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DOI: 10.1055/s-2007-963223
© Georg Thieme Verlag KG Stuttgart · New York
Entzündlich-rheumatische Erkrankungen und kardiovaskuläres Risiko: ernährungsmedizinische Aspekte
Inflammatory Rheumatic Diseases and Cardiovascular Risks: Aspects of Nutritional MedicinePublication History
Publication Date:
04 September 2007 (online)

Zusammenfassung
Chronische Entzündung ist ein unabhängiger Risikofaktor für kardiovaskuläre Komplikationen bei rheumatischen Erkrankungen. Die erhöhte Mortalität kann durch eine effektive Krankheitskontrolle reduziert werden. Ernährungsmedizinische Ansätze zielen auf die Prävention und Therapie traditioneller kardiovaskulärer Risikofaktoren wie arterielle Hypertonie, Adipositas oder Hyperlipoproteinämie, können aber auch unmittelbar zur Senkung der Entzündungsaktivität beitragen.
Abstract
Chronic inflammation is an independent risk factor for cardiovascular comorbidity in rheumatic diseases. Effective disease-modifying drugs reduce this increased mortality. The targets of nutritional interventions are not only the traditional risk factors such as hypertension, obesity or hyperlipoproteinemia but also to achieve a reduction of the inflammation.
Schlüsselwörter
Entzündlich-rheumatische Erkrankungen - rheumatoide Arthritis - kardiovaskuläres Risiko - Komorbidität - Mortalität - Ernährung - Ernährungsmedizin - Diät
Key words
rheumatic diseases - rheumatoid arthritis - cardiovascular risks - comorbidity - mortality - nutrition - nutritional medicine - diet
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1 Der Framingham-Score [60] ermöglicht auch bei Patienten mit einer rheumatoiden Arthritis eine Abschätzung des kardiovaskulären Risikos [61]. Eine Anleitung für die Kalkulation steht online zur Verfügung [62].
Priv. Doz. Dr. med. Hans-Eckhard Langer
Schwerpunkt für Rheumatologie, klinische Immunologie und Osteologie am Evangelischen
Krankenhaus Düsseldorf
Fürstenwall 99
40217 Düsseldorf
Phone: ++49/2 11/5 20 66 60
Fax: ++49/2 11/9 94 44 80
Email: dr.langer@rheuma-online.de