Castrejón Isabel, Yazici Yusuf, Celik Selda, Pincus Theodore
Department of Medicine, Division of Rheumatology, Rush University Medical Center, 1611 West Harrison Street, Suite 510, Chicago, IL, 60612, USA.
Department of Medicine, Division of Rheumatology, New York University School of Medicine and NYU Hospital for Joint Diseases, New York, NY, USA.
Arthritis Res Ther. 2016 Sep 6;18(1):199. doi: 10.1186/s13075-016-1095-x.
Exercise is associated with major benefits in patients with rheumatic diseases for both cardiovascular and rheumatic status. However, information about exercise generally is not collected systematically in routine rheumatology care. A multidimensional health assessment questionnaire (MDHAQ), which was designed for busy clinical settings, includes a query about exercise status. We analyzed possible associations between change in MDHAQ exercise scores and other MDHAQ measures in patients with various rheumatic diseases over one year.
In one rheumatology clinical setting, all patients, regardless of diagnosis, complete an MDHAQ before seeing a rheumatologist. The MDHAQ includes scores for physical function, pain, and patient global estimate, compiled into an index, routine assessment of patient index data (RAPID3), as well as a self-report joint count and a query about exercise. Patients were classified into four groups according to their exercise status at baseline and one year later as: EXER-Yes (regular exercise), EXER-Yes; EXER-No (no regular exercise), EXER-Yes; EXER-Yes, EXER-No; and EXER-No, EXER-No. These groups were compared using the chi square and Kruskal-Wallis tests and analysis of variance (ANOVA).
Patients who reported regular exercise at baseline were younger, had higher formal education, and better clinical status than other patients. The EXER-No, EXER-Yes group had greater improvement in other MDHAQ variables than patients in the other three groups. By contrast, the EXER-Yes, EXER-No group was the only group with poorer status one year later.
The MDHAQ exercise query indicates that regular exercise is associated with better clinical status. Patients in the EXER-No, EXER-Yes group reported the best clinical improvement, although it is not known whether exercise preceded or followed the improved clinical status.
运动对风湿性疾病患者的心血管和风湿状态均有重大益处。然而，在常规风湿病护理中，通常不会系统收集有关运动的信息。一种为繁忙临床环境设计的多维健康评估问卷（MDHAQ）包含一个关于运动状态的问题。我们分析了各类风湿性疾病患者在一年时间里MDHAQ运动评分变化与其他MDHAQ指标之间可能存在的关联。
在一个风湿病临床机构中，所有患者无论诊断结果如何，在看风湿病医生之前都要完成一份MDHAQ。MDHAQ包括身体功能、疼痛和患者整体评估得分，这些得分汇总成一个指数，即患者指数数据常规评估（RAPID3），还有一份自我报告的关节计数以及一个关于运动的问题。根据患者在基线和一年后的运动状态，将患者分为四组：运动-是（定期运动），运动-是；运动-否（不定期运动），运动-是；运动-是，运动-否；以及运动-否，运动-否。使用卡方检验、Kruskal-Wallis检验和方差分析（ANOVA）对这些组进行比较。
在基线时报告定期运动的患者比其他患者更年轻，受教育程度更高，临床状态更好。与其他三组患者相比，运动-否，运动-是组在其他MDHAQ变量方面有更大改善。相比之下，运动-是，运动-否组是一年后唯一状态较差的组。
MDHAQ运动问题表明定期运动与更好的临床状态相关。运动-否，运动-是组的患者报告临床改善最佳，尽管尚不清楚运动是先于还是后于临床状态改善出现。
