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Research ArticleAccepted Article

Beneficial long-term effect on leisure time physical activity level in individuals with axial spondyloarthritis: secondary analysis of a randomized controlled trial

Silje Halvorsen Sveaas, Hanne Dagfinrud, Melissa Woll Johansen, Elisabeth Pedersen and Ole-Martin Wold Annelie Bilberg
The Journal of Rheumatology November 2019, jrheum.190317; DOI: https://doi.org/10.3899/jrheum.190317
Silje Halvorsen Sveaas
From the National Advisory Unit on Rehabilitation in Rheumatology, Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway; the Department of physiotherapy, Martina Hansens Hospital, Bærum, Norway; the Department of physiotherapy, University Hospital of North Norway, Tromsø, Norway; Department of Coaching and Psychology, Norwegian School of Sport Sciences; The Norwegian Rheumatology Association, Norway and the Institute of Neuroscience and Physiology, Section of Health and Rehabilitation, Physiotherapy, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. Supported by The Norwegian Fund for Post-Graduate Training in Physiotherapy and the Norwegian Rheumatology Association. All authors declare: no support from any organization that might have an interest in the submitted work from the submitted work; no other relationships or activities that could appear to have influenced the submitted work. S.H. Sveaas, PhD, National Advisory Unit on Rehabilitation in Rheumatology, Diakonhjemmet hospital; H. Dagfinrud PhD, National Advisory Unit on Rehabilitation in Rheumatology, Diakonhjemmet hospital; M.W. Johansen, MSc, the Department of physiotherapy, Martina Hansens Hospital, E. Pedersen, PT, the Department of physiotherapy, University Hospital of North Norway, O.M. Wold, MSc, Department of Coaching and Psychology, Norwegian School of Sport Sciences; The Norwegian Rheumatology Association, Norway; A. Bilberg, and the Institute of Neuroscience and Physiology, Section of Health and Rehabilitation, Physiotherapy, Sahlgrenska Academy, University of Gothenburg. Address correspondence to Silje Halvorsen Sveaas, National Advisory Unit on Rehabilitation in Rheumatology, Department of Rheumatology, Diakonhjemmet Hospital, PO BOX 23 Vinderen,0319 Oslo, Norway. Tel: +4799648102, e-mail address: s.h.sveaas@medisin.uio.no
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Hanne Dagfinrud
From the National Advisory Unit on Rehabilitation in Rheumatology, Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway; the Department of physiotherapy, Martina Hansens Hospital, Bærum, Norway; the Department of physiotherapy, University Hospital of North Norway, Tromsø, Norway; Department of Coaching and Psychology, Norwegian School of Sport Sciences; The Norwegian Rheumatology Association, Norway and the Institute of Neuroscience and Physiology, Section of Health and Rehabilitation, Physiotherapy, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. Supported by The Norwegian Fund for Post-Graduate Training in Physiotherapy and the Norwegian Rheumatology Association. All authors declare: no support from any organization that might have an interest in the submitted work from the submitted work; no other relationships or activities that could appear to have influenced the submitted work. S.H. Sveaas, PhD, National Advisory Unit on Rehabilitation in Rheumatology, Diakonhjemmet hospital; H. Dagfinrud PhD, National Advisory Unit on Rehabilitation in Rheumatology, Diakonhjemmet hospital; M.W. Johansen, MSc, the Department of physiotherapy, Martina Hansens Hospital, E. Pedersen, PT, the Department of physiotherapy, University Hospital of North Norway, O.M. Wold, MSc, Department of Coaching and Psychology, Norwegian School of Sport Sciences; The Norwegian Rheumatology Association, Norway; A. Bilberg, and the Institute of Neuroscience and Physiology, Section of Health and Rehabilitation, Physiotherapy, Sahlgrenska Academy, University of Gothenburg. Address correspondence to Silje Halvorsen Sveaas, National Advisory Unit on Rehabilitation in Rheumatology, Department of Rheumatology, Diakonhjemmet Hospital, PO BOX 23 Vinderen,0319 Oslo, Norway. Tel: +4799648102, e-mail address: s.h.sveaas@medisin.uio.no
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Melissa Woll Johansen
