Time-of-day effects on the postural control and symptoms in women with rheumatoid arthritis

Bouchaala, Fatma; Laatar, Rabeb; Lahiani, Mariam; Vuillerme, Nicolas; Zouabi, Amira; Borji, Rihab; Rebai, Haithem; Sahli, Sonia

doi:10.1080/07420528.2021.1927069

Cited by 4 publications

(3 citation statements)

References 46 publications

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“…The pain component that influences the severity of fatigue symptoms was confirmed in their studies using linear regression by Madsen et al [ 29 ], Oncü et al [ 37 ], and Bouchaala et al [ 38 ]. Gao et al [ 39 ] showed that 59.5% of disease activity, self-efficacy, physical fitness, pain, depression, and the duration of morning stiffness and anxiety increased the sense of fatigue in RA patients.…”

Section: Discussionmentioning

confidence: 81%

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

Kozłowska

Formanowicz

Bączyk

2022

IJERPH

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Rheumatoid arthritis (RA) is a chronic systemic disease of connective tissue with periods of exacerbation and remission. Fatigue is excessive strain throughout the body that is disproportionate or unrelated to an activity or lifestyle. Fatigue is an integral part of RA in most patients. The study aimed to assess the level of fatigue in RA patients and establish the relationship between fatigue and demographic and clinical factors. The study group consisted of 128 RA patients according to European League Against Rheumatism (EULAR) criteria. The Functional Assessment of Chronic Illness Therapy-Fatigue and -Medical Outcomes Study Short Form 36 (SF-36) vitality scores were used to assess the severity of fatigue symptoms. The analyzed variables were gender, age, disease duration, education, marital status, place of residence, work and residence status, pharmacological treatment, pain, morning stiffness, hemoglobin, C-reactive protein (CRP), rheumatoid factor (RF), compression soreness, Richie Articular Index, and DAS28 disease activity. The examined patients experience chronic fatigue—the mean value on the FACIT-F scale was 24.1 ± 9.1 points and on the SF-36 Vitality score was 14.2 ± 1.8 points. There is a relationship between the level of fatigue and pain, long-lasting morning stiffness, active disease, increased soreness of joints, and low hemoglobin values. When analyzing the symptom of fatigue, each patient should be approached individually, using the existing questionnaires or asking key questions to recognize the situation. The presence of fatigue symptoms should be considered during therapy and patient care by searching for and eliminating additional, intensifying stimuli and increasing its level.

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Section: Discussionmentioning

confidence: 81%

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

Kozłowska

Formanowicz

Bączyk

2022

IJERPH

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“…Our findings did not fully support those of a strong association between fatigue and social restrictions, which is surprising, as the previous research (Feldthusen et al, 2013; Primdahl et al, 2019) emphasized the social impact of fatigue and defined fatigue as a cause of the inability to satisfy common social roles within the family, social interactions, work, and leisure activities, resulting in strained social relations. This result could be explained by the unpredictable nature of fatigue in RA patients (Primdahl et al, 2019) and differences in reported fatigue levels during the daytime, which vary in magnitude and significance throughout the day (Bouchaala et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Social participation of rheumatoid arthritis patients: Does illness perception play a role?

