Azar Marleine, Rice Danielle B, Kwakkenbos Linda, Carrier Marie-Eve, Shrier Ian, Bartlett Susan J, Hudson Marie, Mouthon Luc, Poiraudeau Serge, van den Ende Cornelia H M, Johnson Sindhu R, Rodriguez Reyna Tatiana Sofia, Schouffoer Anne A, Welling Joep, Thombs Brett D
Lady Davis Institute for Medical Research, Jewish General Hospital , Montréal, Québec, Canada.
Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montréal, Québec, Canada.
Disabil Rehabil. 2018 Aug;40(17):1997-2003. doi: 10.1080/09638288.2017.1323023. Epub 2017 May 8.
Exercise is associated with improved health in many medical conditions. Little is known about the exercise habits of people with systemic sclerosis (SSc, or scleroderma). This study assessed the proportion of individuals with SSc who exercise and associations of demographic and disease variables with exercise. Additionally, the weekly amount of time spent exercising and the types of exercise performed were assessed among patients exercising.
The sample consisted of adult participants with SSc enrolled in the Scleroderma Patient-centered Intervention Network (SPIN) Cohort who completed baseline questionnaires from March 2014 through August 2015. Baseline questionnaires included questions on exercise habits, physician-reported medical characteristics, self-report demographic characteristics, the Health Assessment Questionnaire-Disability Index, Patient Health Questionnaire-9, and Patient-Reported Outcomes Measurement Information System-29.
Of 752 patients, 389 (51.7%) reported presently engaging in exercise, and these patients exercised on average 4.7 h [standard deviation (SD) = 2.8] per week. Among patients who reported exercising, walking was most commonly reported (n = 295, 75.8%). In bivariate analyses, present exercise was associated with more education, lower body mass index, some (versus no) alcohol consumption, non-smoking, limited/sine disease subtype, absence of skin thickening, lower disability, higher physical function, lower symptoms of anxiety and depression, less fatigue, lower sleep disturbance, higher ability to participate in social roles and activities, and less pain.
Approximately half of SSc patients reported that they are currently exercising with walking being the most common form of exercise. Understanding exercise patterns and factors associated with exercise will help better inform intervention programs to support exercise for patients with SSc. Implications for rehabilitation Systemic sclerosis is a rare autoimmune rheumatic disease associated with great morbidity and highly diverse presentation. Approximately half of people with both limited and diffuse systemic sclerosis report exercising. Most exercisers walk, but patients engage in a wide variety of exercise-related activities. Individually designed exercise programs are most likely to support and encourage exercise in patients with diverse disease manifestations.
运动与多种疾病状况下健康状况的改善相关。对于系统性硬化症（SSc，或硬皮病）患者的运动习惯知之甚少。本研究评估了进行运动的SSc患者的比例，以及人口统计学和疾病变量与运动的关联。此外，还对进行运动的患者每周的运动时长和运动类型进行了评估。
样本包括参与硬皮病患者中心干预网络（SPIN）队列研究的成年SSc患者，他们在2014年3月至2015年8月期间完成了基线问卷。基线问卷包括有关运动习惯、医生报告的医学特征、自我报告的人口统计学特征、健康评估问卷 - 残疾指数、患者健康问卷 - 9以及患者报告结局测量信息系统 - 29的问题。
在752名患者中，389名（51.7%）报告目前正在进行运动，这些患者平均每周运动4.7小时[标准差（SD）=2.8]。在报告进行运动的患者中，最常报告的运动方式是步行（n = 295，75.8%）。在双变量分析中，当前运动与受教育程度更高、体重指数更低、有一定（而非无）饮酒量、不吸烟、局限性/无皮肤增厚疾病亚型、无皮肤增厚、残疾程度更低、身体功能更高、焦虑和抑郁症状更少、疲劳更少、睡眠障碍更少、参与社会角色和活动的能力更高以及疼痛更少相关。
约一半的SSc患者报告他们目前正在进行运动，其中步行是最常见的运动形式。了解运动模式以及与运动相关的因素将有助于更好地为干预项目提供信息，以支持SSc患者进行运动。康复意义 系统性硬化症是一种罕见的自身免疫性风湿性疾病，发病率高且表现形式多样。约一半的局限性和弥漫性系统性硬化症患者报告进行运动。大多数运动者选择步行，但患者参与各种与运动相关的活动。针对个体设计的运动项目最有可能支持和鼓励患有不同疾病表现的患者进行运动。
