Physical activity and physical activity cognitions are potential factors maintaining fatigue in patients with primary Sjögren's syndrome

Background Fatigue is a prevalent and debilitating problem in Sjögren's syndrome. It has been suggested that physical activity and cognitions about physical activity can influence fatigue. Objective The aim of this study was to examine fatigue and physical activity levels in patients with Sjögr...

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Veröffentlicht in:Annals of the rheumatic diseases 2012-05, Vol.71 (5), p.668-673
Hauptverfasser: Wouters, Eveline JM, van Leeuwen, Ninke, Bossema, Ercolie R, Kruize, Aike A, Bootsma, Hendrika, Bijlsma, Johannes WJ, Geenen, Rinie
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container_end_page 673
container_issue 5
container_start_page 668
container_title Annals of the rheumatic diseases
container_volume 71
creator Wouters, Eveline JM
van Leeuwen, Ninke
Bossema, Ercolie R
Kruize, Aike A
Bootsma, Hendrika
Bijlsma, Johannes WJ
Geenen, Rinie
description Background Fatigue is a prevalent and debilitating problem in Sjögren's syndrome. It has been suggested that physical activity and cognitions about physical activity can influence fatigue. Objective The aim of this study was to examine fatigue and physical activity levels in patients with Sjögren's syndrome and the associations of physical activity and physical activity cognitions with fatigue. Methods In 300 patients with primary Sjögren's syndrome and 100 demographically matched people from the general population (mean age 57 years, 93% female), fatigue (five dimensions of the multidimensional fatigue inventory) and physical activity (three dimensions of the international physical activity questionnaire) were assessed. The physical activity cognitions ‘activity avoidance’ and ‘somatic focus’ of the Tampa scale of kinesiophobia were assessed in the Sjögren's group only. Results Sjögren's patients had higher scores on all five fatigue dimensions (p
doi_str_mv 10.1136/ard.2011.154245
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It has been suggested that physical activity and cognitions about physical activity can influence fatigue. Objective The aim of this study was to examine fatigue and physical activity levels in patients with Sjögren's syndrome and the associations of physical activity and physical activity cognitions with fatigue. Methods In 300 patients with primary Sjögren's syndrome and 100 demographically matched people from the general population (mean age 57 years, 93% female), fatigue (five dimensions of the multidimensional fatigue inventory) and physical activity (three dimensions of the international physical activity questionnaire) were assessed. The physical activity cognitions ‘activity avoidance’ and ‘somatic focus’ of the Tampa scale of kinesiophobia were assessed in the Sjögren's group only. Results Sjögren's patients had higher scores on all five fatigue dimensions (p&lt;0.001) and lower scores on moderate and vigorous intensity activity (p≤0.001) compared with control participants. In the Sjögren's group, lower physical activity and higher activity avoidance and somatic focus were associated with more severe fatigue on most fatigue dimensions. For general fatigue and physical fatigue, especially the combination of low physical activity and high activity avoidance was associated with more severe fatigue (p&lt;0.05). Conclusions The results suggest that fatigue in patients with Sjögren's syndrome might be reduced by targeting both physical activity and physical activity cognitions. This suggestion requires verification in clinical experimental studies.</description><identifier>ISSN: 0003-4967</identifier><identifier>EISSN: 1468-2060</identifier><identifier>DOI: 10.1136/ard.2011.154245</identifier><identifier>PMID: 22121127</identifier><identifier>CODEN: ARDIAO</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd and European League Against Rheumatism</publisher><subject>Biological and medical sciences ; Chronic fatigue syndrome ; Chronic illnesses ; Cognition - physiology ; Diseases of the osteoarticular system ; Exercise ; Female ; Humans ; Male ; Medical sciences ; Mental Fatigue - etiology ; Mental Fatigue - physiopathology ; Mental Fatigue - psychology ; Middle Aged ; Motor Activity - physiology ; Psychomotor Performance - physiology ; Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis ; Sjogren's Syndrome - complications ; Sjogren's Syndrome - physiopathology ; Sjogren's Syndrome - psychology ; Socioeconomic factors ; Surveys and Questionnaires</subject><ispartof>Annals of the rheumatic diseases, 2012-05, Vol.71 (5), p.668-673</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><rights>2015 INIST-CNRS</rights><rights>Copyright: 2012 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b427t-f47690028fba1af24c9bcc14808611f855016d5bb7bebc03b3e1cfe418d86c5c3</citedby><cites>FETCH-LOGICAL-b427t-f47690028fba1af24c9bcc14808611f855016d5bb7bebc03b3e1cfe418d86c5c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://ard.bmj.com/content/71/5/668.