The effects of race/ethnicity and physician recommendation for physical activity on physical activity levels and arthritis symptoms among adults with arthritis.
The effects of race/ethnicity and physician recommendation for physical activity on physical activity levels and arthritis symptoms among adults with arthritis.
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DOI：
10.1186/s12889-021-11570-6
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发表时间：
2021-08-18
影响因子：
4.5
通讯作者：
Nápoles AM
中科院分区：
文献类型：
--
作者：
Huckleby J;Williams F;Ramos R;Nápoles AM
在患有医生诊断的关节炎的美国成年人中，我们研究了 1) 参与者种族/民族与满足身体活动指南和关节炎症状的关联，2) 收到医生运动建议与身体活动水平和关节炎症状的关联，以及种族/民族是否调节这些关联。国家健康访谈调查的回顾性横断面研究汇集了 2002 年、2006 年、2009 年和 2014 年 27,887 名年龄≥18 岁患有关节炎的美国成年人的数据。结果满足有氧运动（是/否）和强化指南（是/否）、关节炎相关活动限制（是/否）和关节炎相关疼痛（0-10；得分越高=越疼痛）。预测因素包括种族/民族（白人、非裔美国人、拉丁裔和亚洲人）以及医生是否建议锻炼（是/否）。协变量包括人口和健康特征。调整协变量后，与白人相比，非洲裔美国人更有可能（AOR = 1.27；95% CI 1.12, 1.43）和亚洲人（AOR = 0.75；95% CI 0.61, 0.92）满足肌肉强化活动指南。与白人相比，非裔美国人 (B = 0.48; 95% CI 0.24, 0.72) 和拉丁裔 (B = 0.44; 95% CI 0.15, 0.72) 报告的病情更严重，而亚洲人报告的病情较轻 (B = -0.68; 95% CI -1.22, - 0.14)关节疼痛。控制协变量后，医生运动推荐与满足有氧运动 (AOR = 1.20; 95% CI 1.11, 1.30) 和力量训练 (AOR = 1.21; 95% CI 1.11, 1.33) 指南相关，无论种族/民族，除了与满足力量训练指南存在弱负相关外(AOR = 0.85；CI 0.74–0.99) 拉丁裔。患有关节炎的非裔美国人和拉丁裔美国人的疼痛程度存在差异。对于关节炎患者来说，医生的运动建议对于减轻症状负担至关重要。
Among U.S. adults with physician-diagnosed arthritis, we examined the association of 1) participant race/ethnicity with meeting physical activity guidelines and arthritis symptoms, and 2) the association of receipt of a physician exercise recommendation with physical activity levels and arthritis symptoms, and whether race/ethnicity moderates these associations. Retrospective, cross-sectional study of National Health Interview Survey pooled data from 2002, 2006, 2009, and 2014 from 27,887 U.S. adults aged ≥18 years with arthritis. Outcomes were meeting aerobic (yes/no) and strengthening guidelines (yes/no), arthritis-associated activity limitations (yes/no) and arthritis-related pain (0–10; higher score = more pain). Predictors were race/ethnicity (White, African American, Latino, and Asian) and receipt of physician recommendation for exercise (yes/no). Covariates included demographic and health characteristics. Adjusting for covariates, African Americans were more likely (AOR = 1.27; 95% CI 1.12, 1.43) and Asians were less likely (AOR = 0.75; 95% CI 0.61, 0.92) than Whites to meet muscle strengthening activity guidelines. Compared to Whites, African Americans (B = 0.48; 95% CI 0.24, 0.72) and Latinos (B = 0.44; 95% CI 0.15, 0.72) reported more severe, while Asians reported less severe (B = -0.68; 95% CI -1.22, − 0.14) joint pain. Controlling for covariates, physician exercise recommendation was associated with meeting aerobic (AOR = 1.20; 95% CI 1.11, 1.30) and strengthening (AOR = 1.21; 95% CI 1.11, 1.33) guidelines, regardless of race/ethnicity except for a weak negative association with meeting strengthening guidelines (AOR = 0.85; CI 0.74–0.99) among Latinos. Disparities in pain exist for African Americans and Latinos with arthritis. Physician exercise recommendation is critical among patients with arthritis to relieve symptom burden.
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DOI：
10.1016/j.berh.2015.04.022
发表时间：
2015-02
期刊：
Best practice & research. Clinical rheumatology
影响因子：
--
作者：
Ambrose KR;Golightly YM
通讯作者：
Golightly YM
影响因子：
5.5
作者：
Austin, Shamly;Qu, Haiyan;Shewchuk, Richard M.
通讯作者：
Shewchuk, Richard M.
影响因子：
13.3
作者：
Juhl, C.;Christensen, R.;Lund, H.
通讯作者：
Lund, H.
DOI：
10.1155/2018/2807035
发表时间：
2018
期刊：
Arthritis
影响因子：
--
作者：
Austin S;Saag KG;Pisu M
通讯作者：
Pisu M
DOI：
10.1002/art.10911
发表时间：
2003-02-15
期刊：
ARTHRITIS & RHEUMATISM-ARTHRITIS CARE & RESEARCH
影响因子：
--
作者：
Hootman, JM;Macera, CA;Sniezek, JE
通讯作者：
Sniezek, JE