Pain rather than self-reported sedentary time explains variation in perceived health and activity limitation in persons with rheumatoid arthritis: a cross sectional study in Sweden
To investigate (1) the amount of self-reported time spent sedentary among a large cohort of persons with rheumatoid arthritis (RA), and (2) the contribution of sedentary time to explain perceived health and activity limitation in RA beyond that of previously known correlates. This cross-sectional st...
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| Veröffentlicht in: | Rheumatology international 2017-06, Vol.37 (6), p.923-930 |
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| creator | Demmelmaier, Ingrid Åsenlöf, Pernilla Bergman, Patrick Nordgren, Birgitta Opava, Christina H. |
| description | To investigate (1) the amount of self-reported time spent sedentary among a large cohort of persons with rheumatoid arthritis (RA), and (2) the contribution of sedentary time to explain perceived health and activity limitation in RA beyond that of previously known correlates. This cross-sectional study used data from a postal questionnaire and the Swedish Rheumatology Quality registers (SRQ). The International Physical Activity Questionnaire was used to assess sedentary time (sitting) and moderate, vigorous and walking activity (MVPA). Sociodemographics, pain, fatigue, fear-avoidance beliefs, anxiety/depression, disease duration, MVPA and sedentary time were included in multiple regression models with perceived health (Visual Analogue Scale 0–100) and activity limitation (Stanford Health Assessment Questionnaire) as dependent variables. Results: In all 3152 (59%) of 5391 persons identified as eligible from the SRQ, responded to the questionnaire. 2819 individuals with complete data on all study variables were analysed. Mean time (SD) spent sedentary was 257 (213) minutes per day. Sedentary time did not contribute significantly to explain perceived health and only minimally to explain activity limitation. Instead, variation was mainly explained by pain; for perceived health (Beta = 0.780,
p
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| doi_str_mv | 10.1007/s00296-016-3641-x |
| format | Article |
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p
< 0.001) and for activity limitation (Beta = 0.445,
p
< 0.001).The results indicate a non-significant role of sedentary time and a need for increased focus on pain in the management of RA. Future studies should use prospective designs and objective assessment methods to further investigate the associations between sedentary time and health outcomes in persons with RA.</description><identifier>ISSN: 0172-8172</identifier><identifier>ISSN: 1437-160X</identifier><identifier>EISSN: 1437-160X</identifier><identifier>DOI: 10.1007/s00296-016-3641-x</identifier><identifier>PMID: 28124094</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aged ; Arthralgia - diagnosis ; Arthralgia - physiopathology ; Arthralgia - psychology ; Arthritis, Rheumatoid - diagnosis ; Arthritis, Rheumatoid - physiopathology ; Arthritis, Rheumatoid - psychology ; Cost of Illness ; Cross-Sectional Studies ; Disability ; Female ; Food for Thought ; Health ; Health Status ; Humans ; Idrottsvetenskap ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Mobility Limitation ; Multiple regression ; Pain ; Pain Measurement ; Questionnaires ; Registries ; Rheumatoid arthritis ; Rheumatology ; Risk Factors ; Sedentary Behavior ; Sedentary time ; Self Report ; Sitting ; Sport Science ; Surveys and Questionnaires ; Sweden ; Time Factors</subject><ispartof>Rheumatology international, 2017-06, Vol.37 (6), p.923-930</ispartof><rights>The Author(s) 2017</rights><rights>Rheumatology International is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c582t-1939292b9e1c7752d8c3f38f5214329258bccdca9100ce8ada68e7b0360bc7043</citedby><cites>FETCH-LOGICAL-c582t-1939292b9e1c7752d8c3f38f5214329258bccdca9100ce8ada68e7b0360bc7043</cites><orcidid>0000-0002-2068-4708</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00296-016-3641-x$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00296-016-3641-x$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,552,778,782,883,27907,27908,41471,42540,51302</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28124094$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-61398$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-323760$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:135901222$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Demmelmaier, Ingrid</creatorcontrib><creatorcontrib>Åsenlöf, Pernilla</creatorcontrib><creatorcontrib>Bergman, Patrick</creatorcontrib><creatorcontrib>Nordgren, Birgitta</creatorcontrib><creatorcontrib>Opava, Christina H.