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Table 2 Characteristics of the axSpA patients (nr-axSpA and AS combined), stratified by the presence of gut dysbiosis

From: Gut dysbiosis associated with worse disease activity and physical function in axial spondyloarthritis

 

AxSpA without dysbiosis (DI <3)

n=89

AxSpA with dysbiosis (DI ≥3)

n=43

Male sex, n (%)

49 (55%)

23 (54%)

Age, years

51 (13)

55 (13)

BMI, kg/m2

26 (3.9)

28 (4.7) ‡‡

Smoking status

 Never smoker, n (%)

67 (75%)

2 (51%)

 Quit smoking >6 months ago, n (%)

17 (19%)

14 (33%)

 Intermittent smoker or quit <6 months ago, n (%)

1 (1.1%)

4 (9.3%)

 Every day smoker, n (%)

4 (4.5%)

3 (7.0%)

Symptom duration, years

25 (13)

28 (15)

HLA-B27 positive, n (%)

83 (94%)

31 (72%) ‡

Nr-axSpA, n (%)

33 (37%)

11 (26%)

F-calprotectin, mg/kg

 Mean (SD)

56 (71)

112 (206)

 Median (IQR)

30 (55)

39 (69)

Elevated F-calprotectin ≥50 mg/kg, n (%)

29 (33%)

17 (41%)

IBS symptoms, n (%)a

22 (25%)

21 (49%) ‡

ASDAS-CRP

1.7 (0.9)

2.2 (0.9) ‡

BASDAI

2.6 (2.0)

4.2 (2.4) ‡

EvalGlobal, 0–4, median (IQR)b

1 (0-1)

1 (1-1) ‡

CRP, mg/l

3.1 (3.3)

4.6 (7.6)

BASFI

1.6 (1.6)

3.1 (2.5) ‡

BASMI

2.9 (1.4)

3.3 (1.5)

VAS pain, cm

2.9 (2.5)

4.1 (2.5) ‡

ASAS 3-month NSAID score

35 (41)

39 (50)

Use of proton-pump inhibitors last 3 months, n (%)

33 (37%)

20 (47%)

Ongoing csDMARD, n (%)

17 (19%)

7 (16%)

 Methotrexate, n (%)

10 (11.2%)

4 (9.3%)

 Sulfasalazine, n (%)

5 (5.6%)

3 (7.0%)

 Other csDMARD, n (%)

2 (2.2%)

0 (0%)

Ongoing bDMARD, n (%)

37 (42%)

19 (44%)

 Adalimumab, n (%)

8 (9.0%)

2 (4.7%)

 Certolizumab pegol, n (%)

7 (7.9%)

4 (9.3%)

 Etanercept, n (%)

14 (15.7%)

5 (11.6%)

 Golimumab, n (%)

3 (3.4%)

2 (4.7%)

 Infliximab, n (%)

4 (4.5%)

5 (11.6%)

 Secukinumab, n (%)

1 (1.1%)

1 (2.3%)

  1. Mean (SD) if not otherwise stated. aMeeting the ROME III criteria for IBS. bLikert scale 0–4, corresponding to Remission/Low/Medium/High/Maximal. ‡p<0.05 for between-group difference between axSpA patients (nr-axSpA and AS combined) with versus without gut dysbiosis by chi2-test/Fisher’s exact test or Mann-Whitney U test, as appropriate. Missing data, n (%): Symptom duration 1 (0.8%); HLA-B27 1 (0.8%); F-calprotectin 2 (1.5%); IBS symptoms 1 (0.8%); ASDAS-CRP 16 (12%); BASDAI 7 (5.3%), EvalGlobal 5 (3.8%); CRP 15 (11%); BASFI 9 (6.8%); BASMI 2 (1.5%); VAS pain 2 (1.5%). AS ankylosing spondylitis, ASDAS-CRP ankylosing spondylitis disease activity score using CRP, ASAS Assessment of SpondyloArthritis international Society, AxSpA axial spondyloarthritis, BASDAI Bath ankylosing spondylitis disease activity index, BASFI Bath ankylosing spondylitis functional index, BASMI Bath ankylosing spondylitis metrology index, bDMARD biologic disease-modifying anti-rheumatic drug, CRP C-reactive protein, csDMARD conventional synthetic disease-modifying anti-rheumatic drug, DI dysbiosis index, EvalGlobal Evaluator’s global assessment of disease activity, IBS irritable bowel syndrome, IQR interquartile range, nr-axSpA non-radiographic axial spondyloarthritis, NSAID non-steroidal anti-inflammatory drug, SD standard deviation, VAS visual analog scale