The Link between the Demographic and Clinical Factors and Fatigue Symptoms among Rheumatoid Arthritis Patients

Kozłowska, Katarzyna; Formanowicz, Dorota; Bączyk, Grażyna

doi:10.3390/ijerph192214681

Cited by 7 publications

(9 citation statements)

References 39 publications

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“…RA patients with high disease activity might have additional joint pain and elevated inflammation, which caused severe fatigue. 6,31,38 (3) Our study used BRAF-MDQ and BFI-C scales to assess fatigue, which was different from scales used in other previous studies. 6,9,32 Moreover, differences in the included population between our study and other previous studies might cause different results.…”

Section: Discussionmentioning

confidence: 99%

“…32 Furthermore, one study finds that pain, morning stiffness, hemoglobin, joint tenderness, and disease activity are associated with fatigue in RA patients. 6 Another study exhibits that age, education, hypertension, disease activity, and other factors are correlated with fatigue in RA patients. 9 Our study found that education level and disease activity were independent risk factors of fatigue reflected by the BRAF-MDQ and BFI-C scales.…”

Section: Discussionmentioning

confidence: 99%

“…4 Unlike normal fatigue, fatigue in RA cannot be improved with rest for patients, which has negatively affected their quality of life and caused obstacles to their mental, physical, employment, social, and other fields. [5][6][7][8] Therefore, exploring the fatigue condition and related risk factors may contribute to the management of fatigue and improve the prognosis of RA patients.…”

Section: Introductionmentioning

confidence: 99%

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Fatigue in rheumatoid arthritis patients: The status, independent risk factors, and consistency of multiple scales

Zhou,

Wang,

Gao

et al. 2024

Immunity Inflam & Disease

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IntroductionFatigue is a common symptom that negatively affects the outcomes and functions of rheumatoid arthritis (RA) patients. This study aimed to assess the fatigue by two scales and validate their consistency, also to comprehensively evaluate fatigue‐related risk factors in RA patients.MethodsIn this case–control study, the fatigue of 160 RA patients and 60 healthy controls was evaluated by the Bristol Rheumatoid Arthritis Fatigue Multi‐Dimensional Questionnaire (BRAF‐MDQ) and the Chinese version of the Brief Fatigue Inventory (BFI‐C). The 28‐joint disease activity score using erythrocyte sedimentation rate of RA patients was assessed.ResultsThe BRAF‐MDQ and BFI‐C scores were elevated in RA patients versus healthy controls (all p < .001). Interestingly, BRAF‐MDQ global fatigue score positively correlated with BFI‐C global fatigue score in both RA patients (r = .669, p < .001) and healthy controls (r = .527, p < .001); meanwhile, Kendall's tau‐b test showed a high consistency between BRAF‐MDQ and BFI‐C global fatigue scores in RA patients (W = 0.759, p < .001) and healthy controls (W = 0.933, p < .001). Notably, higher education level (В = −4.547; 95% confidence interval: −7.065, −2.029; p < .001) and swollen joint count (В = 1.965; 95% confidence interval: 1.375, 2.554; p < .001) independently related to BRAF‐MDQ global fatigue score; higher education level (В = −0.613; 95% confidence interval: −0.956, −0.269; p = .001) and clinical disease activity index (В = 0.053; 95% confidence interval: 0.005, 0.102; p = .032) independently linked with BFI‐C global fatigue score.ConclusionFatigue commonly occurs in RA patients, which independently relates to education level and disease activity. Furthermore, BRAF‐MDQ and BFI‐C scales exhibit a high consistency in assessing fatigue.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Fatigue in rheumatoid arthritis patients: The status, independent risk factors, and consistency of multiple scales

Zhou,

Wang,

Gao

et al. 2024

Immunity Inflam & Disease

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“…The study group consisted of 128 patients hospitalized in Poznan's rheumatology departments (the Rheumatology Ward of the M. Dega Orthopedic and Rehabilitation Clinical Hospital of Poznan University of Medical Sciences and the Józef Struś Poznan Multidisciplinary City Hospital) from December 2016 to January 2018, see [12]. The main criterion for inclusion in the study was a diagnosis of RA according to the American College of Rheumatology (ACR) criteria and the European League Against Rheumatism (EULAR) from 2010 [13].…”

Section: Study Design and Studied Subjectsmentioning

confidence: 99%

Quality of Life Assessment and Its Relationship with Fatigue Symptom, Demographic and Clinical Factors in Rheumatoid Arthritis Polish Patients

