Rhie Kevin, Feger Danielle M, June Rayford R, Sciamanna Christopher N, Banks Sharon E
Department of Internal Medicine, Penn State Health, USA.
Int J Sports Exerc Med. 2019;5(2). doi: 10.23937/2469-5718/1510121. Epub 2019 Feb 20.
Exercise has proven benefits in rheumatologic disease including reducing inflammation and improving symptoms. A Group Strength Training (GST) program design has improved adherence to exercise in primary care patients but the effect is unknown in rheumatology patients. We examined the interest of rheumatology patients with different diagnoses and the effect of comorbidities in pursuing an organized GST program.
We conducted a cross-sectional survey of patients from a rheumatology practice in central Pennsylvania in February and April 2017. This survey assessed self-reported interest of patients in a GST program in addition to demographics, comorbidities, and quality of life measures. Primary care data from a previous survey were used for comparative analysis for the primary outcome: interest in a GST program.
Fifty percent of rheumatology patients were interested in a GST program and there was no difference of interest compared to primary care patients (X = 2.04, = 0.15). There was no difference in interest in a GST program for rheumatology patients with poor health compared to patients with good health (OR = 0.9, = 0.8). Female patients were more interested in a group strength training program than male patients (OR = 3.7, = 0.001). Patients with a BMI of 25-30 (OR = 2.2, = 0.04) or > 30 (OR = 1.7, = 0.12) were more interested compared to those with a normal BMI. There was no difference in interest in group strength training regardless of rheumatology diagnosis or comorbidities.
Our data suggest that rheumatology patients are interested in a GST program regardless of disease, medical comorbidities, perceived mental or physical health, or education level. Further study is needed to determine the effects of GST on rheumatologic diseases.
运动已被证明对风湿性疾病有益,包括减轻炎症和改善症状。团体力量训练(GST)项目设计提高了初级保健患者对运动的依从性,但在风湿性疾病患者中的效果尚不清楚。我们研究了不同诊断的风湿性疾病患者对参与有组织的GST项目的兴趣以及合并症对其的影响。
2017年2月和4月,我们对宾夕法尼亚州中部一家风湿病诊所的患者进行了横断面调查。该调查除了评估人口统计学、合并症和生活质量指标外,还评估了患者自我报告的对GST项目的兴趣。来自之前一项调查的初级保健数据用于对主要结果(对GST项目的兴趣)进行比较分析。
50%的风湿性疾病患者对GST项目感兴趣,与初级保健患者相比,兴趣无差异(X = 2.04,P = 0.15)。健康状况较差的风湿性疾病患者与健康状况良好的患者对GST项目的兴趣无差异(OR = 0.9,P = 0.8)。女性患者比男性患者对团体力量训练项目更感兴趣(OR = 3.7,P = 0.001)。与体重指数正常的患者相比,体重指数为25 - 30(OR = 2.2,P = 0.04)或> 30(OR = 1.7,P = 0.12)的患者更感兴趣。无论风湿性疾病诊断或合并症如何,对团体力量训练的兴趣均无差异。
我们的数据表明,无论疾病、合并症、感知的心理或身体健康状况或教育水平如何