Husivargova,

Timkova,

Macejova

et al. 2024

Health Psychology

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Objective: Social participation is an important aspect associated with health-related outcomes in chronic diseases. However, little is known about the factors that may affect participation in patients with rheumatoid arthritis (RA). We aimed to examine whether pain, fatigue, anxiety, depression, and illness perception are associated with social participation in patients with RA when controlled for clinical and sociodemographic variables. We also analysed the mediating role of illness perception in the association between physical and psychological variables on social participation. Method: We included 157 RA patients (84.7% females; mean age 56.4 + 13.9 years) who completed the Participation Scale, Brief Illness Perception Questionaire, Generalized Anxiety Disorder Scale, Patient Health Questionnaire, 36-item Short Form Health Survey, and the Visual Analogue Scale. Multiple linear regressions and mediation analyses were used to analyze the data. Results: In the final regression models, illness perception (β = .42; p ≤ .001) and functional disability (β = .21; p ≤ .05) were associated with social participation. Income (β = −.18; p ≤ .05) lost its significance when physical variables were added to the model, and pain (β = .24; p ≤ .05) and fatigue (β = −.24; p ≤ .05) when psychological distress was added. No significant role of anxiety, depression, disease activity, or age was identified using regression analyses. Illness perception mediated the association of pain, fatigue, anxiety, and depression with social participation, and the indirect effect varied from 65% to 98%. Conclusions: Illness perceptions may significantly diminish the impacts of pain, fatigue, anxiety, and depression on social participation in individual RA patients. Therefore, RA patients could benefit from psychological interventions aimed at tackling negative illness perceptions. Public Significance StatementSocial participation is an important aspect associated with health-related outcomes in chronic diseases. Our study found that how patients perceive their illness may significantly diminish the impacts of pain, fatigue, anxiety, and depression on social participation in rheumatoid arthritis (RA). Nonpharmacological interventions may consider illness perception as one of the key factors for enhancing social participation, as well as overall well-being and quality of life in RA patients.

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“…For the micro characteristic feature groups, the current analysis found the feature groups with the overall highest ranks (although this was based on statistically non-significant measures (p ≥ 0.05)) were postural control (which only included one measure: the asymmetry of the step length) and rhythm. One study found that temporal variation of postural balance was predicted collectively by pain and fatigue (30.7%) (p < 0.001) in 15 RA participants [ 75 ]. For rhythm, one study found an association of higher scores of physical fatigue with step time (rhythm) in healthy older adults [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of walking activity and gait to identify physical and mental fatigue in neurodegenerative and immune disorders: preliminary insights from the IDEA-FAST feasibility study

Hinchliffe,

Rehman,

Pinaud

et al. 2024

J NeuroEngineering Rehabil

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Background Many individuals with neurodegenerative (NDD) and immune-mediated inflammatory disorders (IMID) experience debilitating fatigue. Currently, assessments of fatigue rely on patient reported outcomes (PROs), which are subjective and prone to recall biases. Wearable devices, however, provide objective and reliable estimates of gait, an essential component of health, and may present objective evidence of fatigue. This study explored the relationships between gait characteristics derived from an inertial measurement unit (IMU) and patient-reported fatigue in the IDEA-FAST feasibility study. Methods Participants with IMIDs and NDDs (Parkinson's disease (PD), Huntington's disease (HD), rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), primary Sjogren’s syndrome (PSS), and inflammatory bowel disease (IBD)) wore a lower-back IMU continuously for up to 10 days at home. Concurrently, participants completed PROs (physical fatigue (PF) and mental fatigue (MF)) up to four times a day. Macro (volume, variability, pattern, and acceleration vector magnitude) and micro (pace, rhythm, variability, asymmetry, and postural control) gait characteristics were extracted from the accelerometer data. The associations of these measures with the PROs were evaluated using a generalised linear mixed-effects model (GLMM) and binary classification with machine learning. Results Data were recorded from 72 participants: PD = 13, HD = 9, RA = 12, SLE = 9, PSS = 14, IBD = 15. For the GLMM, the variability of the non-walking bouts length (in seconds) with PF returned the highest conditional R2, 0.165, and with MF the highest marginal R2, 0.0018. For the machine learning classifiers, the highest accuracy of the current analysis was returned by the micro gait characteristics with an intrasubject cross validation method and MF as 56.90% (precision = 43.9%, recall = 51.4%). Overall, the acceleration vector magnitude, bout length variation, postural control, and gait rhythm were the most interesting characteristics for future analysis. Conclusions Counterintuitively, the outcomes indicate that there is a weak relationship between typical gait measures and abnormal fatigue. However, factors such as the COVID-19 pandemic may have impacted gait behaviours. Therefore, further investigations with a larger cohort are required to fully understand the relationship between gait and abnormal fatigue.

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Time-of-day effects on the postural control and symptoms in women with rheumatoid arthritis

Cited by 4 publications

References 46 publications

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

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

Social participation of rheumatoid arthritis patients: Does illness perception play a role?

Evaluation of walking activity and gait to identify physical and mental fatigue in neurodegenerative and immune disorders: preliminary insights from the IDEA-FAST feasibility study

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