AB0329 THE IMPACT OF WEIGHT ON FOOT INVOLVEMENT DURING RHEUMATOID ARTHRITIS

Background Overweight and obesity are highly common in patients with Rheumatoid Arthritis (RA), probable impact on bearing foot joints. Objectives The aim of the present study was to explore associations between Body Mass Index (BMI) measures health (foot pain, foot-related activity limitation, synovitis deformities) RA. Methods A cross sectional conducted 50 RA consulting a rheumatology departement different complains. Domains studied comprised: pain (Numeric Rating Scale), limitations (Foot Function Index), (Metatarsophalangeal Joint Count), deformity (Platto Score). Results mean age 45.68 +/-10.3 years [20-76], most were female (82%), had moderately long disease duration (12.12 ± 7.67 years). often active (mean DAS28: 3.25 0.98). Sixty six percent our population overweight or obese BMI 29 Kg/m2±5.74. average intensity while walking 6 1.75, FFI subscale 40 15.7 WOMAC 30 13.2. Seventy chronic (> months). heel symptomatic location (62%). Podoscopic examination showed flat feet 46% cases, hollow 20%, valgus varus noted 34 % 12 cases respectively. tender joint count 5.5 1.79and swollen 2.2 1.55. structure index score) 7.8 2.73. Hallux (74 %) followed by claw toe 43.5 then subluxation MTP joints 26 %. Concerning score Disability 32 14.2 physical functioning 33.8 13.98. Half suffered from problems fitting their shoes because toe, %, 36% Our that higher associated lower many measures. Patients reported significantly more (p = 0.001), limitations: for both scales: 0.01; B=21.71) (p<0.001; B=20.64), deformities assessed Platto (p= 0.02; B=4.78), OR=4.66) footwear (p=0.05).However, population, less radiological damage (p=0.01) sharp (B= -13,9; P 0.06). Conclusion Despite findings possible protective effect structural damage, is still, as seen this other studies, an important cause increased functional disability impaired quality life requires special interventions. REFERENCES: NIL. Acknowledgements: Disclosure Interests None Declared.