Axon David R
Department of Pharmacy Practice & Science, R. Ken Coit College of Pharmacy, The University of Arizona, 1295 N. Martin Ave., Tucson, AZ 85721, USA.
J Clin Med. 2024 Aug 2;13(15):4526. doi: 10.3390/jcm13154526.
Arthritis is a chronic, debilitating condition affecting millions of United States (US) adults. Regular physical exercise is particularly important for adults with arthritis. This study aimed to investigate the characteristics associated with regular physical exercise in US adults with arthritis. This cross-sectional database study used 2021 Medical Expenditure Panel Survey data and included US adults (age ≥ 18) alive with arthritis. A multivariable logistic regression model was developed to test the association of the following variables with regular physical exercise (defined as moderate-vigorous intensity exercise for ≥30 min ≥5 times weekly; yes, no): age, sex, Hispanic, race, census region, marriage status, schooling, employment, health insurance, household income, mental health, general health, smoking status, chronic conditions, pain, and functional limitations. Overall, 5091 people (regular physical exercise = 2331, no regular physical exercise = 2760) were involved in this analysis. Most were female, non-Hispanic, white, married, had schooling beyond high school, were unemployed, had private health insurance, had mid-high household income, had good mental health, had good general health, were non-smokers, had two or more chronic conditions, had little/moderate pain, and did not have a functional limitation. In multivariable logistic regression analysis, male vs. female sex (odds ratio [OR] = 1.440, 95% confidence interval [CI] = 1.185-1.749), employed vs. unemployed (OR = 1.277, 95% CI = 1.005-1.624), good vs. poor general health (OR = 2.174, 95% CI = 1.673-2.824), little/moderate vs. quite a bit/extreme pain (OR = 1.418, 95% CI = 1.109-1.818), and no functional limitation (OR = 1.592, 95% CI = 1.282-1.980) were associated with higher odds of reporting regular physical exercise, while Midwest vs. West census region (OR = 0.698, 95% CI = 0.521-0.935) was associated with lower odds of reporting regular physical exercise. This study identified variables associated with regular physical exercise among US adults with arthritis. Further work is needed to develop interventions for characteristics that may help increase exercise and, subsequently, health outcomes in this population.
关节炎是一种慢性、使人衰弱的疾病，影响着数百万美国成年人。规律的体育锻炼对患有关节炎的成年人尤为重要。本研究旨在调查美国患有关节炎的成年人进行规律体育锻炼的相关特征。这项横断面数据库研究使用了2021年医疗支出面板调查数据，纳入了患有关节炎的美国在世成年人（年龄≥18岁）。建立了一个多变量逻辑回归模型，以检验以下变量与规律体育锻炼（定义为中等至剧烈强度运动，每周≥30分钟，≥5次；是，否）之间的关联：年龄、性别、西班牙裔、种族、人口普查地区、婚姻状况、受教育程度、就业情况、医疗保险、家庭收入、心理健康、总体健康状况、吸烟状况、慢性病、疼痛和功能受限情况。总体而言，5091人（规律体育锻炼者 = 2331人，无规律体育锻炼者 = 2760人）参与了本分析。大多数人是女性、非西班牙裔、白人、已婚，拥有高中以上学历，失业，拥有私人医疗保险，家庭收入处于中高水平，心理健康状况良好，总体健康状况良好，不吸烟，患有两种或更多慢性病，有轻微/中度疼痛，且没有功能受限。在多变量逻辑回归分析中，男性与女性相比（优势比[OR] = 1.440，95%置信区间[CI] = 1.185 - 1.749）、就业与失业相比（OR = 1.277，95% CI = 1.005 - 1.624）、总体健康状况良好与不佳相比（OR = 2.174，95% CI = 1.673 - 2.824）、轻微/中度与相当多/极度疼痛相比（OR = 1.418，95% CI = 1.109 - 1.818）以及没有功能受限（OR = 1.592，95% CI = 1.282 - 1.980）与报告规律体育锻炼的较高几率相关，而中西部与西部人口普查地区相比（OR = 0.698，95% CI = 0.521 - 0.935）与报告规律体育锻炼的较低几率相关。本研究确定了美国患有关节炎的成年人中与规律体育锻炼相关的变量。需要进一步开展工作，针对可能有助于增加该人群锻炼及改善健康结果的特征制定干预措施。
