is considered a patient acceptable symptom state.

Patient Reported Outcomes-Fatigue

-Fatigue- PROMIS (Patient-Reported Outcomes Measurement Information System) Fatigue (CAT) The PROMIS Fatigue scale assesses fatigue experience and impact of fatigue over 7 days. The instrument includes items on exhaustion and ability to function normally in physical, social, mental and family roles and activities. This instrument has good content validity and responsiveness in rheumatoid arthritis, a similar inflammatory arthritis. We will use the CAT (Computerized Adaptive Test) response instrument. PROMIS uses Item Response Theory (IRT) statistical model that links individual questions to a presumed underlying trait or concept of global health represented by all items in the scale; instruments are scored using item-level calibrations ("response pattern scoring") in an online tool (T-Score range 0-100, where 50 is the mean with a standard deviation of 10). Increasing score indicates higher level of fatigue.