</creatorcontrib><title>Pain rather than self-reported sedentary time explains variation in perceived health and activity limitation in persons with rheumatoid arthritis: a cross sectional study in Sweden</title><title>Rheumatology international</title><addtitle>Rheumatol Int</addtitle><addtitle>Rheumatol Int</addtitle><description>To investigate (1) the amount of self-reported time spent sedentary among a large cohort of persons with rheumatoid arthritis (RA), and (2) the contribution of sedentary time to explain perceived health and activity limitation in RA beyond that of previously known correlates. This cross-sectional study used data from a postal questionnaire and the Swedish Rheumatology Quality registers (SRQ). The International Physical Activity Questionnaire was used to assess sedentary time (sitting) and moderate, vigorous and walking activity (MVPA). Sociodemographics, pain, fatigue, fear-avoidance beliefs, anxiety/depression, disease duration, MVPA and sedentary time were included in multiple regression models with perceived health (Visual Analogue Scale 0–100) and activity limitation (Stanford Health Assessment Questionnaire) as dependent variables. Results: In all 3152 (59%) of 5391 persons identified as eligible from the SRQ, responded to the questionnaire. 2819 individuals with complete data on all study variables were analysed. Mean time (SD) spent sedentary was 257 (213) minutes per day. Sedentary time did not contribute significantly to explain perceived health and only minimally to explain activity limitation. Instead, variation was mainly explained by pain; for perceived health (Beta = 0.780,
p
< 0.001) and for activity limitation (Beta = 0.445,
p
< 0.001).The results indicate a non-significant role of sedentary time and a need for increased focus on pain in the management of RA. Future studies should use prospective designs and objective assessment methods to further investigate the associations between sedentary time and health outcomes in persons with RA.</description><subject>Aged</subject><subject>Arthralgia - diagnosis</subject><subject>Arthralgia - physiopathology</subject><subject>Arthralgia - psychology</subject><subject>Arthritis, Rheumatoid - diagnosis</subject><subject>Arthritis, Rheumatoid - physiopathology</subject><subject>Arthritis, Rheumatoid - psychology</subject><subject>Cost of Illness</subject><subject>Cross-Sectional Studies</subject><subject>Disability</subject><subject>Female</subject><subject>Food for Thought</subject><subject>Health</subject><subject>Health Status</subject><subject>Humans</subject><subject>Idrottsvetenskap</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Mobility Limitation</subject><subject>Multiple regression</subject><subject>Pain</subject><subject>Pain Measurement</subject><subject>Questionnaires</subject><subject>Registries</subject><subject>Rheumatoid arthritis</subject><subject>Rheumatology</subject><subject>Risk Factors</subject><subject>Sedentary Behavior</subject><subject>Sedentary time</subject><subject>Self Report</subject><subject>Sitting</subject><subject>Sport Science</subject><subject>Surveys and Questionnaires</subject><subject>Sweden</subject><subject>Time Factors</subject><issn>0172-8172</issn><issn>1437-160X</issn><issn>1437-160X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>D8T</sourceid><recordid>eNqNksmO1DAQhiMEYpqBB-CCLHHhQMBL4sQcRhoNqzQSSCziZrmd6o6HJG5sp5f34gGp0M2oB2kkLnHs-v7f5arKsseMvmCUVi8jpVzJnDKZC1mwfHsnm7FCVDmT9PvdbEZZxfMaPyfZgxivKO6lpPezE14zXlBVzLJfn4wbSDCphUBSawYSoVvkAVY-JGhw18CQTNiR5HogsF11KIhkbYIzyfmBoHwFwYJbI96C6VJLzNAQY5Nbu7QjnetdOmajR4ONQy60MPYmeYd4SG1wycVXxBAbfIx4t51UpiMxjc1uUn_eTPk8zO4tTBfh0WE9zb6-ffPl4n1--fHdh4vzy9yWNU85U0JxxecKmK2qkje1FQtRL0qORcJAWc-tbaxRWEwLtWmMrKGaUyHp3Fa0EKdZvveNG1iNc70KrsdSaG-cPhz9wD_QhVIl48g_v5V_7b6dax-Wehy14KKS9P_wbhi1ZELViJ_tcWR7aCz2JZjuhupmZHCtXvq1LgtRYL_R4NnBIPifI8SkexctdJ0ZwI9Rs1pyXgtKp9Se_oNe-TFgKyZKKcllWZRIsT31p18BFtfJMKqnCdX7CdU4oXqaUL1FzZPjV1wr_o4kAvxQFQwNSwhHV9_q-ht3xvgl</recordid><startdate>20170601</startdate><enddate>20170601</enddate><creator>Demmelmaier, Ingrid</creator><creator>Åsenlöf, Pernilla</creator><creator>Bergman, Patrick</creator><creator>Nordgren, Birgitta</creator><creator>Opava, Christina H.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</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>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>ADTPV</scope><scope>AGRUY</scope><scope>AOWAS</scope><scope>D8T</scope><scope>D92</scope><scope>ZZAVC</scope><scope>ACNBI</scope><scope>DF2</scope><orcidid>https://orcid.org/0000-0002-2068-4708</orcidid></search><sort><creationdate>20170601</creationdate><title>Pain rather than self-reported sedentary time explains variation in perceived health and activity limitation in persons with rheumatoid arthritis: a cross sectional study in Sweden</title><author>Demmelmaier, Ingrid ; Åsenlöf, Pernilla ; Bergman, Patrick ; Nordgren, Birgitta ; Opava, Christina H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c582t-1939292b9e1c7752d8c3f38f5214329258bccdca9100ce8ada68e7b0360bc7043</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Arthralgia - diagnosis</topic><topic>Arthralgia - physiopathology</topic><topic>Arthralgia - psychology</topic><topic>Arthritis, Rheumatoid - diagnosis</topic><topic>Arthritis, Rheumatoid - physiopathology</topic><topic>Arthritis, Rheumatoid - psychology</topic><topic>Cost of Illness</topic><topic>Cross-Sectional Studies</topic><topic>Disability</topic><topic>Female</topic><topic>Food