건선성 관절염의 식이 중재 (DIPSA)

활성 비교기: 다이어트 1

다이어트 1은 식이 패턴에 초점을 맞추고 음식의 종류, 보충 영양을 모니터링하고 영양사와 함께 영양 지원을 제공합니다.

다른: 다이어트 1

다이어트 1은 어떤 음식을 섭취하고 질병 결과에 미치는 영향에 초점을 맞출 것입니다.

활성 비교기: 다이어트 2

식단 2는 식단 패턴에 초점을 맞추고 영양사와 함께 음식의 양, 무료 영양 및 영양 지원을 모니터링합니다.

다른: 다이어트 2

이 식단은 매일 소비되는 음식 에너지의 양과 질병 결과에 미치는 영향을 제한합니다. 이는 피험자의 인구 통계(연령, 성별, 체중, 키)를 포함한 요인에 의해 결정됩니다.

간섭 없음: 다이어트 3

다이어트 3은 건강한 식습관에 초점을 맞추고 영양사와 함께 영양 지원을 제공합니다.

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)

대사 프로필-체중

체중의 변화; 무게_kg; 몸무게와 키를 결합하여 kg/m^2 단위로 BMI를 보고합니다. 체질량 지수(BMI) _ wt/h²; 성인의 BMI 범위와 관련된 표준 체중 상태 범주는 다음과 같이 나열됩니다.

BMI 체중 상태:

18.5 미만 저체중 18.5 - 24.9 정상 또는 정상 체중 25.0 - 29.9 과체중 30.0 이상 비만

2019년 11월 19일 액세스, https://www.cdc.gov/healthyweight/assessing/bmi/adult_bmi/index.html#Interpreted

대사 프로필-허리 측정

허리둘레_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.