Physical activity, physical fitness, and general health perception among individuals with rheumatoid arthritis

Eurenius, Eva; Stenström, Christina H.

doi:10.1002/art.20924

Cited by 140 publications

(140 citation statements)

References 33 publications

(37 reference statements)

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“…Established HEPA at baseline predicted being in the stable high trajectory versus the 2 other groups, and self-efficacy for exercise predicted being in the stable high versus the stable low group. These findings were expected and are in line with the few existing studies on correlates of physical activity in RA, indicating positive associations between current and previous physical activity (39), as well as arthritisspecific self-efficacy for daily activities (40).…”

Section: Discussionsupporting

confidence: 89%

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

Demmelmaier

Dufour

Nordgren

et al. 2016

Arthritis Care & Research

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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.

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Section: Discussionsupporting

confidence: 89%

“…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%

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

Demmelmaier

Dufour

Nordgren

et al. 2016

Arthritis Care & Research

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“…This relatively low rate is comparable with the proportion of approximately 1% that can be extrapolated from the implementation studies of the Arthritis Foundation Aquatic Program (AFAP) and the Patients with Arthritis Can Exercise (PACE) program, developed by the Arthritis Foundation in the US (5). There are a number of possible explanations for the low number of participants that were already identified in previous studies (22,23). An attendance frequency of 2 times per week is time consuming.…”

Section: Discussionsupporting

confidence: 55%

Exploring the public health impact of an intensive exercise program for patients with rheumatoid arthritis: A dissemination and implementation study

Giesen

Lankveld

Hopman-Rock

et al. 2010

Arthritis Care & Research

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Objective. To evaluate the implementation of an intensive group exercise program in patients with rheumatoid arthritis (RA).Methods. In 4 regions in The Netherlands, the Rheumatoid Arthritis Patients In Training exercise program was implemented on a limited scale. Evaluation using the RE-AIM model included: Reach, the proportion of the target population participating; Efficacy, effects on muscle strength, aerobic capacity, functional ability, and psychological functioning; Adoption, program adoption by stakeholders; Implementation, intervention quality (quality audits); and Maintenance, stakeholders' willingness to continue the program in the future. Results. Twenty-five physical therapists from 14 practices were trained to provide the program. In total, 150 RA patients were recruited (by estimation, 2% of the target population). Of the 81 patients who had finished the 12-month intervention and were available for followup directly after the intervention, 62 patients provided clinical data. Muscle strength improved significantly, whereas aerobic capacity, functional ability, psychological functioning, and disease activity did not change. All 9 informed local patient organizations facilitated patient recruitment, and 35 of 51 rheumatologists involved referred one or more patients. All 10 approached health insurance companies funded the program for 12 months. The quality audits showed sufficient quality in 9 of 12 practices. All of the providers of the program were willing to provide the program in the future, whereas future reimbursement by health insurance companies remained unclear. Conclusion. The implementation of an intensive exercise program for RA patients on a limited scale can be considered successful regarding its reach, adoption, and implementation. The limited effectiveness and the limited data regarding maintenance warrant additional research.

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“…RF was present in 61% of the women and 58% of the men at the time of inclusion. Of the 59 patients who dropped out and did not complete the EDAQ, 37 were women (median age 50 years, IQR 27 at inclusion) and 22 were men (median age 59 years, IQR 23 at inclusion). Age, erythrocyte sedimentation rate (ESR), plasma C-reactive protein (CRP), DAS28 (28), grip force (21), and HAQ score (29) did not differ between the study group and the dropouts, whereas the dropouts reported significantly more general pain on a 0 -100-mm visual analog scale (VAS) (P ϭ 0.023) and more tender joints (P ϭ 0.04).…”

Section: Introductionmentioning

confidence: 99%

Activity limitation in rheumatoid arthritis correlates with reduced grip force regardless of sex: The Swedish TIRA project

Thyberg¹,

Hass²,

Nordenskiöld³

et al. 2005

Arthritis & Rheumatism

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Objective. To evaluate activity limitations 3 years after diagnosis of early rheumatoid arthritis (RA) in relation to grip force and sex. Methods. A total of 217 patients, 153 women and 64 men, with recent-onset RA were included. Activity limitations were reported using the Health Assessment Questionnaire (HAQ) and the Evaluation of Daily Activities Questionnaire (EDAQ). The relationships between activity limitations versus grip force (measured by the Grippit), walking speed, functional impairment, grip ability, pain, plasma C-reactive protein, the 28-joint disease activity score and its components, the physician's global assessment of disease activity, and sex were analyzed by partial least squares (PLS). Results. Women had significantly lower grip force and more activity limitations (HAQ and EDAQ) than men. The PLS analyses demonstrated that grip force was the strongest regressor of activity limitation, closely followed by walking speed. However, within subgroups based on grip force (group 1 ‫؍‬ grip force <114 N, group 2 ‫؍‬ 116 -206 N, group 3 ‫؍‬ 214 -321 N, group 4 ‫؍‬ grip force >328 N) and including sexes, women and men had corresponding degrees of activity limitation as reported by the HAQ and EDAQ. Conclusion. Our results indicate that the more pronounced activity limitations seen in women with RA, as compared with men, may be explained by lower grip force rather than sex.

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Physical activity, physical fitness, and general health perception among individuals with rheumatoid arthritis

Cited by 140 publications

References 33 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

Exploring the public health impact of an intensive exercise program for patients with rheumatoid arthritis: A dissemination and implementation study

Activity limitation in rheumatoid arthritis correlates with reduced grip force regardless of sex: The Swedish TIRA project

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