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Randomized Controlled Trial
. 2012 Apr;64(4):488-93.
doi: 10.1002/acr.21582.

Public health impact of risk factors for physical inactivity in adults with rheumatoid arthritis

Jungwha Lee  1 , Dorothy Dunlop, Linda Ehrlich-Jones, Pamela Semanik, Jing Song, Larry Manheim, Rowland W Chang
Affiliations
Randomized Controlled Trial

Public health impact of risk factors for physical inactivity in adults with rheumatoid arthritis

Jungwha Lee et al. Arthritis Care Res (Hoboken). 2012 Apr.

Abstract

Objective: To investigate the potential public health impact of modifiable risk factors related to physical inactivity in adults with rheumatoid arthritis (RA).

Methods: A cross-sectional study used baseline data from 176 adults with RA enrolled in a randomized controlled trial assessing the effectiveness of an intervention to promote physical activity. Accelerometer data were assessed for inactivity (i.e., no sustained 10-minute periods of moderate to vigorous intensity physical activity during a week's surveillance). The relationships between modifiable risk factors (motivation for physical activity, beliefs related to physical activity, obesity, pain, and mental health) and inactivity were assessed using odds ratios (ORs) and attributable fractions (AFs), controlling for descriptive factors (age, sex, race, education, disease duration, and comorbidity).

Results: More than 2 in 5 adults (42%) with RA were inactive. Factors most strongly related to inactivity were lack of strong motivation for physical activity (adjusted OR 2.85; 95% confidence interval [95% CI] 1.31, 6.20 and adjusted AF 53.1%; 95% CI 21.7, 74.6) and lack of strong beliefs related to physical activity (OR 2.47; 95% CI 1.10, 5.56 and AF 49.2%; 95% CI 7.0, 76.4). Together, these 2 factors are related to almost 65% excess inactivity in this sample.

Conclusion: These results support the development of interventions that increase motivation for physical activity and that lead to stronger beliefs related to physical activity's benefits, and should be considered in public health initiatives to reduce the prevalence of physical inactivity in adults with RA.

Trial registration: ClinicalTrials.gov NCT00248105.

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References

    1. Arnett FC, Edworthy SM, Bloch DA, et al. The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum. 1988;31(3):315–24. - PubMed
    1. Guidelines for the management of rheumatoid arthritis. American College of Rheumatology Ad Hoc Committee on Clinical Guidelines. Arthritis Rheum. 1996;39(5):713–22. - PubMed
    1. Minor MA. Exercise in the treatment of osteoarthritis. Rheumatic Diseases Clinics of North America. 1999;25(2):397–415. viii. - PubMed
    1. Minor MA, Lane NE. Recreational exercise in arthritis. Rheumatic Diseases Clinics of North America. 1996;22(3):563–577. - PubMed
    1. Ehrlich-Jones L, Mallinson T, Fischer H, Bateman J, Semanik PA, Spring B, Ruderman E, Chang RW. Increasing physical activity in patients with arthritis: a tailored health promotion program. Chronic Illness. 2010;6(6):272–281. - PMC - PubMed

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