Role of physical activity in the management and assessment of rheumatoid arthritis patients

Hernández-Hernández, María; Dı́az-González, Federico

doi:10.1016/j.reumae.2016.04.014

Cited by 5 publications

(5 citation statements)

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“…PA has, however, been shown to be associated with reduced levels of inflammatory proteins such as tumour necrosis factor (TNF)-α in patients with several chronic diseases, and this mechanism has also been suggested as underlying the positive effects in RA. 13,16 PA can also counteract RA cachexia by reducing overweight, gaining muscle mass 17 and by reducing levels of TNF-α since this cytokine induces cachexia and thereby muscle loss. 12 Fatigue and pain, together with other physical and mental symptoms of the disease, might also underlie physical inactivity.…”

Section: Introductionmentioning

confidence: 99%

Factors influencing physical activity in patients with early rheumatoid arthritis: A mixed-methods study

2019

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Objective: The goal of this study was to provide a greater understanding of physical activity in patients with early rheumatoid arthritis. The aim was twofold: first to explore if physical activity was associated with factors in the clinical picture of rheumatoid arthritis in this patient group, and second, to explore factors influencing physical activity in patients with early rheumatoid arthritis. Methods: A total of 66 patients with early rheumatoid arthritis were included in the study. A sequential explanatory mixed-methods design was used, where quantitative data from a questionnaire were analysed with Mann–Whitney, post hoc Kruskal–Wallis and χ2 test in order to detect differences between groups, and find possible associations between physical activity and independent variables, such as disease activity, health-related quality of life and physical function. Qualitative data were collected in a follow-up questionnaire with open-ended questions that focused on factors influencing physical activity. Results: Associations between physical activity, disease activity and health-related quality of life were seen in patients with early rheumatoid arthritis together with strong negative correlations between physical activity and physical function. Patients on sick leave showed the strongest associations between disease-related variables and lower levels of physical activity. The findings from the qualitative analysis showed that physical limitations, awareness as a motivational factor and external environment factors influenced physical activity in patients with early rheumatoid arthritis. Conclusion: The results showed a complex underlying motive where physical, psychological and environmental factors influenced the physical activity in patients with early rheumatoid arthritis. In order to provide more effective health interventions, it is important to consider the complex nature of practicing physical activity, where a person-centred approach should be considered. Factors such as physical limitations, economic aspects and time for practicing physical activity should be included in the person-centred approach.

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Section: Introductionmentioning

confidence: 99%

Factors influencing physical activity in patients with early rheumatoid arthritis: A mixed-methods study

2019

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“…Gegebenenfalls hat die Diagnosestellung einen entscheidenden Einfluss auf die sportliche Motivation der Patienten. Patienten mit rheumatoider Arthritis neigen dazu, infolge von Schmerzen und Fatigue weniger aktiv zu sein [ 10 ]. Insbesondere kann der Schmerz dazu führen, dass die Patienten Bewegung meiden und eine sog.…”

Section: Diskussionunclassified

“…Es wird dennoch berichtet, dass große Populationsanteile in den Industrieländern ein inaktives Leben führen [ 18 ]. RA-Patienten leiden unter Schmerzen und oft eingeschränkter Funktion der betroffenen Gelenke, sie neigen dazu, weniger körperlich aktiv zu sein, als es empfohlen wird, und laufen mit der Zeit Gefahr einer kompletten körperlichen Inaktivität [ 10 , 28 ]. Die Fatigue stellt ein klinisch relevantes, bei Patienten mit rheumatoider Arthritis sehr häufig vorkommendes (in ca.…”

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Zusammenhang von körperlicher Aktivität mit Fatigue und Funktionskapazität bei Patienten mit rheumatoider Arthritis

