Physical activity in people with axial spondyloarthritis and the impact of overall attitudes, barriers, and facilitators: A cross-sectional study
Corresponding Author
Jens Ole Rasmussen
Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, Sønderborg, Denmark
Danish Patient Association for Axial Spondyloarthritis, Primulavej 15, Fredericia, 7000 Denmark
Correspondence
Jens Ole Rasmussen, 1Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, Møllegårdsvej 6, 5270 Odense N, DK, Denmark.
Email: bechterew@nal-net.dk
Search for more papers by this authorJette Primdahl
Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, Sønderborg, Denmark
Department of Regional Health Research, University of Southern Denmark, Odense, Denmark
Hospital of Southern Jutland, University Hospital of Southern Denmark, Aabenraa, Denmark
Search for more papers by this authorWilly Fick
Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, Sønderborg, Denmark
Danish Patient Association for Axial Spondyloarthritis, Primulavej 15, Fredericia, 7000 Denmark
Search for more papers by this authorAnn Bremander
Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, Sønderborg, Denmark
Department of Regional Health Research, University of Southern Denmark, Odense, Denmark
Department of Clinical Sciences Lund, Section of Rheumatology, Lund University, Lund, Sweden
Search for more papers by this authorCorresponding Author
Jens Ole Rasmussen
Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, Sønderborg, Denmark
Danish Patient Association for Axial Spondyloarthritis, Primulavej 15, Fredericia, 7000 Denmark
Correspondence
Jens Ole Rasmussen, 1Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, Møllegårdsvej 6, 5270 Odense N, DK, Denmark.
Email: bechterew@nal-net.dk
Search for more papers by this authorJette Primdahl
Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, Sønderborg, Denmark
Department of Regional Health Research, University of Southern Denmark, Odense, Denmark
Hospital of Southern Jutland, University Hospital of Southern Denmark, Aabenraa, Denmark
Search for more papers by this authorWilly Fick
Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, Sønderborg, Denmark
Danish Patient Association for Axial Spondyloarthritis, Primulavej 15, Fredericia, 7000 Denmark
Search for more papers by this authorAnn Bremander
Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, Sønderborg, Denmark
Department of Regional Health Research, University of Southern Denmark, Odense, Denmark
Department of Clinical Sciences Lund, Section of Rheumatology, Lund University, Lund, Sweden
Search for more papers by this authorAbstract
Objective
To study the association between self-reported physical activity level and overall attitudes and barriers to and facilitators of physical activity in people with axial spondyloarthritis (axSpA), and to compare health status and quality of life (QoL) in people with different levels of physical activity.
Methods
Four hundred forty-five members of the Danish Patient Association for Axial Spondyloarthritis completed an online survey including questions on physical activity, overall attitudes, barriers, and facilitators to physical activity, health, and QoL. Nonparametric tests and logistic regression analyses were performed.
Results
The response rate was 46%, median age 56 years (range 22–85), and 54% were men. In all, 23% reported low physical activity (physical activity ≥30 min on a moderate intensity level ≤1 day/week), 36% were moderately physically active (2–3 days/week), and 41% reported high physical activity (≥4 days/week). In a multivariate model, high physical activity was associated with a positive overall attitude (“physical activity is ok,” OR 5.44, 95%CI [1.24, 23.87], and “I like physical activity,” OR 14.22, 95%CI [3.34, 60.61]), and higher disagreement with barriers to physical activity, OR 1.12, 95%CI [1.07, 1.17]). People with moderate or high physical activity levels reported better self-perceived health and QoL, compared with those with low physical activity level (p ≤ 0.003).
Conclusion
To support changes in physical activity level in people with axSpA, health professionals need to discuss attitudes and barriers to physical activity with their clients. Barriers seem to be of greater significance than facilitators of any kind.
CONFLICTS OF INTEREST
The authors report that there are no conflicts of interest.
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