Feelings of energy are associated with physical activity and sleep quality, but not adiposity, in middle-aged postmenopausal women

Ward-Ritacco, Christie L.; Adrian, Amanda L.; O’Connor, Patrick J.; Binkowski, Jessica A.; Rogers, Laura Q.; Johnson, Mary Ann; Evans, Ellen M.

doi:10.1097/gme.0000000000000315

Cited by 21 publications

(6 citation statements)

References 41 publications

(31 reference statements)

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“…For instance, higher levels of daily PA (based on accelerometer counts) is associated with less fatigue in patients with rheumatoid arthritis and knee or hip osteoarthritis. 42,43 Similar findings have been reported among post-menopausal women, 44 a general geriatric population, 36 fibromyalgia patients, 46 and breast cancer survivors. 47 Compared to a representative sample of U.S. adult women from the 2003–2004 National Health and Nutritional Examination Survey (NHANES), 36 our SLE patients spent more time on average in moderate/vigorous PA.…”

Section: Discussionsupporting

confidence: 78%

Fatigue, patient reported outcomes, and objective measurement of physical activity in systemic lupus erythematosus

Mahieu

Ahn

Chmiel

et al. 2016

Lupus

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Objective Fatigue is a common symptom in systemic lupus erythematosus (SLE), and engaging in physical activity (PA) may reduce fatigue. We aimed to characterize relationships between fatigue, other health status measures assessed with the Patient Reported Outcomes Measurement Information System (PROMIS) instruments, and accelerometer-based PA measurements in patients with SLE. The internal consistency of each PROMIS measure in our SLE sample was also evaluated. Methods This cross-sectional study analyzed 123 adults with SLE. The primary fatigue outcome was Fatigue Severity Scale (FSS) score. Secondary outcomes were Patient Reported Outcomes Measurement Information System (PROMIS) standardized T-scores in seven health status domains. Accelerometers were worn for seven days, and mean daily minutes of light, moderate/vigorous, and bouted (10 minutes) moderate/vigorous PA were estimated. Cronbach’s alpha was determined for each PROMIS measure to assess internal consistency. Relationships between FSS, PROMIS, and PA were summarized with Spearman partial correlation coefficients (r), adjusted for average daily accelerometer wear time. Results Mean FSS (4.3, SD 1.6) was consistent with clinically relevant levels of fatigue. Greater daily and bouted moderate/vigorous PA minutes correlated with lower FSS (r=−0.20, p=0.03 and r=−0.30, p=0.0007, respectively). For PROMIS, bouted moderate/vigorous PA minutes correlated with less fatigue (r=−0.20, p=0.03). PROMIS internal consistency was excellent, with Cronbach’s alpha >0.90 for each domain. Mean PROMIS T-scores for fatigue, pain interference, anxiety, sleep disturbance, sleep-related impairment, and physical function were worse than reported for the general U.S. population. More moderate/vigorous PA minutes were associated with less pain interference (r=−0.22, p=0.01). Both light PA and moderate/vigorous PA minutes correlated with better physical function (r=0.19, p=0.04 and r=0.25, p=0.006, respectively). Conclusion More time spent in moderate/vigorous PA was associated with less fatigue (FSS and PROMIS), less pain interference, and better physical function (PROMIS). PROMIS had excellent internal consistency in our SLE sample, and six of seven PROMIS measures indicated poorer average health status in SLE patients compared to the general U.S. population.

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Section: Discussionsupporting

confidence: 78%

Fatigue, patient reported outcomes, and objective measurement of physical activity in systemic lupus erythematosus

Mahieu

Ahn

Chmiel

et al. 2016

Lupus

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“…Adiposity, usually indicated by higher body mass index (BMI), has also been suggested as a potential risk factor for physical fatigue. While this association has been investigated in a number of studies [21–24, 27–34], findings are not fully consistent. Where evidence of association has been found, this is often non-linear with those groups who are underweight and obese reporting greater prevalence of fatigue than those of normal weight [27, 30, 32, 33].…”

Section: Introductionmentioning

confidence: 98%

Are BMI and inflammatory markers independently associated with physical fatigability in old age?

et al. 2018

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“…Although patients agreed to aim for reaching 5% more steps than performed in the previous days, they often reported a need to recover from the standard rehabilitation program before they could start on their PA aims. This response is understandable as it is known that lack of energy is a common barrier to undertaking physical activity [26, 27]. Thus, we conclude that the PA counselling had no impact on objectively measured PA.…”

Section: Discussionmentioning

confidence: 60%

Impact of a tailored activity counselling intervention during inpatient rehabilitation after knee and hip arthroplasty – an explorative RCT

Brandes

Wirsik

Niehoff

et al. 2018

BMC Musculoskelet Disord

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BackgroundThe aim of the study was to improve physical activity (PA), well-being and clinical outcome after total knee and hip arthroplasty through tailored activity counselling during inpatient rehabilitation.Methods65 patients (aged 70.4 ± 7.3 years, BMI 28.5 ± 4.3) starting inpatient rehabilitation after primary knee or hip arthroplasty due to osteoarthritis were recruited and pseudo-randomized into an intervention (IG) and a control group (CG). Twice a week, the IG was encouraged to increase their daily step count by 5%. PA, e. g. number of steps, step frequency, or active minutes, was measured by step activity monitoring. Well-being and clinical outcome were assessed using the SF-36, Oxford Knee/Hip Score and Global rating of Change. Procedures were conducted at the onset of inpatient rehabilitation, and repeated one and 6 months after inpatient rehabilitation.ResultsData sets were obtained from 49 patients (IG: n = 23, CG: n = 26). Both groups significantly increased their number of daily steps from the 1 month to the 6 months follow up after rehabilitation: CG: 9019 (95%CI: 7812, 10,226), IG: 9280 (7972, 10,588) and CG: 10921 (9571, 12,271), IG: 11326 (9862, 12,791) respectively. Additionally, well-being and clinical outcome improved significantly in both groups. No significant differences in physical activity, clinical outcome and well-being were found between the groups.ConclusionsPA counselling during inpatient rehabilitation does not improve PA, well-being and clinical outcome in patients with primary knee or hip arthroplasty in addition to the rehabilitation program. PA interventions may be more effective after the completion of the inpatient rehabilitation phase.Trial registrationDRKS DRKS00012682. Registered retrospectively on 03–07- 2017.

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Feelings of energy are associated with physical activity and sleep quality, but not adiposity, in middle-aged postmenopausal women

Abstract: Engaging in recommended amounts of moderate to vigorous physical activity per day is associated with higher monthly frequency of energy feelings, regardless of adiposity status, in middle-aged postmenopausal women.

Cited by 21 publications

References 41 publications

Fatigue, patient reported outcomes, and objective measurement of physical activity in systemic lupus erythematosus

Fatigue, patient reported outcomes, and objective measurement of physical activity in systemic lupus erythematosus

Are BMI and inflammatory markers independently associated with physical fatigability in old age?

Impact of a tailored activity counselling intervention during inpatient rehabilitation after knee and hip arthroplasty – an explorative RCT

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