Fontaine Kevin R, Haaz Steffany
Division of Rheumatology, Johns Hopkins University School of Medicine, Bayview Medical Center, 5501 Hopkins Bayview Circle, Baltimore, MD 21224, USA.
J Clin Rheumatol. 2006 Apr;12(2):66-9. doi: 10.1097/01.rhu.0000208611.19231.f0.
It is important to identify predictors of exercise/physical activity in adults with arthritis.
The objective of this study was to estimate the association between selected factors and recent exercise/physical activity in adults with self-reported, professionally diagnosed arthritis.
Using population-based survey data from the 2004 Behavioral Risk Factor Surveillance Survey (BRFSS), we classified respondents according to their arthritis status, race, age, general health, education, body mass index, limitations resulting from joint symptoms, whether or not they received weight management and/or exercise advice from health professionals, and whether or not they engaged in exercise/physical activity within the past month.
Over one third (34.7%) of U.S. adults who completed the BRFSS Arthritis Burden Module reported having professionally diagnosed arthritis and 68% of those respondents reported engaging in exercise/physical activity within the past month. Respondents who were more likely to have engaged in recent exercise/physical activity were men, those with higher levels of education, those who were advised by a health professional that exercise/physical activity might benefit their arthritis, and those who have taken an arthritis education course. Older age, black race, overweight or obesity, poorer self-reported general health, and limitations resulting from joint symptoms were associated with not engaging in recent exercise/physical activity.
Several demographic, behavioral, and disease characteristics associate with whether or not adults with arthritis engaged in exercise/physical activity during the past month. These should be considered by clinicians to appropriately encourage continued activity among physically active patients while assessing and addressing barriers to activity for less active populations. Findings such as these might also inform efforts to develop targeted physical activity interventions to promote increased activity in subgroups that tend to be most sedentary.
识别关节炎成人患者运动/身体活动的预测因素很重要。
本研究的目的是评估选定因素与自我报告、专业诊断为关节炎的成人近期运动/身体活动之间的关联。
利用2004年行为危险因素监测调查(BRFSS)的基于人群的调查数据,我们根据受访者的关节炎状况、种族、年龄、总体健康状况、教育程度、体重指数、关节症状导致的功能受限情况、是否从健康专业人员那里获得体重管理和/或运动建议,以及他们在过去一个月内是否进行了运动/身体活动对其进行分类。
完成BRFSS关节炎负担模块的美国成年人中,超过三分之一(34.7%)报告患有专业诊断的关节炎,其中68%的受访者报告在过去一个月内进行了运动/身体活动。近期更有可能进行运动/身体活动的受访者包括男性、教育程度较高者、被健康专业人员告知运动/身体活动可能有益于其关节炎的人,以及参加过关节炎教育课程的人。年龄较大、黑人种族、超重或肥胖、自我报告的总体健康状况较差以及关节症状导致的功能受限与未进行近期运动/身体活动有关。
一些人口统计学、行为和疾病特征与关节炎成人患者在过去一个月内是否进行运动/身体活动有关。临床医生在评估和解决不太活跃人群的活动障碍时,应考虑这些因素,以适当鼓励身体活跃的患者持续进行活动。此类研究结果也可能为制定有针对性的身体活动干预措施提供参考,以促进久坐不动人群中各亚组增加身体活动。