The DANBIO Registry and Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Centre of Head and Orthopaedics, Rigshospitalet, Glostrup, Denmark.
The University Hospitals Centre for Health Research (UCSF), Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
Rheumatology (Oxford). 2018 May 1;57(5):803-812. doi: 10.1093/rheumatology/kex498.
Physical activity is recommended as an essential part of the non-pharmacological management of inflammatory joint disease, but previous research in this area has predominantly included women. The aim of this study was to examine physical activity behaviour in men with inflammatory joint disease.
The study was conducted as a cross-sectional register-based study. Data on physical activity behaviour in men with RA, PsA and AS were matched with sociodemographic and clinical variables extracted from the DANBIO registry. Logistic regression analyses using multiple imputations were performed to investigate demographic and clinical variables associated with regular engagement in physical activity (moderate-vigorous ⩾2 h/week). Descriptive statistics were applied to explore motivation, barriers and preferences for physical activity.
A total of 325 men were included of whom 129 (40%) engaged in regular physical activity. In univariate analyses, higher age, visual analogue scale (VAS) for pain, VAS fatigue, VAS patient's global, CRP level, disease activity, functional disability and current smoking were negatively associated with regular engagement in physical activity. In the final multivariable regression model only a high VAS fatigue score (⩾61 mm) (OR = 0.228; CI: 0.119, 0.436) remained significantly independently associated with regular physical activity.
A majority of men with inflammatory joint disease do not meet the recommendations of regular physical activity. Both sociodemographic and clinical parameters were associated with engagement in physical activity, and fatigue especially seems to play a pivotal role in explaining suboptimal physical activity behaviour in this patient group.
体力活动被推荐为炎症性关节疾病非药物治疗的重要组成部分，但该领域之前的研究主要包括女性。本研究旨在研究男性炎症性关节疾病患者的体力活动行为。
该研究采用横断面基于登记的研究。从 DANBIO 登记处提取 RA、PsA 和 AS 男性的体力活动行为数据，并与社会人口统计学和临床变量进行匹配。使用多次插补进行逻辑回归分析，以调查与定期进行体力活动（中度-剧烈 ⩾2 小时/周）相关的人口统计学和临床变量。应用描述性统计数据来探讨体力活动的动机、障碍和偏好。
共纳入 325 名男性，其中 129 名（40%）定期进行体力活动。在单变量分析中，较高的年龄、疼痛视觉模拟量表（VAS）、疲劳 VAS、患者整体 VAS、CRP 水平、疾病活动度、功能障碍和当前吸烟与定期进行体力活动呈负相关。在最终的多变量回归模型中，仅高疲劳 VAS 评分（⩾61mm）（OR=0.228；CI：0.119，0.436）与定期体力活动显著独立相关。
大多数炎症性关节疾病男性不符合定期体力活动的建议。社会人口统计学和临床参数均与体力活动有关，疲劳似乎特别在解释该患者群体中体力活动行为不佳方面发挥关键作用。
