Clin Osteol 2025; 30(2): 108-113
Muscle mass of patients with rheumatoid arthritis and the effect of treatmentReview articles
- 1 I. interná klinika Lekárskej fakulty Univerzity Komenského v Bratislave a Univerzitnej nemocnice v Bratislave
- 2 Interná klinika SZU, Univerzitná nemocnica - Nemocnica sv. Michala, a. s., Bratislava
- 3 Klinika onkohematológie LF UK a NOÚ, Bratislava
Sarcopenia is a progressive disease characterized by the loss of skeletal muscle mass, both in volume and function. Although it was originally considered a consequence of physiological ageing, it is now known to occur in connection with chronic diseases, particularly inflammatory ones. Rheumatoid arthritis is a prototype of a systemic autoimmune disease, in which there is not only joint damage but also extra-articular manifestations, including changes in body composition. Until recently, the loss of muscle mass and strength in these patients was attributed mainly to musculoskeletal dysfunction due to pain, disability, and chronic corticosteroid use. However, current knowledge shows that rheumatoid arthritis induces a specific form of sarcopenia, so-called rheumatoid sarcopenia characterized by a disorder of muscle metabolism caused by systemic inflammation. The aim of this article is to address the issue of striated muscle changes in patients with rheumatoid arthritis.
Keywords: muscle mass, sarcopenia, rheumatoid arthritis, densitometry.
Published: June 1, 2025 Show citation
References
- Pavelka K, et al. Revmatologie. Praha: Maxdorf, s.r.o., 2018. 899 s. ISBN 978-80-7345-583-5.
- Bennett JL, Pratt AG, Dodds R, et al. Rheumatoid sarcopenia: loss of skeletal muscle strength and mass in rheumatoid arthritis. Nat Rev Rheumatol. 2023;19(4):239-251. Dostupné z DOI: http://dx.doi.org/10.1038/s41584-023-00921-9.
Go to original source... - Cruz-Jentoft AJ, Bahat G, Bauer J, et al. Sarcopenia: revised European consensus on definition and diagnosis (published correction appears in Age Ageing. 2019;48(4):601. doi: 10.1093/ageing/afz046.). Age Ageing. 2019;48(1):16-31. Dostupné z DOI: http://dx.doi.org/10.1093/ageing/afy169.
Go to original source... - Beaudart C, Alcazar J, Aprahamian I, et al. Health outcomes of sarcopenia: a consensus report by the outcome working group of the Global Leadership Initiative in Sarcopenia (GLIS). Aging Clin Exp Res. 2025;37(1):100. Dostupné z DOI: http://dx.doi.org/10.1007/s40520-025-02995-9.
Go to original source... - Pan J, Zou YW, Zhu YY, et al. Muscle mass loss is associated with physical dysfunction in patients with early rheumatoid arthritis. Front Nutr. 2022;9:1007184. Dostupné z DOI: http://dx.doi.org/10.3389/fnut.2022.1007184.
Go to original source... - Baker JF, Giles JT, Weber D, et al. Assessment of muscle mass relative to fat mass and associations with physical functioning in rheumatoid arthritis. Rheumatology (Oxford). 2017;56(6):981-988. Dostupné z DOI: http://dx.doi.org/10.1093/rheumatology/kex020.
Go to original source... - Lozada-Mellado M, Llorente L, Hinojosa-Azaola A, et al. Inflammatory profile in patients with rheumatoid arthritis and sarcopenia. Clin Rheumatol. 2024;43(6):1865-1870. Dostupné z DOI: http://dx.doi.org/10.1007/s10067-024-06974-9.
Go to original source... - Li TH, Chang YS, Liu CW, et al. The prevalence and risk factors of sarcopenia in rheumatoid arthritis patients: A systematic review and meta-regression analysis. Semin Arthritis Rheum. 2021;51(1):236-245. Dostupné z DOI: http://dx.doi.org/10.1016/j.semarthrit.2020. 10. 002.
Go to original source... - Jimenez-Gutierrez GE, Martínez-Gómez LE, Martínez-Armenta C, et al. Molecular mechanisms of inflammation in sarcopenia: diagnosis and therapeutic update. Cells. 2022;11(15):2359. Dostupné z DOI: http://dx.doi.org/10.3390/cells11152359.
Go to original source... - Pérez-Baos S, Prieto-Potin I, Román-Blas JA, et al. Mediators and patterns of muscle loss in chronic systemic inflammation. Front Physiol. 2018;9:409. Dostupné z DOI: http://dx.doi.org/10.3389/fphys.2018.00409.
Go to original source... - Kim JW, Kim R, Choi H, et al. Understanding of sarcopenia: from definition to therapeutic strategies. Arch Pharm Res. 2021;44(9-10):876-889. Dostupné z DOI: http://dx.doi.org/10.1007/s12272-021-01349-z.
Go to original source... - Yun HW, Kim CJ, Kim JW, et al. The assessment of muscle mass and function in patients with long-standing rheumatoid arthritis. J Clin Med. 2021;10(16):3458. Dostupné z DOI: http://dx.doi.org/10.3390/jcm10163458.
