Table 2.

Univariate and multivariate (adjusted simultaneously for variables shown) associations of different clinical variables with the development of metabolic syndrome in patients with psoriatic arthritis (PsA; n = 283). Results presented in the order of OR (95% CI) p value. OR are per-unit increase.

VariableUnivariate AnalysisMultivariate Regression Using Model 1 Definition of Severe PsA (adjusted* OR)Multivariate Regression Using Model 2 Definition of Severe PsA (adjusted* OR)Multivariate Regression Using Model 3 Definition of Severe PsA (adjusted* OR)
Age1.04 (1.02–1.06), < 0.001
Sex1.14 (0.71–1.82), 0.58
PsA duration0.99 (0.95–1.00), 0.20
Smoking pack-yrs, per unit pack-yr smoked1.02 (0.99–1.04), 0.0561.02 (1.00–1.05), 0.031.02 (1.00–1.05), 0.0521.03 (1.00–1.06), 0.02
Low education status1.94 (1.08–3.48), 0.02
Type II PsO2.35 (1.25–4.42), 0.008
PASI max1.02 (0.98–1.07), 0.25
PsO age of onset1.03 (1.01–1.05), < 0.001
PsA age of onset1.02 (1.00–1.04), 0.006
Time from PsO to arthritis development0.97 (0.95–1.00), 0.052
Deformed joints1.54 (0.93–2.54), 0.08
HAQ1.45 (0.96–2.20), 0.07
EQ-5D1.16 (1.02–1.32), 0.191.22 (1.00–1.05), 0.0501.28 (1.03–1.59), 0.025
BRAF1.03 (0.99–1.08), 0.11
Model 1 of severe PsA (defined as PsA requiring TNFi)1.20 (0.74–1.94), 0.452.36 (1.03–5.41), 0.04
Model 2 of severe PsA (defined as the patients with PsA radiographic damage**)1.05 (0.66–1.69), 0.81
Model 3 of severe PsA (radiographic PsA damage** along with PsA requiring TNFi)3.49 (2.12–5.76), < 0.0014.47 (1.96–10.16), < 0.001
  • * These variables were included in the full regression model: age, sex, PsA duration, smoking pack-years, low education status, type II PsO, PsO and PsA age of onset, time from PsO to arthritis development, deformed joints, HAQ scores, EQ-5D scores, BRAF scores, and PASI maximum scores.

  • ** Radiographic abnormalities of peripheral joint erosions, osteolysis, and sacroiliitis. PASI: Psoriasis Area and Severity Index; BRAF: Bristol Rheumatoid Arthritis Fatigue Numeric Rating Scale; HAQ: Health Assessment Questionnaire; TNFi: tumor necrosis factor inhibitor; PsO: psoriasis.