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来自巴西利亚早期类风湿性关节炎队列患者的身体活动情况。

Physical activity among patients from the Brasília cohort of early rheumatoid arthritis.

作者信息

Silva Carolina Rocha, Costa Thaís Ferreira, de Oliveira Tatiane Teixeira Vaz, Muniz Luciana Feitosa, da Mota Licia Maria Henrique

出版信息

Rev Bras Reumatol. 2013 Sep-Oct;53(5):394-9.

Abstract

INTRODUCTION

The 2012 Consensus of the Brazilian Society of Rheumatology (SBR) for the treatment of Rheumatoid Arthritis (RA) recommends that patients should regularly perform physical exercises. There have been no studies in Brazil on physical activity among patients with early RA.

OBJECTIVE

To investigate the physical activity practice among patients with early RA and the possible association between physical activity, disease activity and functional disability.

METHODS

Cross-sectional study of patients from the Brasilia cohort of early RA. Demographic data (sex, age and level of schooling), physical activity practice, Disease Activity Score 28 (DAS 28), functional disability (Health Assessment Questionnaire - HAQ), as well as data on smoking status, alcohol consumption, comorbidities and RA treatment were analyzed.

RESULTS

A total of 72 patients were evaluated, 90.27% females, mean age 50.2 ± 13.3 years, mean DAS 28: 3.66 and HAQ: 0.69. Of them, 43.05% were regularly active, with walking being the most often practiced exercise (80.64%). The mean duration of exercise was 48.22 ± 27.18 min, with a frequency of 3.7 ± 1.64 times per week. There was no association between physical activity and gender, age, educational level, disease activity, functional disability, alcoholism or smoking, presence of comorbidities and treatment with drugs that alter the course of disease.

CONCLUSION

Given the importance of regular physical activity practice, it is necessary to recommend it to patients, especially resistance physical activities, which are not frequent among the patients in our study.

摘要

引言

巴西风湿病学会(SBR)2012年类风湿关节炎(RA)治疗共识建议患者应定期进行体育锻炼。巴西尚未有关于早期RA患者体育活动的研究。

目的

调查早期RA患者的体育活动情况以及体育活动、疾病活动度和功能残疾之间的可能关联。

方法

对巴西利亚早期RA队列中的患者进行横断面研究。分析人口统计学数据(性别、年龄和受教育程度)、体育活动情况、疾病活动度评分28(DAS 28)、功能残疾(健康评估问卷-HAQ),以及吸烟状况、饮酒情况、合并症和RA治疗的数据。

结果

共评估了72例患者,女性占90.27%,平均年龄50.2±13.3岁,平均DAS 28为3.66,HAQ为0.69。其中,43.05%的患者有规律地进行体育活动,最常进行的运动是步行(80.64%)。运动的平均时长为48.22±27.18分钟,频率为每周3.7±1.64次。体育活动与性别、年龄、教育水平、疾病活动度、功能残疾、酗酒或吸烟、合并症的存在以及使用改变疾病进程的药物治疗之间无关联。

结论

鉴于定期进行体育活动的重要性,有必要向患者推荐体育活动,尤其是抗阻体育活动,而在我们的研究中患者进行此类活动并不频繁。

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