Increased body mass index in ankylosing spondylitis is associated with greater burden of symptoms and poor perceptions of the benefits of exercise.

作者: LAURA DURCAN , FIONA WILSON , RICHARD CONWAY , GAYE CUNNANE , FINBAR D. O’SHEA

DOI: 10.3899/JRHEUM.120595

关键词:

摘要: Objective Increased body mass index (BMI) in patients with ankylosing spondylitis (AS) is associated a greater burden of symptoms and poor perceptions the benefits exercise. In AS, effect obesity on disease characteristics exercise unknown. We evaluated prevalence to assess attitudes toward evaluate activity. Methods Demographic data were collected from 46 AS. Disease activity, symptomatology, functional disability examined using standard AS questionnaires. BMI was calculated. Comorbidity analyzed Charlson Index. Patients’ assessed Exercise Benefits Barriers Scale (EBBS). compared characteristics, regarding exercise, limitations those who overweight had normal BMI. Results The mean group 27.4; 67.5% subjects or obese. There statistically significant difference between their (EBBS 124.7 vs 136.6, respectively), limitation (Bath Functional Index 4.7 2.5, Health Assessment Questionnaire 0.88 0.26), activity Activity 4.8 2.9). no groups terms comorbid conditions other demographic variables. Conclusion majority this cohort overweight. They symptoms, worse enhanced awareness barriers exercising. This particular concern where plays crucial role.

参考文章(36)
Michal Molcho, Eric Van Lente, IJ Perry, Richard Layte, Jennifer Lutomski, Hannah McGee, Nuala Tully, Margaret Barry, Ronán Michael Conroy, Karen Morgan, Ruairi Brugha, Janas Harrington, Dorothy Watson, Emer Shelley, Mark Ward, SLAN 2007: Survey of lifestyle, attitudes and nutrition in Ireland. Main report. Department of Health and Children. The Stationery Office,. ,(2008)
JM Zochling, J Braun, Mortality in rheumatoid arthritis and ankylosing spondylitis. Clinical and Experimental Rheumatology. ,vol. 27, pp. 127- ,(2009)
Annelies Boonen, Sjef M van der Linden, The burden of ankylosing spondylitis. The Journal of Rheumatology Supplement. ,vol. 78, pp. 4- 11 ,(2006)
Hanne Dagfinrud, Kåre Birger Hagen, Tore K Kvien, Physiotherapy interventions for ankylosing spondylitis. Cochrane Database of Systematic Reviews. ,vol. 1, ,(2008) , 10.1002/14651858.CD002822.PUB3
Dawn E. Alley, Virginia W. Chang, The Changing Relationship of Obesity and Disability, 1988-2004 JAMA. ,vol. 298, pp. 2020- 2027 ,(2007) , 10.1001/JAMA.298.17.2020
Sjef Van Der Linden, Hans A. Valkenburg, Arnold Cats, Evaluation of Diagnostic Criteria for Ankylosing Spondylitis Arthritis & Rheumatism. ,vol. 27, pp. 361- 368 ,(1984) , 10.1002/ART.1780270401
Bjorn Sundstrom, Helena Ekergård, Gunnevi Sundelin, Exercise habits among patients with ankylosing spondylitis. A questionnaire based survey in the County of Västerbotten, Sweden. Scandinavian Journal of Rheumatology. ,vol. 31, pp. 163- 167 ,(2002) , 10.1080/RHE.31.3.163.167
Karen R. Sechrist, Susan Noble Walker, Nola J. Pender, Development and psychometric evaluation of the exercise benefits/barriers scale. Research in Nursing & Health. ,vol. 10, pp. 357- 365 ,(1987) , 10.1002/NUR.4770100603
Mary E. Charlson, Peter Pompei, Kathy L. Ales, C.Ronald MacKenzie, A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation☆ Journal of Chronic Diseases. ,vol. 40, pp. 373- 383 ,(1987) , 10.1016/0021-9681(87)90171-8
Dilek Durmus, Gamze Alayli, Erhan Cil, Ferhan Canturk, Effects of a home-based exercise program on quality of life, fatigue, and depression in patients with ankylosing spondylitis Rheumatology International. ,vol. 29, pp. 673- 677 ,(2009) , 10.1007/S00296-008-0756-8