PDF(Pubmed)
Abstract：
Background/Objectives: 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. Methods: 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. Results: Overall, 5091 people (regular physical exercise n = 2331, no regular physical exercise n = 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. Conclusions: 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.
摘要：
背景/目的：关节炎是一种慢性，影响数百万美国成年人的衰弱状况。定期体育锻炼对于患有关节炎的成年人尤为重要。这项研究旨在调查美国成人关节炎患者与定期体育锻炼相关的特征。方法：这项横断面数据库研究使用2021年医疗支出小组调查数据，包括患有关节炎的美国成年人（年龄≥18岁）。建立了多变量逻辑回归模型，以测试以下变量与定期体育锻炼（定义为中等强度强度运动≥30分钟≥每周5次；是的，否):年龄,性别,西班牙裔,种族,人口普查地区，婚姻状况,学校教育,employment,健康保险,家庭收入,心理健康,一般健康,吸烟状况,慢性疾病,疼痛,和功能限制。结果：总体而言，5091人（定期体育锻炼n=2331，无定期体育锻炼n=2760）参与此分析。大多数是女性，非西班牙裔,白色,已婚,高中以上的学校教育，失业了,有私人医疗保险,家庭收入中等，有良好的心理健康，总体健康状况良好，是不吸烟者，有两种或多种慢性疾病，有轻微/中度疼痛，并且没有功能限制。在多变量逻辑回归分析中，男性vs.女性（优势比[OR]=1.440，95%置信区间[CI]=1.185-1.749），受雇与失业者（OR=1.277，95%CI=1.005-1.624），好的vs.一般健康状况差(OR=2.174，95%CI=1.673-2.824)，小/中等vs.相当/极度疼痛(OR=1.418，95%CI=1.109-1.818)，并且没有功能限制（OR=1.592，95％CI=1.282-1.980）与报告定期体育锻炼的较高几率相关，而中西部vs.西部人口普查地区（OR=0.698，95％CI=0.521-0.935）报告定期体育锻炼的几率较低。结论：这项研究确定了美国关节炎成年人中与定期体育锻炼相关的变量。需要进一步的工作来开发针对特征的干预措施，这些干预措施可能有助于增加运动和，随后,这一人群的健康结果。
