Correlates of Physical Activity in Adults With Rheumatoid Arthritis: A Systematic Review

Larkin, Louise; Kennedy, Norelee

doi:10.1123/jpah.2012-0194

Cited by 40 publications

(48 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Considering the inconsistency of previous research (13,(41)(42)(43), our research question regarding sex and physical activity over 2 years was more explorative. One reason for the disparate findings in previous studies may be the different study designs and methods of measurement.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Trajectories of Physical Activity Over Two Years in Persons With Rheumatoid Arthritis

Demmelmaier

Dufour

Nordgren

et al. 2016

Arthritis Care & Research

View full text Add to dashboard Cite

Objective. To identify and describe different trajectories of physical activity over 2 years and to identify baseline predictors for each trajectory within a large cohort of people with rheumatoid arthritis (RA). Methods. The sample included 2,752 people ages 18-75 years and independent in daily living. Data on sociodemographic, disease-related, and psychosocial variables and physical activity (total weekly hours of vigorously/moderately intense activity and walking) were collected from registers and by questionnaires at baseline, and at 14 and 26 months. K-means cluster analysis was used to identify different physical activity trajectories. Multinomial logistic regression was used to identify predictors of trajectory membership. Results. Three trajectories were identified: 1 stable high (n 5 272; with an average of 25 hours of physical activity/week), 1 decreasing (n 5 564; changing from 22 to 8 hours), and 1 stable low (n 5 1,916; with an average of 3 hours). Predictors of the stable high trajectory versus the other 2 were male sex and already established physical activity at baseline. Predictors of the stable high trajectory versus decreasing trajectory were lower age and less social support for exercise, while predictors of stable high versus the stable low trajectory were less activity limitation and higher exercise self-efficacy. Conclusion. The results indicate that distinct trajectories of physical activity over 2 years in people with RA exist, and that stable, high physical activity is mainly predicted by male sex and already established physical activity at baseline. Additional predictors, amenable to change, include activity limitation, social support, and self-efficacy for exercise, suggesting a wide perspective on maintained physical activity in RA.

show abstract

Section: Discussionmentioning

confidence: 99%

“…To explain and possibly influence physical activity behavior, numerous correlates in different domains have been identified in the general population (12) and in RA (13). For RA, psychosocial variables are stronger correlates of physical activity behavior than disease-related and sociodemographic ones (9,13,14).…”

Section: Introductionmentioning

confidence: 99%

Trajectories of Physical Activity Over Two Years in Persons With Rheumatoid Arthritis

Demmelmaier

Dufour

Nordgren

et al. 2016

Arthritis Care & Research

View full text Add to dashboard Cite

show abstract

“…However, changing behaviour is a complex issue, and in order to change behaviour, consideration must be given to the factors which influence the behaviour [21]. Factors which influence physical activity in people who have RA include beliefs about RA and motivation [22]. Such factors are amendable to change, and how these factors are addressed is an important element of behaviour change interventions [23].…”

Section: Introductionmentioning

confidence: 99%

Behaviour change interventions to promote physical activity in rheumatoid arthritis: a systematic review

et al. 2015

Self Cite

View full text Add to dashboard Cite

Research has shown that people who have rheumatoid arthritis (RA) do not usually participate in enough physical activity to obtain the benefits of optimal physical activity levels, including quality of life, aerobic fitness and disease-related characteristics. Behaviour change theory underpins the promotion of physical activity. The aim of this systematic review was to explore behaviour change interventions which targeted physical activity behaviour in people who have RA, focusing on the theory underpinning the interventions and the behaviour change techniques utilised using specific behaviour change taxonomy. An electronic database search was conducted via EBSCOhost, PubMed, Cochrane Central Register of Controlled Trials and Web of Science databases in August 2014, using Medical Subject Headings and keywords. A manual search of reference lists was also conducted. Randomised control trials which used behaviour change techniques and targeted physical activity behaviour in adults who have RA were included. Two reviewers independently screened studies for inclusion. Methodological quality was assessed using the Cochrane risk of bias tool. Five studies with 784 participants were included in the review. Methodological quality of the studies was mixed. The studies consisted of behaviour change interventions or combined practical physical activity and behaviour change interventions and utilised a large variety of behaviour change techniques. Four studies reported increased physical activity behaviour. All studies used subjective methods of assessing physical activity with only one study utilising an objective measure. There has been varied success of behaviour change interventions in promoting physical activity behaviour in people who have RA. Further studies are required to develop and implement the optimal behaviour change intervention in this population.

show abstract

“…Despite the beneficial effects of HEPA, many persons with RA do not reach or maintain the recommended HEPA levels . To explore and potentially influence physical activity behavior, numerous correlates have been identified in the general population and in RA . For people with RA, psychological and contextual variables seem to be stronger correlates of physical activity than disease‐related and sociodemographic ones .…”

Section: Introductionmentioning

confidence: 99%

Trajectories of Fear‐Avoidance Beliefs on Physical Activity Over Two Years in People With Rheumatoid Arthritis

Demmelmaier

Björk²,

Dufour

et al. 2018

Arthritis Care & Research

View full text Add to dashboard Cite

ObjectiveTo identify and describe 2‐year trajectories of fear‐avoidance beliefs on physical activity and to identify predictors of these trajectories in people with rheumatoid arthritis (RA).MethodsWe included 2,569 persons with RA (77% women, mean age 58 years). Data on fear‐avoidance beliefs (Fear‐Avoidance Beliefs Questionnaire physical activity subscale [FABQ‐PA]; range 0–24), sociodemographics, disease‐related variables, self‐efficacy, and health‐enhancing physical activity (HEPA) were collected from registers and by questionnaires at baseline, 14, and 26 months. K‐means cluster analysis was used to identify fear‐avoidance trajectories, and multinomial logistic regression was used to identify predictors of trajectory membership.ResultsThree trajectories of fear‐avoidance beliefs were identified: low (n = 1,060, mean FABQ‐PA = 3), moderate (n = 1,043, mean FABQ‐PA = 9), and high (n = 466, mean FABQ‐PA = 15). Consistent predictors of being in the high fear‐avoidance trajectory versus the other 2 trajectories were high activity limitation, male sex, income below average, not performing current HEPA, and elevated anxiety/depression. In addition, less consistent predictors such as shorter education, more pain, and low exercise self‐efficacy were also identified.ConclusionStable trajectories of fear‐avoidance beliefs on physical activity exist among people with RA. Fear‐avoidance may be targeted more effectively by tailoring physical activity promotion to vulnerable socioeconomic groups, men, and those with high activity limitation and anxiety/depression.

show abstract

Correlates of Physical Activity in Adults With Rheumatoid Arthritis: A Systematic Review

Cited by 40 publications

References 28 publications

Trajectories of Physical Activity Over Two Years in Persons With Rheumatoid Arthritis

Trajectories of Physical Activity Over Two Years in Persons With Rheumatoid Arthritis

Behaviour change interventions to promote physical activity in rheumatoid arthritis: a systematic review

Trajectories of Fear‐Avoidance Beliefs on Physical Activity Over Two Years in People With Rheumatoid Arthritis

Contact Info

Product

Resources

About