Kozlowska,

Baczyk,

Formanowicz

2023

annnursrespract

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The variety of clinical symptoms occurring during rheumatoid arthritis may reduce patients’ quality of life. Hence, the study aimed to assess RA patients’ quality of life and determine its relationship with fatigue, demographic and clinical factors. The study group consisted of 128 RA patients diagnosed according to ACR/EULAR criteria and treated in rheumatology departments. The Arthritis Impact Measurement Scales-2 (AIMS-2) scale was used to assess the quality of life. The Functional Assessment of Chronic Illness Therapy - Fatigue Scale was used to assess the symptom of fatigue. The analyzed variables were sex, age, pharmacological treatment, arthritis pain, morning stiffness, hemoglobin, CRP, rheumatoid factor, Ritchie Articular Index, and DAS28 disease activity. In the AIMS-2 scale, the patients had the lowest quality of life in the following subscales: arthritis pain (average 6.25±2.52 points), walking and bending (average 5.63±2.71 points), and emotional tension (average 4.99±1.92 points); while patients presented the highest quality of life for the following subscales: support from family and friends (average 1.39±2.21 points) and self-care (average 2.11±2.45 points). There was a correlation between the level of quality of life and age (r=0.24), morning stiffness (r=0.45), CRP concentration (r=0.29), joint tenderness (r=0.34), and disease activity (r=0.39). Increasing the values of parameters such as arthritis pain, disease activity, morning stiffness, and CRP level may cause a decrease in the level of quality of life. Assessment of the quality of life should be a permanent element of assessing patients with RA.

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“…A score ≥ 11 in each of the subscales indicates a positive case. Pain was evaluated using the visual analog scale, ranging from 0 (no pain) to 10 (maximum pain), quality of life using the 36-item Short Form Survey (SF-36) [49], physical functioning using the Health Assessment Questionnaire (HAQ) [50], and fatigue using the Functional Assessment of Chronic Illness Therapy-Fatigue scale (FACIT) [51]. The score on the FACIT questionnaire ranges from 0 to 52 points, with higher values indicating lower degrees of fatigue.…”

Section: Study Protocolmentioning

confidence: 99%

Interstitial Lung Disease Is Associated with Sleep Disorders in Rheumatoid Arthritis Patients

Mena-Vázquez,

Redondo-Rodriguez,

Cabezudo-García

et al. 2023

Clocks & Sleep

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Objective: To evaluate sleep disorders and associated factors in patients with rheumatoid-arthritis-associated interstitial lung disease (RA-ILD). Methods: We performed an observational study of 35 patients with RA-ILD (cases) and 35 age- and sex-matched RA patients without ILD (controls). We evaluated sleep disorders (Oviedo Sleep Questionnaire), positive psychological factors (resilience using the Wagnild and Young Resilience Scale, emotional intelligence using the 24-item Trait Meta-Mood Scale), anxiety and depression (Hospital Anxiety and Depression Scale), quality of life (36-item short-form survey), and fatigue (Functional Assessment of Chronic Illness Therapy Questionnaire). Other variables studied included the Charlson Comorbidity Index (CCI) and RA activity according to the DAS28-ESR. Results: Compared to the controls, the cases were characterized by poorer sleep quality with a higher prevalence of insomnia (42% vs. 20%; p = 0.039), greater severity of insomnia (p = 0.001), and lower sleep satisfaction (p = 0.033). They also had poorer resilience and emotional recovery and more severe anxiety and depression. A diagnosis of ILD was the only factor independently associated with the three dimensions of sleep quality. The predictors of poorer sleep satisfaction in patients with RA-ILD were age (β = −0.379), DAS28-ESR (β = −0.331), and usual interstitial pneumonia pattern (β = −0.438). The predictors of insomnia were DAS28-ESR (β = 0.294), resilience (β = −0.352), and CCI (β = 0.377). Conclusions: RA-ILD is associated with significant sleep disorders. RA-ILD seems to be an independent risk factor for sleep alterations, with a greater impact on insomnia. Age, disease activity, and comorbidity also play a role in sleep disorders in patients with RA-ILD.

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The Link between the Demographic and Clinical Factors and Fatigue Symptoms among Rheumatoid Arthritis Patients

Cited by 7 publications

References 39 publications

Fatigue in rheumatoid arthritis patients: The status, independent risk factors, and consistency of multiple scales

Fatigue in rheumatoid arthritis patients: The status, independent risk factors, and consistency of multiple scales

Quality of Life Assessment and Its Relationship with Fatigue Symptom, Demographic and Clinical Factors in Rheumatoid Arthritis Polish Patients

Interstitial Lung Disease Is Associated with Sleep Disorders in Rheumatoid Arthritis Patients

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