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://ard.bmj.com/content/71/5/668.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,776,780,3182,23551,27903,27904,77346,77377</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=26121593$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22121127$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wouters, Eveline JM</creatorcontrib><creatorcontrib>van Leeuwen, Ninke</creatorcontrib><creatorcontrib>Bossema, Ercolie R</creatorcontrib><creatorcontrib>Kruize, Aike A</creatorcontrib><creatorcontrib>Bootsma, Hendrika</creatorcontrib><creatorcontrib>Bijlsma, Johannes WJ</creatorcontrib><creatorcontrib>Geenen, Rinie</creatorcontrib><title>Physical activity and physical activity cognitions are potential factors maintaining fatigue in patients with primary Sjögren's syndrome</title><title>Annals of the rheumatic diseases</title><addtitle>Ann Rheum Dis</addtitle><description>Background Fatigue is a prevalent and debilitating problem in Sjögren's syndrome. It has been suggested that physical activity and cognitions about physical activity can influence fatigue. Objective The aim of this study was to examine fatigue and physical activity levels in patients with Sjögren's syndrome and the associations of physical activity and physical activity cognitions with fatigue. Methods In 300 patients with primary Sjögren's syndrome and 100 demographically matched people from the general population (mean age 57 years, 93% female), fatigue (five dimensions of the multidimensional fatigue inventory) and physical activity (three dimensions of the international physical activity questionnaire) were assessed. The physical activity cognitions ‘activity avoidance’ and ‘somatic focus’ of the Tampa scale of kinesiophobia were assessed in the Sjögren's group only. Results Sjögren's patients had higher scores on all five fatigue dimensions (p&lt;0.001) and lower scores on moderate and vigorous intensity activity (p≤0.001) compared with control participants. In the Sjögren's group, lower physical activity and higher activity avoidance and somatic focus were associated with more severe fatigue on most fatigue dimensions. For general fatigue and physical fatigue, especially the combination of low physical activity and high activity avoidance was associated with more severe fatigue (p&lt;0.05). Conclusions The results suggest that fatigue in patients with Sjögren's syndrome might be reduced by targeting both physical activity and physical activity cognitions. This suggestion requires verification in clinical experimental studies.</description><subject>Biological and medical sciences</subject><subject>Chronic fatigue syndrome</subject><subject>Chronic illnesses</subject><subject>Cognition - physiology</subject><subject>Diseases of the osteoarticular system</subject><subject>Exercise</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental Fatigue - etiology</subject><subject>Mental Fatigue - physiopathology</subject><subject>Mental Fatigue - psychology</subject><subject>Middle Aged</subject><subject>Motor Activity - physiology</subject><subject>Psychomotor Performance - physiology</subject><subject>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</subject><subject>Sjogren's Syndrome - complications</subject><subject>Sjogren's Syndrome - physiopathology</subject><subject>Sjogren's Syndrome - psychology</subject><subject>Socioeconomic factors</subject><subject>Surveys and Questionnaires</subject><issn>0003-4967</issn><issn>1468-2060</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqF0d1qFDEUB_AgFrtWr72TgEihMNucTCaTuZTF2kJRoVW8C0kms826kxmTjLqP4Av1BXwxU2atoBdehHz9cjjhj9AzIEuAkp-q0C4pAVhCxSirHqAFMC4KSjh5iBaEkLJgDa8P0eMYN3lLBIhH6JBSoAC0XqAf72920Rm1xcok99WlHVa-xeM_p2ZYe5fc4CNWweJxSNYnl0WXyRAi7pXzKQ_n1_ksufVksfN4zMssI_7m0g0eg-tV2OGrzc_bdbD-OOK4820YevsEHXRqG-3T_XyEPpy9vl6dF5fv3lysXl0WmtE6FR2reUMIFZ1WoDrKTKONASaI4ACdqCoCvK20rrXVhpS6tGA6y0C0gpvKlEfoeK47huHLZGOSvYvGbrfK22GKsmnKBgB4neWLv-RmmILPzUmoa0E4bYBmdTorE4YYg-3k_pMSiLwLSeaQ5F1Icg4pv3i-rzvp3rb3_ncqGbzcAxVzCF1Q3rj4x_HsqqbMrpidi8l-v79X4bPM7deVfPtxJa_Z-acr2pxJyP5k9rrf_LfLX7X2uZc</recordid><startdate>20120501</startdate><enddate>20120501</enddate><creator>Wouters, Eveline