From the National Advisory Unit on Rehabilitation in Rheumatology, Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway; the Department of physiotherapy, Martina Hansens Hospital, Bærum, Norway; the Department of physiotherapy, University Hospital of North Norway, Tromsø, Norway; Department of Coaching and Psychology, Norwegian School of Sport Sciences; The Norwegian Rheumatology Association, Norway and the Institute of Neuroscience and Physiology, Section of Health and Rehabilitation, Physiotherapy, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. Supported by The Norwegian Fund for Post-Graduate Training in Physiotherapy and the Norwegian Rheumatology Association. All authors declare: no support from any organization that might have an interest in the submitted work from the submitted work; no other relationships or activities that could appear to have influenced the submitted work. S.H. Sveaas, PhD, National Advisory Unit on Rehabilitation in Rheumatology, Diakonhjemmet hospital; H. Dagfinrud PhD, National Advisory Unit on Rehabilitation in Rheumatology, Diakonhjemmet hospital; M.W. Johansen, MSc, the Department of physiotherapy, Martina Hansens Hospital, E. Pedersen, PT, the Department of physiotherapy, University Hospital of North Norway, O.M. Wold, MSc, Department of Coaching and Psychology, Norwegian School of Sport Sciences; The Norwegian Rheumatology Association, Norway; A. Bilberg, and the Institute of Neuroscience and Physiology, Section of Health and Rehabilitation, Physiotherapy, Sahlgrenska Academy, University of Gothenburg. Address correspondence to Silje Halvorsen Sveaas, National Advisory Unit on Rehabilitation in Rheumatology, Department of Rheumatology, Diakonhjemmet Hospital, PO BOX 23 Vinderen,0319 Oslo, Norway. Tel: +4799648102, e-mail address: s.h.sveaas@medisin.uio.no
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Elisabeth Pedersen
From the National Advisory Unit on Rehabilitation in Rheumatology, Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway; the Department of physiotherapy, Martina Hansens Hospital, Bærum, Norway; the Department of physiotherapy, University Hospital of North Norway, Tromsø, Norway; Department of Coaching and Psychology, Norwegian School of Sport Sciences; The Norwegian Rheumatology Association, Norway and the Institute of Neuroscience and Physiology, Section of Health and Rehabilitation, Physiotherapy, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. Supported by The Norwegian Fund for Post-Graduate Training in Physiotherapy and the Norwegian Rheumatology Association. All authors declare: no support from any organization that might have an interest in the submitted work from the submitted work; no other relationships or activities that could appear to have influenced the submitted work. S.H. Sveaas, PhD, National Advisory Unit on Rehabilitation in Rheumatology, Diakonhjemmet hospital; H. Dagfinrud PhD, National Advisory Unit on Rehabilitation in Rheumatology, Diakonhjemmet hospital; M.W. Johansen, MSc, the Department of physiotherapy, Martina Hansens Hospital, E. Pedersen, PT, the Department of physiotherapy, University Hospital of North Norway, O.M. Wold, MSc, Department of Coaching and Psychology, Norwegian School of Sport Sciences; The Norwegian Rheumatology Association, Norway; A. Bilberg, and the Institute of Neuroscience and Physiology, Section of Health and Rehabilitation, Physiotherapy, Sahlgrenska Academy, University of Gothenburg. Address correspondence to Silje Halvorsen Sveaas, National Advisory Unit on Rehabilitation in Rheumatology, Department of Rheumatology, Diakonhjemmet Hospital, PO BOX 23 Vinderen,0319 Oslo, Norway. Tel: +4799648102, e-mail address: s.h.sveaas@medisin.uio.no
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Ole-Martin Wold Annelie Bilberg
From the National Advisory Unit on Rehabilitation in Rheumatology, Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway; the Department of physiotherapy, Martina Hansens Hospital, Bærum, Norway; the Department of physiotherapy, University Hospital of North Norway, Tromsø, Norway; Department of Coaching and Psychology, Norwegian School of Sport Sciences; The Norwegian Rheumatology Association, Norway and the Institute of Neuroscience and Physiology, Section of Health and Rehabilitation, Physiotherapy, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. Supported by The Norwegian Fund for Post-Graduate Training in Physiotherapy and the Norwegian Rheumatology Association. All authors declare: no support from any organization that might have an interest in the submitted work from the submitted work; no other relationships or activities that could appear to have influenced the submitted work. S.H. Sveaas, PhD, National Advisory Unit on Rehabilitation in Rheumatology, Diakonhjemmet hospital; H. Dagfinrud PhD, National Advisory Unit on Rehabilitation in Rheumatology, Diakonhjemmet hospital; M.W. Johansen, MSc, the Department of physiotherapy, Martina Hansens Hospital, E. Pedersen, PT, the Department of physiotherapy, University Hospital of North Norway, O.M. Wold, MSc, Department of Coaching and Psychology, Norwegian School of Sport Sciences; The Norwegian Rheumatology Association, Norway; A. Bilberg, and the Institute of Neuroscience and Physiology, Section of Health and Rehabilitation, Physiotherapy, Sahlgrenska Academy, University of Gothenburg. Address correspondence to Silje Halvorsen Sveaas, National Advisory Unit on Rehabilitation in Rheumatology, Department of Rheumatology, Diakonhjemmet Hospital, PO BOX 23 Vinderen,0319 Oslo, Norway. Tel: +4799648102, e-mail address: s.h.sveaas@medisin.uio.no
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Abstract

