Crieff Community Hospital, Crieff, and Glasgow Caledonian University, Glasgow, UK.
Glasgow Caledonian University, Glasgow, UK.
Arthritis Care Res (Hoboken). 2022 Mar;74(3):493-500. doi: 10.1002/acr.24438. Epub 2022 Jan 27.
To determine whether patients with inflammatory joint disease (IJD) meet current guidelines on physical activity, and to determine which factors influence physical activity levels and sedentary behavior (SB) in patients with IJD.
This was a cross-sectional study of 137 patients with a medical diagnosis of an IJD prior to commencing an NHS-run inflammatory arthritis exercise program. Physical activity and SB were measured objectively using a thigh-worn physical activity monitor for 7 consecutive days. Activity levels were subdivided into low physical activity (LPA) and moderate-to-vigorous physical activity (MVPA). First, activity levels were analyzed against current guidelines of 150 minutes of MVPA per week. Second, time spent in SB, LPA, and MVPA was analyzed against possible determinants.
In total, 29% of patients with IJD met current physical activity guidelines. Patients on average spent 10 hours per day in SB. Poor physical fitness measured by the 6-minute walk test was the only significant predictor (P = 0.019) of high SB (R = 4.7%). Attending an exercise facility in the community (P = 0.034) and low role limitations due to physical health (P = 0.008) predicted high levels of LPA, following a backward multiple regression (R = 8.0%). Low role limitations due to emotional problems (P = 0.031), higher physical fitness (P = 0.002), and healthier exercise attitudes and beliefs (P = 0.021) predicted meeting current physical activity guidelines, following a backward conditional logistic regression, explaining between 22.2% and 31.7% of variance.
Patients with IJD are inactive and spent much time in SB. Good general health predicts high activity levels. No disease-specific factors were found to determine SB, LPA, or MVPA.
确定患有炎性关节病 (IJD) 的患者是否符合当前关于体力活动的指南，并确定影响 IJD 患者体力活动水平和久坐行为 (SB) 的因素。
这是一项横断面研究，纳入了 137 名在 NHS 运行的炎性关节炎运动项目开始前被诊断为 IJD 的患者。使用大腿佩戴的体力活动监测器连续 7 天客观测量体力活动和 SB。活动水平分为低体力活动 (LPA) 和中高强度体力活动 (MVPA)。首先，根据每周 150 分钟 MVPA 的现行指南分析活动水平。其次，根据可能的决定因素分析 SB、LPA 和 MVPA 的时间。
共有 29%的 IJD 患者符合现行体力活动指南。患者平均每天有 10 小时处于 SB 状态。6 分钟步行测试测量的身体状况不佳是唯一显著的高 SB 预测因素 (P = 0.019；R ² = 4.7%)。在社区参加锻炼场所 (P = 0.034) 和身体健康导致的角色限制低 (P = 0.008) 预测了 LPA 水平高，采用后退多项回归 (R ² = 8.0%)。情绪问题导致的角色限制低 (P = 0.031)、身体状况更好 (P = 0.002) 以及更健康的锻炼态度和信念 (P = 0.021) 预测符合现行体力活动指南，采用后退条件逻辑回归，解释了 22.2%至 31.7%的变异性。
IJD 患者不活跃，且大部分时间处于 SB 状态。良好的总体健康状况预测高活动水平。未发现特定于疾病的因素可以决定 SB、LPA 或 MVPA。
