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. 2023 Jan 18;12(3):771.
doi: 10.3390/jcm12030771.

Physical Activity Influences Health-Related Quality of Life in Adults with Juvenile Idiopathic Arthritis

Rodrigo Joel de Oliveira  1 , Ana Carolina Londe  1 , Débora Pessoa de Souza  1 , Roberto Marini  2 , Paula Teixeira Fernandes  3 , Simone Appenzeller  4
Affiliations

Physical Activity Influences Health-Related Quality of Life in Adults with Juvenile Idiopathic Arthritis

Rodrigo Joel de Oliveira et al. J Clin Med. .

Abstract

This cross-sectional study aimed to evaluate the impact of physical activity and physical fitness on the health-related quality of life (HQoL) of adult patients with Juvenile Idiopathic Arthritis (JIA). Fifty-nine JIA patients and sixty healthy individuals participated in this study. All individuals had the following evaluations performed: body composition (electrical bioimpedance), physical fitness (6 min walk test (6MWT)), physical activity level (International Physical Activity Questionnaire (IPAQ)), and HQoL (Quality of Life Questionnaire in relation to Health-Short Form (SF36)). Thirty-nine (66%) JIA patients were considered sedentary compared with 15 (25%) in the control group (p < 0.01). JIA patients had a lower HQoL compared with the control group in all variables studied (p < 0.05). JIA patients who were very physically active had better HQoL conditions in the categories of functional capacity (p = 0.001), limitations by physical aspects (p = 0.003), and emotional aspects (p = 0.002) compared with sedentary patients. JIA patients had more cardiovascular abnormalities and walked shorter distances compared with healthy controls in the 6MWT. In conclusion, we observed that HQoL was reduced in adults with JIA. A high percentage of JIA patients were sedentary with lower physical fitness, but physically active patients had a better HQoL than sedentary patients. The duration of physical activity, rather than intensity, influenced the mental aspects of HQoL.

Keywords: Juvenile Idiopathic Arthritis; physical activity; quality of life; sedentary lifestyle; sport psychology.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
(A). Comparison between the SF36 values of JIA patients and the control group. Significant differences were found in all domains (p < 0.001 for all analyses except bodily pain (p = 0.003) and social role (p = 0.015)). (B): JIA. Comparison between the mean values of the SF36 variables of each classification element of the physical activity level according to the IPAQ. (C): Controls. Comparison between the mean values of the SF36 variables of each classification element of the physical activity level, according to IPAQ.
Figure 1
Figure 1
(A). Comparison between the SF36 values of JIA patients and the control group. Significant differences were found in all domains (p < 0.001 for all analyses except bodily pain (p = 0.003) and social role (p = 0.015)). (B): JIA. Comparison between the mean values of the SF36 variables of each classification element of the physical activity level according to the IPAQ. (C): Controls. Comparison between the mean values of the SF36 variables of each classification element of the physical activity level, according to IPAQ.
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