Knowledgebase and Lifestyle Choices in Patients with Psoriatic Arthritis

Timmis, A; Lenman, Morag; Castagno, Simone; Mmesi, Jonas; Tennekone, Dilrukshi; Abraham, Sonya

doi:10.3899/jrheum.150335

Cited by 1 publication

(1 citation statement)

References 7 publications

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“…From studies in RA, we know that 60–80% of the patients were not interested in discussing their lifestyle with healthcare professionals [ 47 ], and that relatively few patients with RA or PsA with known cardiovascular risk factors had made lifestyle modifications to manage the increased risk, while most reported usage of pharmacological treatment [ 48 ]. In contrast to that study, another study found that patients with PsA, who were aware that the disease was associated with additional health risks (43%), were more likely to be non-smokers and tried to follow a low-fat diet [ 49 ]. This further emphasises the importance of screening and managing unhealthy lifestyle factors in a combined way, and of personalising approaches when education and support regarding unhealthy lifestyle factors are offered to patients with SpA.…”

Section: Discussionmentioning

confidence: 98%

A combination of two or more unhealthy lifestyle factors is associated with impaired physical and mental health in patients with spondyloarthritis: a cross-sectional study

2022

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Background There is increasing knowledge of how individual lifestyle factors affect patients with spondyloarthritis, while studies exploring the combination of unhealthy lifestyle factors are lacking. Thus, our aim was to study the frequency of two or more unhealthy lifestyle factors and their associations with physical and mental health in patients with spondyloarthritis (SpA). Methods A population-based postal survey involving questions on lifestyle factors was completed by 1793 patients with ankylosing spondylitis (AS), psoriatic arthritis (PsA), and undifferentiated spondyloarthritis (USpA). Self-reported physical activity, body mass index, and tobacco use were respectively dichotomized as “healthy” or “unhealthy”, summarized for each patient and stratified into four groups (0–3; 0 = no unhealthy lifestyle factors). Group comparisons were performed with Chi-squared tests, and associations with physical and mental health outcomes were performed with analysis of covariance and logistic regression analysis. Results Out of 1426 patients (52% women) with complete information for all studied lifestyle factors, 43% reported ≥ two unhealthy lifestyle factors—more frequently patients with PsA (48%) than AS (39%) or USpA (38%)—and with no difference between women and men (p = 0.399). Two or more unhealthy lifestyle factors were associated with worse health-related quality of life, disease activity, physical function, pain, fatigue, anxiety, and depression, adjusted for age and SpA-subgroup. If an unhealthy level of physical activity was one of the two unhealthy lifestyle factors, patients reported worse health outcomes. Conclusion Reporting two or more unhealthy lifestyle factors were associated with worse physical and mental health in patients with SpA. This highlights the need to screen for a combination of unhealthy lifestyle factors and offer individualized coordinated interventions, and tailored coaching to support behavioral change, in order to promote sustainable health.

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Section: Discussionmentioning

confidence: 98%