Objective To explore long-term effect of a 3-month exercise programme on leisure time physical activity level in individuals with axial spondyloarthritis (axSpA).

Methods A secondary analysis was performed on data from 100 individuals with axSpA who were included in a randomized controlled trial. The exercise group (EG) participated in a 3-month exercise programme while the control group (CG) received no intervention. Physical activity during leisure time was measured with a questionnaire (physically active = ≥1 hour/week with moderate/vigorous intensity physical activity). Disease activity was measured with the Ankylosing Spondylitis Disease Activity Scale (ASDAS, higher score=worst). Statistical analyses were performed on an intention to treat basis using chi-square tests, logistic regression and mixed models. Clinical Trials.gov (NCT02356874).

Results At 12-month follow-up, significantly more individuals in the EG than in the CG were physically active (29 [67%] vs. 13 [30%], p<0.001) and exercised 2-3/week (25 [58%] vs. 15 [34%], p=0.02), and fewer exercised at light intensity (3 [8%] vs. 14 [44%], p=0.002). “Participation in the EG” (Odds ratio [OR] 6.7 [95%CI: 2.4, 18.6], <0.001) and “being physically active at baseline” (OR 4.7 [95%CI: 1.4, 15.8], p=0.01) were the factors most associated with being physically active. There were no differences between the groups in ASDAS (p=0.79).

Conclusion A 3-month exercise programme had a beneficial long-term effect on leisure time physical activity in individuals with axSpA, thus indicating a more beneficial health profile. Still, few individuals continued the intensive programme, and there was no difference between the groups in disease activity after 12 months.

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The Journal of Rheumatology
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1 Apr 2021
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Accepted manuscript
Beneficial long-term effect on leisure time physical activity level in individuals with axial spondyloarthritis: secondary analysis of a randomized controlled trial
Silje Halvorsen Sveaas, Hanne Dagfinrud, Melissa Woll Johansen, Elisabeth Pedersen, Ole-Martin Wold Annelie Bilberg
The Journal of Rheumatology Nov 2019, jrheum.190317; DOI: 10.3899/jrheum.190317

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Accepted manuscript
Beneficial long-term effect on leisure time physical activity level in individuals with axial spondyloarthritis: secondary analysis of a randomized controlled trial
Silje Halvorsen Sveaas, Hanne Dagfinrud, Melissa Woll Johansen, Elisabeth Pedersen, Ole-Martin Wold Annelie Bilberg
The Journal of Rheumatology Nov 2019, jrheum.190317; DOI: 10.3899/jrheum.190317
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