Go to original source... - Lightfoot AP, Sakellariou GK, Nye GA, et al. SS-31 attenuates TNF-α induced cytokine release from C2C12 myotubes. Redox Biol. 2015;6:253-259. Dostupné z DOI: http://dx.doi.org/10.1016/j.redox.2015. 08. 007.
Go to original source... - Nelke C, Dziewas R, Minnerup J, Meuth SG, Ruck T. Skeletal muscle as potential central link between sarcopenia and immune senescence. EBioMedicine. 2019;49:381-388. Dostupné z DOI: http://dx.doi.org/10.1016/j.ebiom.2019. 10. 034.
Go to original source... - Queeney K, Housley W, Sokolov J, et al. FRI0131 elucidating the mechanism underlying creatine phosphokinase upregulation with upadacitinib. Ann Rheum Dis. 2019;78:734-735.
- Kulyk M, Dzhus M. Assessment of sarcopenia in young patients with inflammatory arthritis: a cross-sectional study. Sci Rep. 2025;15(1):8236. Dostupné z DOI: http://dx.doi.org/10.1038/s41598-025-88939-9.
Go to original source... - Murillo-Saich JD, Vazquez-Villegas ML, Ramirez-Villafaña M, et al. Association of myostatin, a cytokine released by muscle, with inflammation in rheumatoid arthritis: a cross-sectional study. Medicine (Baltimore). 2021;100(3):e24186. Dostupné z DOI: http://dx.doi.org/10.1097/MD.0000000000024186.
Go to original source... - Kužma M, et al. Vyšetrovacie metódy v osteológii. Bratislava: Univerzita Komenského v Bratislave, 2018. ISBN 978-80-223-4520-0.
- Hein TR, Peterson L, Bartikoski BJ, Portes J, Espírito Santo RC, Xavier RM. The effect of disease-modifying anti-rheumatic drugs on skeletal muscle mass in rheumatoid arthritis patients: a systematic review with meta-analysis. Arthritis Res Ther. 2022;24(1):171. Dostupné z DOI: http://dx.doi.org/10.1186/s13075-022-02858-y.
Go to original source... - Vial G, Lambert C, Pereira B, et al. The effect of TNF and non-TNF-targeted biologics on body composition in rheumatoid arthritis. J Clin Med. 2021;10(3):487. Dostupné z DOI: http://dx.doi.org/10.3390/jcm10030487.
Go to original source... - Ferraz-Amaro I, Arce-Franco M, Muñiz J, et al. Systemic blockade of TNF-α does not improve insulin resistance in humans. Horm Metab Res. 2011;43(11):801-808. Dostupné z DOI: http://dx.doi.org/10.1055/s-0031-1287783.
Go to original source... - Tournadre A, Pereira B, Dutheil F, et al. Changes in body composition and metabolic profile during interleukin 6 inhibition in rheumatoid arthritis. J Cachexia Sarcopenia Muscle. 2017;8(4):639-646. Dostupné z DOI: http://dx.doi.org/10.1002/jcsm.12189.
Go to original source... - Toussirot E, Marotte H, Mulleman D, et al. Increased high molecular weight adiponectin and lean mass during tocilizumab treatment in patients with rheumatoid arthritis: a 12-month multicentre study. Arthritis Res Ther. 2020;22(1):224. Dostupné z DOI: http://dx.doi.org/10.1186/s13075-020-02297-7.
Go to original source... - Chikugo M, Sebe M, Tsutsumi R, et al. Effect of Janus kinase inhibition by tofacitinib on body composition and glucose metabolism. J Med Invest. 2018;65(3-4):166-170. Dostupné z DOI: http://dx.doi.org/10.2152/jmi.65.166.
Go to original source... - Hasegawa E, Ito S, Kurosawa Y, et al. The efficacy of biological disease-modifying antirheumatic drugs on sarcopenia in patients with rheumatoid arthritis. Intern Med. 2023;62(3):373-379. Dostupné z DOI: http://dx.doi.org/10.2169/internalmedicine.9600-22.
Go to original source... - Ben Tekaya A, Mehmli T, Ben Sassi M, et al. Effects of biologic and target synthetic disease-modifying anti-rheumatic drugs on sarcopenia in spondyloarthritis and rheumatoid arthritis: a systematic review and meta-analysis. Clin Rheumatol. 2023;42(4):979-997. Dostupné z DOI: http://dx.doi.org/10.1007/s10067-022-06454-y.
Go to original source... - Tada M, Matsumoto Y, Koike T, et al. Biologic and targeted synthetic disease-modifying anti-rheumatic drugs improve body composition in rheumatoid arthritis patients more than conventional synthetic disease-modifying anti-rheumatic drugs: results from the PRESENT study. Int J Rheum Dis. 2024;27(10):e15371. Dostupné z DOI: http://dx.doi.org/10.1111/1756-185X.15371.
Go to original source...
