Physical Activity Patterns in People With Inflammatory Arthritis Indicate They Have not Received Recommendation-Based Guidance From Health Care Providers.
Physical Activity Patterns in People With Inflammatory Arthritis Indicate They Have not Received Recommendation-Based Guidance From Health Care Providers.
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DOI：
10.1002/acr2.11183
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发表时间：
2020-10
影响因子：
3.4
通讯作者：
Baker JF
中科院分区：
文献类型：
--
作者：
Freid LM;Ogdie A;Baker JF
本研究的目的是描述炎症性关节炎（IA）患者在四个推荐领域（有氧，阻力，柔韧性，平衡）的运动模式，确定运动障碍和促进因素，并探讨患者与风湿病提供者关于运动的互动的看法。IA患者在一个单一的学术医疗中心被邀请完成一项关于运动的调查。患者在预约前进行纸质调查，或通过电子健康记录进行基于网络的研究，如果他们在过去一年内在实践中被发现。受访者报告最低限度的有氧运动加上至少一个其他领域被归类为“积极”，其余为“不积极”。对两组的调查结果进行了比较。在受邀的1113人中，108人完成了调查。其中，60例（56%）报告有氧运动，44例（41%）报告柔韧性，42例（39%）报告阻力，18例（17%）报告平衡。43例（40%）被归类为活性，65例（60%）为非活性。活动组的体重指数较低，报告的疾病活动度较低，合并症较少。活跃的患者报告了更多的自我效能，优先锻炼，改善能量，锻炼以控制体重，以及在关节炎诊断前锻炼（所有P < .05）。不活动组将经济状况、疼痛、疲劳和可能恶化的关节炎列为障碍（所有P <0.05）。大多数人都知道锻炼的好处。很少有人认为，演习的建议是由他们的供应商。大约一半的患者报告定期有氧运动;很少定期从事其他类型的体力活动。患者并不认为他们已经从提供者那里得到了锻炼指导，这意味着有机会进行更多的规范性锻炼讨论。
Objectives of this study were to describe exercise patterns among patients with inflammatory arthritis (IA) in four recommended domains (Aerobic, Resistance, Flexibility, Balance), identify exercise barriers and facilitators, and explore patients’ perceptions of interactions with rheumatology providers about exercise. Patients with IA at a single academic medical center were invited to complete a survey about exercise. Patients were recruited for a paper‐based survey prior to appointments or a web‐based study through the electronic health record if they had been seen in the practice within the past year. Respondents reporting minimum aerobic exercise plus at least one other domain were categorized as “Active,” and the remaining as “Inactive.” Survey responses were compared between groups. Of 1113 invited, 108 completed the survey. Among these, 60 (56%) reported aerobic exercise, 44 (41%) flexibility, 42 (39%) resistance, and 18 (17%) balance. Forty‐three (40%) were categorized as active, 65 (60%) inactive. The active group had lower body mass index, lower reported disease activity, and fewer comorbidities. Active patients reported more self‐efficacy, prioritized exercise, improved energy, exercising for weight control, and exercise before arthritis diagnosis (all P < .05). The inactive group cited finances, pain, fatigue, and potentially worsening arthritis as barriers (all P < .05). Most understood the benefits of exercise. Few perceived that exercise recommendations were addressed by their providers. Approximately half of patients reported regular aerobic exercise; fewer regularly engaged in other types of physical activity. Patients do not perceive they have received exercise guidance from providers, which suggests an opportunity for more prescriptive exercise discussions.
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影响因子：
3.1
作者：
Powell, Kenneth E.;King, Abby C.;Whitt-Glover, Melicia C.
通讯作者：
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影响因子：
4.7
作者：
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通讯作者：
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影响因子：
33.7
作者：
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通讯作者：
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影响因子：
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通讯作者：
Olson, Richard D.
影响因子：
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作者：
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通讯作者：
van Bodegom-Vos, Leti