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Physical Activity and Sedentary Behavior in People With Inflammatory Joint Disease: A Cross‐Sectional Study
Author(s) -
Bell Kirsty,
Hendry Gordon,
Steultjens Martijn
Publication year - 2022
Publication title -
arthritis care and research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.032
H-Index - 163
eISSN - 2151-4658
pISSN - 2151-464X
DOI - 10.1002/acr.24438
Subject(s) - physical activity , medicine , logistic regression , cross sectional study , physical fitness , physical therapy , sedentary behavior , gerontology , demography , pathology , sociology
Objective To determine whether patients with inflammatory joint disease (IJD) meet current guidelines on physical activity, and to determine which factors influence physical activity levels and sedentary behavior (SB) in patients with IJD. Methods This was a cross‐sectional study of 137 patients with a medical diagnosis of an IJD prior to commencing an NHS‐run inflammatory arthritis exercise program. Physical activity and SB were measured objectively using a thigh‐worn physical activity monitor for 7 consecutive days. Activity levels were subdivided into low physical activity (LPA) and moderate‐to‐vigorous physical activity (MVPA). First, activity levels were analyzed against current guidelines of 150 minutes of MVPA per week. Second, time spent in SB, LPA, and MVPA was analyzed against possible determinants. Results In total, 29% of patients with IJD met current physical activity guidelines. Patients on average spent 10 hours per day in SB. Poor physical fitness measured by the 6‐minute walk test was the only significant predictor ( P = 0.019) of high SB (R 2 = 4.7%). Attending an exercise facility in the community ( P = 0.034) and low role limitations due to physical health ( P = 0.008) predicted high levels of LPA, following a backward multiple regression (R 2 = 8.0%). Low role limitations due to emotional problems ( P = 0.031), higher physical fitness ( P = 0.002), and healthier exercise attitudes and beliefs ( P = 0.021) predicted meeting current physical activity guidelines, following a backward conditional logistic regression, explaining between 22.2% and 31.7% of variance. Conclusion Patients with IJD are inactive and spent much time in SB. Good general health predicts high activity levels. No disease‐specific factors were found to determine SB, LPA, or MVPA.