학술논문
Physical Activity and Perceptions of Exercise in Patients with Spondylarthritis: A Cross-Sectional Study/Spondiloartrit Hastalarinin Fizik Aktivitesi ve Egzersiz Algisi: Kesitsel Bir Calisma
Original Article
Original Article
Document Type
Report
Source
Bezmialem Science. January 2023, Vol. 11 Issue 1, p85, 8 p.
Subject
Language
English
Abstract
Introduction Spondyloarthritis (SpA) is a family of several inflammatory rheumatic diseases. The prototypic and most studied subtype is ankylosing spondylitis (AS). Spinal (axial) features, peripheral arthritis, enthesopathy, and extra-articular features [...]
Objective: Exercise is a cornerstone in the management of spondyloarthritis (SpA). The aim of this research was to compare the levels of physical activity (PA) and perceived advantages and barriers to exercise of SpA patients with population controls. Methods: In this cross-sectional study 200 patients (118 males, 82 females) and 100 controls (50 males, 50 females) were included. Levels of PA were evaluated using the International Physical Activity Questionnaire-Short Form and perceptions of exercise were assessed using Exercise Benefits and Barriers Scale. Fatigue, psychological status and quality of life of all participants were questioned. Disease activity, functions and mobility of the patients were also assessed. Correlations were analyzed between disease parameters and perceptions of exercise. Results: PA levels were similar on both groups. Of the patients 65% met recommended amount of exercise. Deterioration of psychological status and quality of life were associated with decreased PA levels of the patients. Patients reported fatigue and lack of time barriers more than controls. When disease activity, functionality, mobility, fatigue, psychological status and quality of life of the patients deteriorated, perceived barriers to exercise increased. Conclusion: Health professionals should focus on personal barriers to improve exercise behavior in SpA patients. Keywords: Spondyloarthritis, physical activity, exercise, motivation Amac: Egzersiz spondiloartritlerin (SpA) yonetiminde bir kose tasidir. Bu arastirmanin amaci, SpA hastalarinin fiziksel aktivite (PA) duzeylerini ve egzersizden algilanan avantajlari ve engelleri populasyon kontrolleriyle karsilastirmaktir. Yontemler: Bu kesitsel calismaya 200 hasta (118 erkek, 82 kadin) ve 100 kontrol (50 erkek, 50 kadin) dahil edildi. PA seviyeleri Uluslararasi Fiziksel Aktivite Anketi-Kisa Form ile degerlendirildi ve egzersiz algilari Egzersiz Faydalari ve Engeller Olcegi ile degerlendirildi. Tum katilimcilarin yorgunlugu, psikolojik durumu ve yasam kalitesi sorgulandi. Hastalarin hastalik aktivitesi, fonksiyonlari ve mobilitesi de degerlendirildi. Hastalik parametreleri ve egzersiz algilari arasindaki korelasyonlar incelendi. Bulgular: PA seviyeleri her iki grupta da benzerdi. Hastalarin %65'i tavsiye edilen egzersiz miktarini karsiladi. Psikolojik durumun ve yasam kalitesinin bozulmasi, hastalarin PA duzeylerinin azalmasi ile iliskiliydi. Hastalar yorgunluk ve zaman yoklugu bariyerini kontrollere gore daha fazla bildirdi. Hastalarin hastalik aktivitesi, islevselligi, hareketliligi, yorgunlugu, psikolojik durumu ve yasam kalitesi kotulestiginde, egzersizin onundeki algilanan engeller artti. Sonuc: Saglik calisanlari, SpA hastalarinda egzersiz davranisini iyilestirmek icin algilanan kisisel engellere odaklanmalidir. Anahtar Kelimeler: Spondiloartritler, fiziksel aktivite, egzersiz, motivasyon
Objective: Exercise is a cornerstone in the management of spondyloarthritis (SpA). The aim of this research was to compare the levels of physical activity (PA) and perceived advantages and barriers to exercise of SpA patients with population controls. Methods: In this cross-sectional study 200 patients (118 males, 82 females) and 100 controls (50 males, 50 females) were included. Levels of PA were evaluated using the International Physical Activity Questionnaire-Short Form and perceptions of exercise were assessed using Exercise Benefits and Barriers Scale. Fatigue, psychological status and quality of life of all participants were questioned. Disease activity, functions and mobility of the patients were also assessed. Correlations were analyzed between disease parameters and perceptions of exercise. Results: PA levels were similar on both groups. Of the patients 65% met recommended amount of exercise. Deterioration of psychological status and quality of life were associated with decreased PA levels of the patients. Patients reported fatigue and lack of time barriers more than controls. When disease activity, functionality, mobility, fatigue, psychological status and quality of life of the patients deteriorated, perceived barriers to exercise increased. Conclusion: Health professionals should focus on personal barriers to improve exercise behavior in SpA patients. Keywords: Spondyloarthritis, physical activity, exercise, motivation Amac: Egzersiz spondiloartritlerin (SpA) yonetiminde bir kose tasidir. Bu arastirmanin amaci, SpA hastalarinin fiziksel aktivite (PA) duzeylerini ve egzersizden algilanan avantajlari ve engelleri populasyon kontrolleriyle karsilastirmaktir. Yontemler: Bu kesitsel calismaya 200 hasta (118 erkek, 82 kadin) ve 100 kontrol (50 erkek, 50 kadin) dahil edildi. PA seviyeleri Uluslararasi Fiziksel Aktivite Anketi-Kisa Form ile degerlendirildi ve egzersiz algilari Egzersiz Faydalari ve Engeller Olcegi ile degerlendirildi. Tum katilimcilarin yorgunlugu, psikolojik durumu ve yasam kalitesi sorgulandi. Hastalarin hastalik aktivitesi, fonksiyonlari ve mobilitesi de degerlendirildi. Hastalik parametreleri ve egzersiz algilari arasindaki korelasyonlar incelendi. Bulgular: PA seviyeleri her iki grupta da benzerdi. Hastalarin %65'i tavsiye edilen egzersiz miktarini karsiladi. Psikolojik durumun ve yasam kalitesinin bozulmasi, hastalarin PA duzeylerinin azalmasi ile iliskiliydi. Hastalar yorgunluk ve zaman yoklugu bariyerini kontrollere gore daha fazla bildirdi. Hastalarin hastalik aktivitesi, islevselligi, hareketliligi, yorgunlugu, psikolojik durumu ve yasam kalitesi kotulestiginde, egzersizin onundeki algilanan engeller artti. Sonuc: Saglik calisanlari, SpA hastalarinda egzersiz davranisini iyilestirmek icin algilanan kisisel engellere odaklanmalidir. Anahtar Kelimeler: Spondiloartritler, fiziksel aktivite, egzersiz, motivasyon