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Research ArticleSpondyloarthritis

Physical Activity and Attitudes Toward Exercise in People With Axial and Peripheral Spondyloarthritis

Shao-Hsien Liu, Divya Shridharmurthy, Kate L. Lapane, Catherine E. Dubé, Ellen M. Gravallese and Jonathan Kay
The Journal of Rheumatology April 2021, 48 (4) 513-519; DOI: https://doi.org/10.3899/jrheum.200354
Shao-Hsien Liu
1S.H. Liu, PhD, Division of Epidemiology, Department of Population and Quantitative Health Sciences, and Division of Rheumatology, Department of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts;
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  • For correspondence: shaohsien.liu@umassmed.edu
Divya Shridharmurthy
2D. Shridharmurthy, MPH, Clinical and Population Health Research Program, Graduate School of Biomedical Sciences, University of Massachusetts Medical School, Worcester, Massachusetts;
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Kate L. Lapane
3K.L. Lapane, PhD, C. Dubé, EdD, Division of Epidemiology, Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts;
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Catherine E. Dubé
3K.L. Lapane, PhD, C. Dubé, EdD, Division of Epidemiology, Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts;
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Ellen M. Gravallese
4E.M. Gravallese, MD, Division of Rheumatology, Inflammation, and Immunity, Brigham and Women’s Hospital, Boston, Massachusetts;
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Jonathan Kay
5J. Kay, MD, Division of Epidemiology, Department of Population and Quantitative Health Sciences, and Division of Rheumatology, Department of Medicine, University of Massachusetts Medical School, and Division of Rheumatology, UMass Memorial Medical Center, Worcester, Massachusetts, USA.
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Abstract

Objective To evaluate physical activity and attitudes toward exercise among people with axial (ax-) and peripheral (p-) spondyloarthritis (SpA).

Methods Using baseline information from an ongoing, longitudinal, prospective SpA cohort study (n = 264), self-reported attitudes and beliefs toward exercise were assessed using questionnaires. Total metabolic equivalent (MET) hours of self-reported physical activity per week, time spent in activities, and activity levels were calculated from the Nurses’ Health Study Physical Activity Questionnaire II (NHSPAQ II). Adjusted multivariable linear models estimated the relationship between physical activity and disease status (axial vs peripheral).

Results Regardless of predominant anatomic distribution of disease, most participants were well-educated, non-Hispanic White men. Approximately 40% met the US Department of Health and Human Services physical activity recommendations. Positive attitudes, beliefs, and perceived benefits toward exercise were similar by anatomic distribution of disease. Despite similar MET h/week, participants with axial disease had greater concerns regarding discomfort and joint injuries than those with peripheral disease. Compared to those with pSpA (n = 201), participants with axSpA (n = 63) spent less time engaging in light and moderate activities (adjusted β in light activity: –1.94 min/week, 95% CI –2.96 to –0.93; adjusted β in moderate activity: –1.05 min/week, 95% CI –2.12 to 0.02).

Conclusion Participants with axSpA had greater concerns regarding discomfort and injuries from exercise than those with pSpA. Although no differences in time spent in vigorous activities were observed, participants with axSpA spent less time than those with pSpA in light to moderate activities.

Key Indexing Terms:
  • ankylosing spondylitis
  • cohort studies
  • exercise
  • spondyloarthropathy
  • Accepted for publication October 2, 2020.
  • Copyright © 2021 by the Journal of Rheumatology
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The Journal of Rheumatology
Vol. 48, Issue 4
1 Apr 2021
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Physical Activity and Attitudes Toward Exercise in People With Axial and Peripheral Spondyloarthritis
Shao-Hsien Liu, Divya Shridharmurthy, Kate L. Lapane, Catherine E. Dubé, Ellen M. Gravallese, Jonathan Kay
The Journal of Rheumatology Apr 2021, 48 (4) 513-519; DOI: 10.3899/jrheum.200354

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Physical Activity and Attitudes Toward Exercise in People With Axial and Peripheral Spondyloarthritis
Shao-Hsien Liu, Divya Shridharmurthy, Kate L. Lapane, Catherine E. Dubé, Ellen M. Gravallese, Jonathan Kay
The Journal of Rheumatology Apr 2021, 48 (4) 513-519; DOI: 10.3899/jrheum.200354
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Keywords

ANKYLOSING SPONDYLITIS
COHORT STUDIES
EXERCISE
SPONDYLOARTHROPATHY

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