for Thought</topic><topic>Health</topic><topic>Health Status</topic><topic>Humans</topic><topic>Idrottsvetenskap</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Mobility Limitation</topic><topic>Multiple regression</topic><topic>Pain</topic><topic>Pain Measurement</topic><topic>Questionnaires</topic><topic>Registries</topic><topic>Rheumatoid arthritis</topic><topic>Rheumatology</topic><topic>Risk Factors</topic><topic>Sedentary Behavior</topic><topic>Sedentary time</topic><topic>Self Report</topic><topic>Sitting</topic><topic>Sport Science</topic><topic>Surveys and Questionnaires</topic><topic>Sweden</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Demmelmaier, Ingrid</creatorcontrib><creatorcontrib>Åsenlöf, Pernilla</creatorcontrib><creatorcontrib>Bergman, Patrick</creatorcontrib><creatorcontrib>Nordgren, Birgitta</creatorcontrib><creatorcontrib>Opava, Christina H.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SwePub</collection><collection>SWEPUB Linnéuniversitetet full text</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SWEPUB Linnéuniversitetet</collection><collection>SwePub Articles full text</collection><collection>SWEPUB Uppsala universitet full text</collection><collection>SWEPUB Uppsala universitet</collection><jtitle>Rheumatology international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Demmelmaier, Ingrid</au><au>Åsenlöf, Pernilla</au><au>Bergman, Patrick</au><au>Nordgren, Birgitta</au><au>Opava, Christina H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pain rather than self-reported sedentary time explains variation in perceived health and activity limitation in persons with rheumatoid arthritis: a cross sectional study in Sweden</atitle><jtitle>Rheumatology international</jtitle><stitle>Rheumatol Int</stitle><addtitle>Rheumatol Int</addtitle><date>2017-06-01</date><risdate>2017</risdate><volume>37</volume><issue>6</issue><spage>923</spage><epage>930</epage><pages>923-930</pages><issn>0172-8172</issn><issn>1437-160X</issn><eissn>1437-160X</eissn><abstract>To investigate (1) the amount of self-reported time spent sedentary among a large cohort of persons with rheumatoid arthritis (RA), and (2) the contribution of sedentary time to explain perceived health and activity limitation in RA beyond that of previously known correlates. This cross-sectional study used data from a postal questionnaire and the Swedish Rheumatology Quality registers (SRQ). The International Physical Activity Questionnaire was used to assess sedentary time (sitting) and moderate, vigorous and walking activity (MVPA). Sociodemographics, pain, fatigue, fear-avoidance beliefs, anxiety/depression, disease duration, MVPA and sedentary time were included in multiple regression models with perceived health (Visual Analogue Scale 0–100) and activity limitation (Stanford Health Assessment Questionnaire) as dependent variables. Results: In all 3152 (59%) of 5391 persons identified as eligible from the SRQ, responded to the questionnaire. 2819 individuals with complete data on all study variables were analysed. Mean time (SD) spent sedentary was 257 (213) minutes per day. Sedentary time did not contribute significantly to explain perceived health and only minimally to explain activity limitation. Instead, variation was mainly explained by pain; for perceived health (Beta = 0.780,
p
< 0.001) and for activity limitation (Beta = 0.445,
p
< 0.001).The results indicate a non-significant role of sedentary time and a need for increased focus on pain in the management of RA. Future studies should use prospective designs and objective assessment methods to further investigate the associations between sedentary time and health outcomes in persons with RA.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>28124094</pmid><doi>10.1007/s00296-016-3641-x</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-2068-4708</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0172-8172 |
| ispartof | Rheumatology international, 2017-06, Vol.37 (6), p.923-930 |
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| language | eng |
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| source | MEDLINE; SWEPUB Freely available online; Springer Nature - Complete Springer Journals |
| subjects | Aged Arthralgia - diagnosis Arthralgia - physiopathology Arthralgia - psychology Arthritis, Rheumatoid - diagnosis Arthritis, Rheumatoid - physiopathology Arthritis, Rheumatoid - psychology Cost of Illness Cross-Sectional Studies Disability Female Food for Thought Health Health Status Humans Idrottsvetenskap Male Medicine Medicine & Public Health Middle Aged Mobility Limitation Multiple regression Pain Pain Measurement Questionnaires Registries Rheumatoid arthritis Rheumatology Risk Factors Sedentary Behavior Sedentary time Self Report Sitting Sport Science Surveys and Questionnaires Sweden Time Factors |
| title | Pain rather than self-reported sedentary time explains variation in perceived health and activity limitation in persons with rheumatoid arthritis: a cross sectional study in Sweden |
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