Intervenções dietéticas na artrite psoriática (DIPSA)

Comparador Ativo: Dieta 1

A Dieta 1 se concentrará no padrão alimentar e monitorará os tipos de alimentos, nutrição suplementar e fornecerá suporte nutricional com um nutricionista.

Outro: Dieta 1

A Dieta 1 se concentrará em quais alimentos são ingeridos e no impacto sobre os resultados da doença.

Comparador Ativo: Dieta 2

A Dieta 2 se concentrará no padrão alimentar e monitorará a quantidade de alimentos, nutrição complementar e suporte nutricional com um nutricionista.

Outro: Dieta 2

Esta dieta limitará a quantidade de energia alimentar consumida a cada dia e o impacto nos resultados da doença. Isso será determinado por fatores, incluindo dados demográficos do sujeito (idade, sexo, peso, altura).

Sem intervenção: Dieta 3

A dieta 3 se concentrará em padrões alimentares saudáveis ​​e fornecerá suporte nutricional com um nutricionista.

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)

Perfil Metabólico-Peso

Mudanças de Peso; Peso_kg; O peso e a altura serão combinados para informar o IMC em kg/m^2; Índice de Massa Corporal (IMC) _ peso/h²; As categorias de status de peso padrão associadas às faixas de IMC para adultos são listadas como;

Status de peso do IMC:

Abaixo de 18,5 Abaixo do peso 18,5 - 24,9 Peso normal ou saudável 25,0 - 29,9 Sobrepeso 30,0 e Acima Obeso

Acessado em 19/11/19, https://www.cdc.gov/healthyweight/assessing/bmi/adult_bmi/index.html#Interpreted

Medição da Cintura do Perfil Metabólico

Medida da cintura_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.