Physical activity and sleep differences between osteoarthritis, rheumatoid arthritis and non-arthritic people in China: objective versus self report comparisons

被引:5
作者
Xu, Ting [1 ,2 ]
Jia, Xiaojun [2 ]
Chen, Shuanghong [2 ]
Xie, Yingying [2 ]
Tong, K. K. [3 ]
Iezzi, Tony [4 ]
Jackson, Todd [3 ]
机构
[1] Maastricht Univ, Fac Psychol & Neurosci, Clin Psychol Sci, Expt Hlth Psychol, Maastricht, Netherlands
[2] Southwest Univ, Minist Educ, Key Lab Cognit & Personal, Chongqing 400715, Peoples R China
[3] Univ Macau, Dept Psychol, Macau 000978, Taipa Sar, Peoples R China
[4] London Hlth Sci Ctr, Dept Psychol, London, ON 97403, Canada
基金
中国国家自然科学基金;
关键词
Physical activity; Sleep; Osteoarthritis; Rheumatoid arthritis; Sensewear; Questionnaires; Accelerometer; CARDIOVASCULAR-DISEASE; ACTIVITY QUESTIONNAIRE; KNEE OSTEOARTHRITIS; VALIDITY; HEALTH; PAIN; CLASSIFICATION; DISTURBANCES; FIBROMYALGIA; ASSOCIATION;
D O I
10.1186/s12889-021-11837-y
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background Objectively measured differences in physical activity (PA) and sleep have been documented among people with osteoarthritis (OA) and rheumatoid arthritis (RA) compared to non-arthritic controls. However, it is not clear whether OA and RA subgroups also differ on these indexes or the extent to which distinct arthritis subgroups versus controls can be accurately identified on the basis of objective PA and sleep indexes compared to self-report responses on questionnaires. This study addressed these gaps. Methods This case-control study comprised Chinese adults with OA (N = 40) or RA (N = 40) diagnoses based on physician assessments as well as a control group of adults without chronic pain (N = 40). All participants wore a Sensewear Armband (SWA) for consecutive 7 days and completed the International Physical Activity Questionnaire Short Form-Chinese as well as Pittsburgh Sleep Diary to obtain objective and subjective PA and sleep data, respectively. Results There were no differences between the three groups on any self-report indexes of PA or sleep. Conversely, OA and RA subgroups displayed significantly lower PA levels and more sleep problems than controls did on a majority of SWA indexes, though arthritis subgroups were not differentiated from one another on these measures. Logistic regression analyses indicated four non-multicollinear SWA indexes (i.e., steps, active energy expenditure, vigorous activity, time awake after sleep onset) correctly identified the subgroup membership of 75.0-82.5% of participants with RA or OA while classification accuracy results were attenuated for controls. Conclusions Where possible, objective measures should be used to assess PA and sleep of adults with OA and RA while particular self-report PA questionnaires should be used sparingly.
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页数:10
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