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Twenty‐Four Hour Activity and Sleep Profiles for Adults Living with Arthritis: Habits Matter
Author(s) -
Feehan Lynne M.,
Lu Na,
Xie Hui,
Li Linda C.
Publication year - 2020
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.24424
Subject(s) - medicine , sitting , cohort , physical therapy , rheumatoid arthritis , latent class model , statistics , mathematics , pathology
Objective To identify 24‐hour activity–sleep profiles in adults with arthritis and explore factors associated with profile membership. Methods Our study comprised a cross‐sectional cohort and used baseline data from 2 randomized trials studying activity counseling for people with rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), or knee osteoarthritis (OA). Participants wore activity monitors for 1 week and completed surveys for demographic information, mood (Patient Health Questionnaire 9), and sitting and walking habits (Self‐Reported Habit Index). A total of 1,440 minutes/day were stratified into minutes off body (activity unknown), sleeping, resting, nonambulatory, and intermittent or purposeful ambulation. Latent class analysis determined cluster numbers; baseline‐category multinomial logit regression identified factors associated with cluster membership. Results Our cohort included 172 individuals, including 51% with RA, 30% with OA, and 19% with SLE. We identified 4 activity–sleep profiles (clusters) that were characterized primarily by differences in time in nonambulatory activity: high sitters (6.9 hours sleep, 1.6 hours rest, 13.2 hours nonambulatory activity, and 1.6 hours intermittent and 0.3 hours purposeful walking), low sleepers (6.5 hours sleep, 1.2 hours rest, 12.2 hours nonambulatory activity, and 3.3 hours intermittent and 0.6 hours purposeful walking), high sleepers (8.4 hours sleep, 1.9 hours rest, 10.4 hours nonambulatory activity, and 2.5 hours intermittent and 0.3 hours purposeful walking), and balanced activity (7.4 hours sleep, 1.5 hours sleep, 9.4 hours nonambulatory activity, and 4.4 hours intermittent and 0.8 hours purposeful walking). Younger age (odds ratio [OR] 0.95 [95% confidence interval (95% CI) 0.91–0.99]), weaker occupational sitting habit (OR 0.55 [95% CI 0.41–0.76]), and stronger walking outside habit (OR 1.43 [95% CI 1.06–1.91]) were each associated with balanced activity relative to high sitters. Conclusion Meaningful subgroups were identified based on 24‐hour activity–sleep patterns. Tailoring interventions based on 24‐hour activity–sleep profiles may be indicated, particularly in adults with stronger habitual sitting or weaker walking behaviors.