JM</creator><creator>van Leeuwen, Ninke</creator><creator>Bossema, Ercolie R</creator><creator>Kruize, Aike A</creator><creator>Bootsma, Hendrika</creator><creator>Bijlsma, Johannes WJ</creator><creator>Geenen, Rinie</creator><general>BMJ Publishing Group Ltd and European League Against Rheumatism</general><general>BMJ Publishing Group</general><general>Elsevier Limited</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>LK8</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20120501</creationdate><title>Physical activity and physical activity cognitions are potential factors maintaining fatigue in patients with primary Sjögren's syndrome</title><author>Wouters, Eveline JM ; van Leeuwen, Ninke ; Bossema, Ercolie R ; Kruize, Aike A ; Bootsma, Hendrika ; Bijlsma, Johannes WJ ; Geenen, Rinie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b427t-f47690028fba1af24c9bcc14808611f855016d5bb7bebc03b3e1cfe418d86c5c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Biological and medical sciences</topic><topic>Chronic fatigue syndrome</topic><topic>Chronic illnesses</topic><topic>Cognition - physiology</topic><topic>Diseases of the osteoarticular system</topic><topic>Exercise</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental Fatigue - etiology</topic><topic>Mental Fatigue - physiopathology</topic><topic>Mental Fatigue - psychology</topic><topic>Middle Aged</topic><topic>Motor Activity - physiology</topic><topic>Psychomotor Performance - physiology</topic><topic>Sarcoidosis. 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It has been suggested that physical activity and cognitions about physical activity can influence fatigue. Objective The aim of this study was to examine fatigue and physical activity levels in patients with Sjögren's syndrome and the associations of physical activity and physical activity cognitions with fatigue. Methods In 300 patients with primary Sjögren's syndrome and 100 demographically matched people from the general population (mean age 57 years, 93% female), fatigue (five dimensions of the multidimensional fatigue inventory) and physical activity (three dimensions of the international physical activity questionnaire) were assessed. The physical activity cognitions ‘activity avoidance’ and ‘somatic focus’ of the Tampa scale of kinesiophobia were assessed in the Sjögren's group only. Results Sjögren's patients had higher scores on all five fatigue dimensions (p&lt;0.001) and lower scores on moderate and vigorous intensity activity (p≤0.001) compared with control participants. In the Sjögren's group, lower physical activity and higher activity avoidance and somatic focus were associated with more severe fatigue on most fatigue dimensions. For general fatigue and physical fatigue, especially the combination of low physical activity and high activity avoidance was associated with more severe fatigue (p&lt;0.05). Conclusions The results suggest that fatigue in patients with Sjögren's syndrome might be reduced by targeting both physical activity and physical activity cognitions. This suggestion requires verification in clinical experimental studies.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd and European League Against Rheumatism</pub><pmid>22121127</pmid><doi>10.1136/ard.2011.154245</doi><tpages>6</tpages></addata></record>
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subjects Biological and medical sciences
Chronic fatigue syndrome
Chronic illnesses
Cognition - physiology
Diseases of the osteoarticular system
Exercise
Female
Humans
Male
Medical sciences
Mental Fatigue - etiology
Mental Fatigue - physiopathology
Mental Fatigue - psychology
Middle Aged
Motor Activity - physiology
Psychomotor Performance - physiology
Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis
Sjogren's Syndrome - complications
Sjogren's Syndrome - physiopathology
Sjogren's Syndrome - psychology
Socioeconomic factors
Surveys and Questionnaires
title Physical activity and physical activity cognitions are potential factors maintaining fatigue in patients with primary Sjögren's syndrome
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