Lourenço Mariana de Almeida, Roma Izabela, Assis Marcos Renato de
Universidade Estadual Paulista (Unesp), São Paulo, SP, Brazil.
Faculdade de Medicina de Marília (Famema), Marília, SP, Brazil.
Rev Bras Reumatol Engl Ed. 2017 May-Jun;57(3):217-223. doi: 10.1016/j.rbre.2016.09.013. Epub 2016 Oct 24.
To evaluate the occurrence of falls reported by rheumatoid arthritis patients and its relation to disease activity, functional capacity and physical fitness.
A cross-sectional study constituted by a sample of 97 rheumatoid arthritis patients from the city of Marília (SP) from 2012 to 2013, were assessed for disease activity. Instruments validated for Brazilian population in order to evaluate physical and functional capacity were used. Data analysis was carried out with descriptive statistics, Spearman correlation and Chi-squared test, considering p<0.05.
88.7% were female subjects with a mean age of 56 (±11.7) years. The median duration of rheumatoid arthritis was 10 years (P25=6 and P75=17) and the mean of disease activity was 3.6 (±1.3), what was considered a moderate activity. In the last 12 months 37.1% of patients experienced at least one fall, with a total of 52 episodes, and fear of falling was reported by 74.2% of them, but this was not associated to the occurrence of a fall (χ=1.19, p=0.27). Gender, number of medications, age, disease activity, duration of rheumatoid arthritis, functional capacity, and physical tests showed no associations with history of falls in the past year.
It was observed that the occurrence of falls and the fear of falling are quite common in this population. The occurrence of falls in this sample of rheumatoid arthritis patients bears no relation to disease activity, functional capacity, or physical fitness tests.
评估类风湿关节炎患者报告的跌倒发生率及其与疾病活动度、功能能力和身体素质的关系。
一项横断面研究，样本为2012年至2013年来自马利亚市（圣保罗州）的97名类风湿关节炎患者，对其疾病活动度进行评估。使用了经巴西人群验证的工具来评估身体和功能能力。采用描述性统计、Spearman相关性分析和卡方检验进行数据分析，以p<0.05为标准。
88.7%为女性受试者，平均年龄56（±11.7）岁。类风湿关节炎的中位病程为10年（P25 = 6，P75 = 17），疾病活动度平均为3.6（±1.3），被认为是中度活动。在过去12个月中，37.1%的患者至少经历过一次跌倒，共发生52次跌倒事件，74.2%的患者报告有跌倒恐惧，但这与跌倒的发生无关（χ = 1.19，p = 0.27）。性别、用药数量、年龄、疾病活动度、类风湿关节炎病程、功能能力和身体测试与过去一年的跌倒史均无关联。
观察到该人群中跌倒的发生和跌倒恐惧相当普遍。该类风湿关节炎患者样本中的跌倒发生与疾病活动度、功能能力或身体素质测试无关。
