关键词: ASAS health index Axial spondyloarthritis Bath AS functional index Global physical activity questionnaire Physical activity

Mesh : Axial Spondyloarthritis Exercise Humans Severity of Illness Index Spondylarthritis Spondylitis, Ankylosing

来  源:   DOI:10.1016/j.semarthrit.2022.152067

Abstract:
To investigate whether physical activity is independently associated with physical and global function in patients with axial spondyloarthritis (axSpA), and to analyse the relationship between subtypes of physical activity (work, transport, and recreation) and functional impairment.
One-hundred-and-eighty-five patients were included. Physical function was assessed using BASFI, and global function was assessed using the ASAS health index (HI). Physical activity was measured using the Global Physical Activity Questionnaire. Levels of physical activity were categorised as low, moderate or high. The associations between levels of physical activity and the BASFI and ASAS HI scores were analysed using multivariate regression analysis.
Of the 185 patients, 46, 63 and 76 reported low, moderate and high levels of physical activity, respectively. There was a negative correlation between the BASFI and total physical activity. Multivariate linear regression analysis revealed that a high level of physical activity was independently associated with BASFI after adjusting for age, ASDAS. sacroiliitis and syndesmophyte number (ß (95% CI) =-0.88 (-1.49--0.26); p=0.006). One-hundred-and-forty-six had good global functioning (ASAS HI≤5). Multivariate logistic regression analysis revealed that moderate physical activity was independently associated with good global functioning (OR (95% CI) = 2.82 (1.02-7.86); p = 0.047). Recreational activity, but not work- and transport-related activity, showed a significant relationship with ASAS HI scores (ß (95% CI) =-0.55 (-1.02-0.08); p = 0.023).
Physical activity in those with axSpA is associated independently with physical and global functioning. Among the subtypes of physical activity, recreational activity is related to global functioning.
摘要:
目的探讨身体活动是否与轴性脊柱关节炎(axSpA)患者的身体和整体功能独立相关。并分析身体活动亚型之间的关系(工作,运输,和娱乐)和功能障碍。
纳入了一百八十五名患者。使用BASFI评估身体功能,使用ASAS健康指数(HI)评估全球功能。使用全球身体活动问卷测量身体活动。体力活动水平被归类为低,中等或高。使用多元回归分析了体力活动水平与BASFI和ASASHI评分之间的关联。
在185名患者中,46、63和76报告较低,中等和高水平的体力活动,分别。BASFI与总体力活动呈负相关。多元线性回归分析显示,在调整年龄后,高水平的体力活动与BASFI独立相关。ASDAS。骶髂关节炎和相关真菌数量(β(95%CI)=-0.88(-1.49--0.26);p=0.006)。146具有良好的全球功能(ASASHI≤5)。多因素logistic回归分析显示,中等体力活动与良好的整体功能独立相关(OR(95%CI)=2.82(1.02-7.86);p=0.047)。娱乐活动,但不是与工作和运输相关的活动,显示与ASASHI评分有显著关系(β(95%CI)=-0.55(-1.02-0.08);p=0.023)。
患有axSpA的人的身体活动与身体和整体功能独立相关。在身体活动的亚型中,娱乐活动与全球功能有关。
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