et al. 2020

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Zusammenfassung Hintergrund Patienten mit rheumatoider Arthritis (RA) neigen dazu, körperlich weniger aktiv zu sein. Die körperliche Aktivität wirkt sich positiv auf die Krankheitsaktivität (KA) und Lebensqualität aus und wird von der European League Against Rheumatism (EULAR) als ein Teil der Standardtherapie empfohlen. Fragestellung Eine Querschnittanalyse der RA-Patienten wurde in Bezug auf die KA, die Funktionskapazität (FK) und Fatigue im Zusammenhang mit der körperlichen Aktivität durchgeführt. Material und Methoden Die körperliche Aktivität, die FK und der globale Fatigue-Index (Global Fatigue Index [GFI]) wurden mittels standardisierter Fragebögen ermittelt: International Physical Activity Questionnaire-short form (IPAQ-SF), Funktionsfragebogen Hannover (FFbH) und Multidimensional Assessment of Fatigue (MAF). Die Daten wurden mittels SPSS Version 26 (IBM, Armonk, NY, USA) ausgewertet. Die Signifikanzprüfung erfolgte mittels bivariater und partieller Korrelation und nichtparametrischer Tests. Ergebnisse Insgesamt wurden 164 Patienten in die Untersuchung eingeschlossen. Die Mehrheit der Patienten war weiblich (127/164; 77 %), das Durchschnittsalter der Kohorte betrug 58,3 (21 bis 86) Jahre. Die durchschnittliche Dauer der krankheitsrelevanten Symptome war 169 (0 bis 713) Monate; 39 % der Patienten zeigten eine niedrige, 37 % eine moderate und 24 % eine hohe körperliche Aktivität. Patienten mit hoher körperlicher Aktivität wiesen die niedrigsten Werte des GFI (p < 0,001), eine unbeeinträchtigte FK (p < 0,001) und die niedrigste KA (p = 0,045) auf. Schlussfolgerungen Ein signifikanter Zusammenhang der körperlichen Aktivität mit der Funktionskapazität und der Ausprägung der Fatigue bei RA-Patienten wurde nachgewiesen. Um den Anteil der Patienten mit niedriger körperlicher Aktivität zu senken, sollten die Möglichkeiten des Funktionstrainings ausgeschöpft und die Patienten zu sportlichen Aktivitäten motiviert werden.

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“… 4 It can be done with the use of one’s body weight, elastic resistance bands, household items, machines, or free weights. 5 In addition to increasing muscular strength, strength training has been shown to reduce pain, 6 lower inflammatory markers, 7 improve body composition (i.e., decreased fat mass, increased muscle mass), 8 , 9 increase functional ability (e.g, walking performance), 6 , 7 and lower cardiovascular and other comorbidity risk among individuals with RA. 10 , 11 In addition to these benefits, even high intensity strength training has been found to be well tolerated by people with RA with no evidence of worsening disease activity nor radiological joint damage.…”

Section: Introductionmentioning

confidence: 99%

Tailoring Strength Training Prescriptions for People with Rheumatoid Arthritis: A Scoping Review

Jasmin

Tsui

et al. 2022

American Journal of Lifestyle Medicine

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Introduction: Prescribing strength training (ST) for people with rheumatoid arthritis (RA) is complicated by factors (barriers and facilitators) that affect participation. It is unclear whether guidelines include recommendations beyond prescription parameters (frequency, intensity, time, type, volume, and progression) and adequately incorporate participation factors tailored to people with RA. Objective: To summarize available recommendations to aid in the tailoring of ST prescriptions for people with RA. Methods: Medline, Embase, and CINAHL databases and gray literature were searched for guidelines, recommendations, and review articles containing ST prescription recommendations for RA. Article screening and data extraction were performed in duplicate by two reviewers. Results: Twenty-seven articles met the inclusion criteria. The recommendations address RA-specific ST participation factors including: knowledge gaps (of equipment, ST benefits, disease), memory problems, the management of joint deformity, comorbidity, the fluctuating nature of the disease and symptoms (pain, stiffness, flares), fear avoidance, motivation, need for referral to other professionals, and provision of RA-specific resources. Conclusion: This review summarizes recommendations for tailoring ST prescriptions for people with RA. Future research is required to understand how pain, symptom assessment, and unaddressed ST participation factors like sleep and medication side effects can be addressed to support ST participation amongst people with RA.

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Role of physical activity in the management and assessment of rheumatoid arthritis patients

Cited by 5 publications

References 59 publications

Factors influencing physical activity in patients with early rheumatoid arthritis: A mixed-methods study

Factors influencing physical activity in patients with early rheumatoid arthritis: A mixed-methods study

Zusammenhang von körperlicher Aktivität mit Fatigue und Funktionskapazität bei Patienten mit rheumatoider Arthritis

Tailoring Strength Training Prescriptions for People with Rheumatoid Arthritis: A Scoping Review

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