Background: This study was planned to investigate the relationship between disease activity and demographic and characteristic features of a group of Turkish individuals with Rheumatoid Arthritis. Methods: A total of 143 participants (120 females, 23 males, mean age = 50.32 ± 12.14 years) diagnosed with Rheumatoid Arthritis (RA) according to the American College of Rheumatology 2010 criteria, were included in the study. Demographic features (gender, body mass index) and disease-related characteristics features (duration of disease, morning stiffness, presence of deformity, presence of nodules, dry eye, nail abnormalities, Raynaud's phenomenon, osteoporosis, dyspnea at rest, exertional dyspnea) of the participants were recorded. Disease activity was calculated using Disease Activity Score 28 (DAS28). According to DAS28, the participants were divided into 3 groups as remission, low disease activity and moderate-high disease activity. Pearson Chi-square test was used to analyze the statistical difference between the disease activity and demographic and possible characteristics features of individuals with RA. Results: In the analysis of the data, significant difference between remission and moderate-high disease activity was observed in morning stiffness, presence of deformity, presence of nodule, osteoporosis and exertional dyspnea; whereas statistically significant difference between low and moderate-high disease activity was observed in osteoporosis and dyspnea at rest (p < 0.05). In terms of demographic and characteristic features where the difference occurs, It was obtained that osteoporosis, exertional dyspnea, presence of nodüle, presence of deformity and morning stiffness poses a 1.97, 1.64, 1.62, 1.56 and 0.53-fold higher risk for moderate-high disease activity compared to the remission, respectively. It was obtained that osteoporosis and dyspnea at rest poses a 1.52 and 1.40-fold higher risk for moderate-high disease activity compared to the low disease activity, respectively. Conclusion: It was observed that osteoporosis and dyspnea pose a risk for the active period of RA. According to these results, we think that the risk of developing dyspnea and decrease in bone quality in RA individuals in the active period is high due to inactivity. Therefore, we suggest that RA patients should be encouraged to continue their physical activities and increase their participation in the exercise to reduce their complaints of dyspnea and osteoporosis.
Amaç: Pilates gibi zihin-beden egzersizleri, bireyin kas-iskelet sistemi sorunlarıyla baş etmesine yardımcı olan etkili yöntemlerdir. Bu çalışmanın amacı, sağlıklı kadınlarda gözlem altında ve ev tabanlı klinik pilates egzersizlerinin fiziksel uygunluk, psikososyal durum ve egzersiz inançları üzerindeki etkisini incelemek idi. Yöntem: 38 sağlıklı kadın, gözlem altında (n = 19) ve ev tabanlı (n = 19) olmak üzere iki gruba ayrıldı. Fiziksel uygunluk modifiye push-up, mekik, otur-kalk, anterior köprü, lateral köprü, Biering-Sorensen, gövde fleksörleri endurans, kalk yürü ve 6 dk yürüme testleri ve vücut kitle indeksi (VKİ),bel kalça oranı (BKO) ölçümleri ile; psikososyal durum Sosyal Görünüş Kaygı Ölçeği (SGKO), Rosenberg Benlik Saygısı Ölçeği (RBSO), Beden İmajı Ölçeği ve Egzersiz İnanışları Anketi ile değerlendirildi. Her iki grup haftada 3 gün, 8 hafta boyunca 24 seanslık egzersiz programını tamamladı. Bulgular: Programdan sonra, gözlem altında ki grup modifiye şınav, mekik, otur ve kalk, anterior plank, lateral plank, Biering-Sorensen, gövde fleksör endurans testleri ile SGKO, RBSO'de ve ve Egzersiz İnanışları puanları anlamlı düzeyde gelişti (p
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