Physical inactivity in patients with rheumatoid arthritis:: Data from twenty-one countries in a cross-sectional, international study

被引：249

作者：

Sokka, Tuulikki ^{[1
]}

Hakkinen, Arja ^{[1
]}

Kautiainen, Hannu ^{[2
]}

Maillefert, Jean Francis ^{[3
,4
]}

Toloza, Sergio ^{[5
]}

Hansen, Troels Mork ^{[6
]}

Calvo-Alen, Jaime ^{[7
]}

Oding, Rolf ^{[8
]}

Liveborn, Margareth ^{[8
]}

Huisman, Margriet ^{[9
]}

Alten, Rieke ^{[10
]}

Pohl, Christof ^{[10
]}

Cutolo, Maurizio ^{[11
]}

Immonen, Kai ^{[12
]}

Woolf, Anthony ^{[13
]}

Murphy, Eithne ^{[14
]}

Sheehy, Claire ^{[14
]}

Quirke, Edel ^{[14
]}

Celik, Selda ^{[15
]}

Yazici, Yusuf ^{[16
]}

Tlustochowicz, Witold ^{[16
,17
]}

Kapolka, Danuta ^{[18
]}

Skakic, Vlado ^{[19
]}

Roikovich, Bernadette ^{[20
]}

Muller, Raili ^{[21
]}

Stropuviene, Sigita ^{[22
]}

Andersone, Daina ^{[23
]}

Drosos, Alexandros A. ^{[24
]}

Lazovskis, Juris ^{[25
]}

Pincus, Theodore

机构：

[1] Jyvaskyla Cent Hosp, Jyvaskyla 40620, Finland

[2] Medcare Oy, Aanekoski, Finland

[3] Dijon Univ Hosp, Dijon, France

[4] Univ Burgundy, Dijon, France

[5] Hosp San Juan Bautista, Catamarca, Argentina

[6] Copenhagen Univ Hosp, Herlev, Denmark

[7] Hosp Sierrallana Ganzo, Torrelavega, Spain

[8] Cent Hosp Vasteras, Vasteras, Sweden

[9] Sint Franciscus Gasthuis Hosp, Rotterdam, Netherlands

[10] Schlosspk Klin, Berlin, Germany

[11] Univ Genoa, Genoa, Italy

[12] N Karelia Cent Hosp, Joensuu, Finland

[13] Royal Cornwall Hosp, Truro, England

[14] Connolly Hosp, Dublin, Ireland

[15] Cerrahpasa Med Fac, Istanbul, Turkey

[16] NYU, Hosp Joint Dis, New York, NY USA

[17] Mil Inst Med, Warsaw, Poland

[18] Silesian Hosp, Ustron Slaski, Poland

[19] Inst Rheumatol, Niska Banja, Nis, Serbia

[20] Polyclin Hosp Bros St John God, Budapest, Hungary

[21] Tartu Univ Hosp, Tartu, Estonia

[22] Vilnius State Univ, Inst Expt & Clin Med, Vilnius, Lithuania

[23] Pauls Stradina Clin Univ Hosp, Riga, Latvia

[24] Univ Ioannina, GR-45110 Ioannina, Greece

[25] Riverside Profess Ctr, Sydney, NSW, Australia

来源：

ARTHRITIS & RHEUMATISM-ARTHRITIS CARE & RESEARCH | 2008年 / 59卷 / 01期

关键词：

D O I：

10.1002/art.23255

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective. Regular physical activity is associated with decreased morbidity and mortality. Traditionally, patients with rheumatoid arthritis (RA) have been advised to limit physical exercise. We studied the prevalence of physical activity and associations with demographic and disease-related variables in patients with RA from 21 countries. Methods. The Questionnaires in Standard Monitoring of Patients with Rheumatoid Arthritis (QUEST-RA) is a crosssectional study that includes a self-report questionnaire and clinical assessment of nonselected consecutive outpatients with RA who are receiving usual clinical care. Frequency of physical exercise (>= 30 minutes with at least some shortness of breath, sweating) is queried with 4 response options: >= 3 times weekly, 1-2 times weekly, 1-2 times monthly, and no exercise. Results. Between January 2005 and April 2007, a total of 5,235 patients from 58 sites in 21 countries were enrolled in QUEST-RA: 79% were women, >90% were white, mean age was 57 years, and mean disease duration was 11.6 years. Only 13.8% of all patients reported physical exercise >= 3 times weekly. The majority of the patients were physically inactive with no regular weekly exercise: >80% in 7 countries, 60-80% in 12 countries, and 45% and 29% in 2 countries, respectively. Physical inactivity was associated with female sex, older age, lower education, obesity, comorbidity, low functional capacity, and higher levels of disease activity, pain, and fatigue. Conclusion. In many countries, a low proportion of patients with RA exercise. These data may alert rheumatologists to motivate their patients to increase physical activity levels.

引用

页码：42 / 50

页数：9

共 47 条

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