Physical Activity Influences Health-Related Quality of Life in Adults with Juvenile Idiopathic Arthritis
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Project
2.2. Participants
2.3. Body Composition
2.4. International Physical Activity Questionnaire (IPAQ)
- (a)
- VERY ACTIVE: One who complies with the recommendations of:
- VIGOROUS: ≥5 days/week and ≥30 min per session;
- VIGOROUS: ≥3 days/week and ≥20 min per session + MODERATE;
- WALKING: ≥5 days/week and ≥30 min per session.
- (b)
- ACTIVE: A person who complies with the recommendations of:
- VIGOROUS: ≥3 days/week and ≥20 min per session;
- MODERATE or WALKING: ≥5 days/week and ≥30 min per session;
- Any activity added together: ≥5 days/week and ≥150 min/week (walking + moderate + vigorous).
- (c)
- IRREGULARLY ACTIVE: One who performs physical activity that is insufficient to be classified as active because it does not meet the recommendations regarding frequency or duration. To receive this classification, the frequency and duration of the different types of activities (walking + moderate + vigorous) are added. This group was divided into two subgroups according to whether some of the recommendation criteria were met:
- (c1)IRREGULARLY ACTIVE A: One who meets at least one of the criteria of the recommendations regarding the frequency or duration of the activity: frequency—5 days/week or duration—150 min/week.
- (c2)IRREGULARLY ACTIVE B: One who does not meet any of the criteria of the recommendations in terms of frequency or duration.
- (d)
- SEDENTARY: One who does not perform any physical activity for at least 10 continuous minutes during the week.
2.5. Health-Related Quality of Life Questionnaire—Short Form (SF36)
2.6. Six-Minute Walk Test (6MWT)
2.7. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Characteristics | JIA (N = 59) | Controls (N = 60) | p |
---|---|---|---|
Age in years (mean ± SD) | 29.10 ± 9.18 | 30.41 ± 3.12 | 0.46 |
Women N (%) | 51 (86.44) | 51 (85) | 0.82 |
Disease duration, years (mean ± SD) | 18.85 ± 8.83 | ||
DAS 28 | 2.3 ± 0.98 | ||
Ethnicity | |||
White (%) | 47.5 | 48.3 | |
Brown (%) | 35.6 | 31.7 | |
Black (%) | 15.3 | 15 | |
Other (%) | 1.7 | 5 | |
JIA subtypes | |||
Polyarticular rheumatoid factor negative N (%) | 17 (28.8) | ||
Polyarticular rheumatoid factor positive N (%) | 22 (37.3) | ||
Oligoarticular N (%) | 7 (11.9) | ||
Enthesitis-related arthritis N (%) | 5 (8.5) | ||
Systemic arthritis N (%) | 8 (13.6) | ||
Medications | |||
Fluoxetine N (%) | 1 (0.59) | ||
Sertraline N (%) | 3 (5) | ||
No DMARD N (%) | 10 (17) | ||
sDMARD N (%) | 37 (62.7) | ||
bDMARD N (%) | 26 (44) | ||
Prednisone N (%) | 13 (22) | ||
Prednisone dose (mg), (mean ± SD) | 13.85 ± 5.4 | ||
Comorbidities | |||
Arterial hypertension | 12 (20.3) | 5 (8.3) | 0.05 |
Diabetes mellitus | 8 (13.6) | 2 (3.3) | 0.045 |
Dyslipidemia | 10 (16.9) | 6 (10) | 0.2 |
Osteoporosis | 6 (10.2) | 3 (5) | 0.237 |
Obesity | 4 (6.8) | 3 (5) | 0.491 |
JIA | Controls | p | |
---|---|---|---|
(Mean ± SD) | (Mean ± SD) | ||
Height (cm) | 162.92 ± 9.33 | 169.43 ± 8.11 | <0.001 |
Weight (Kg) | 63.56 ± 15.37 | 69.15 ± 6.83 | 0.037 |
BMI (Kg/m 2) | 24.43 ± 4.74 | 24.14 ± 2.15 | 0.915 |
% Total body fat | 31.41 ± 10.25 | 29.79 ± 6.03 | 0.583 |
% Total muscle mass | 28.97 ± 7.21 | 29.81 ± 7.30 | 0.775 |
Basal metabolism | 1421.34 ± 23.67 | 1700.25 ± 9.96 | 0.039 |
JIA | Controls | p | |
---|---|---|---|
(Mean ± SD) | (Mean ± SD) | ||
SBP initial (mmHg) | 127.61 ± 8.4 | 119.07 ± 8.3 | <0.001 |
DBP initial (mmHg) | 79.59 ± 6.7 | 78.27 ± 7.5 | 0.59 |
HR (BPM) Initial | 90.68 ± 15.3 | 77.18 ± 13.14 | <0.001 |
Distance covered, meters | 498.05 ± 14.6 | 569.78 ± 13.0 | 0.015 |
SBP final (mmHg) | 154.8 ± 7.6 | 150.68 ± 8.9 | 0.015 |
DBP final (mmHg) | 86.19 ± 5.9 | 80.25 ± 7.0 | <0.001 |
HR (BPM) final | 140.63 ± 15.0 | 138.87 ± 9.0 | 0.744 |
JIA | Controls | p | |
---|---|---|---|
Walking frequency | 0.78 ± 1.43 | 2.48 ± 1.80 | <0.001 |
Walking duration | 6.86 ± 12.76 | 18.50 ± 14.62 | <0.001 |
Frequency of moderate physical activity | 0.44 ± 1.03 | 0.83 ± 1.16 | 0.132 |
Duration of moderate physical activity | 4.92 ± 11.04 | 11.86 ± 13.96 | 0.008 |
Frequency of vigorous physical activity | 0.90 ± 1.70 | 0.82 ± 1.50 | 0.96 |
Duration of vigorous physical activity | 5.93 ± 11.00 | 7.17 ± 12.22 | 0.833 |
Time sitting during the week | 35.36 ± 14.92 | 31.33 ± 7.12 | 0.134 |
Time sitting during the weekend | 15.14 ± 6.91 | 11.08 ± 3.14 | <0.001 |
Very active N (%) | 13 (22) | 9 (15) | 0.226 |
Active N (%) | 2 (3.4) | 13 (21.7) | 0.002 |
IAA N (%) | 2 (3.4) | 14 (23.3) | 0.001 |
IAB N (%) | 3 (5.1) | 9 (15) | 0.067 |
Sedentary N (%) | 39 (66.1) | 15 (25) | <0.001 |
JIA | Controls | |||
---|---|---|---|---|
Physical Component | r | p | r | p |
Frequency of walking | −0.066 | 0.022 | −0.093 | 0.583 |
Walking duration | −0.054 | 0.009 | −0.115 | 0.489 |
Frequency of moderate physical activity | −0.001 | 0.116 | 0.138 | 0.683 |
Duration of moderate physical activity | 0.027 | 0.014 | 0.116 | 0.655 |
Frequency of vigorous physical activity | 0.071 | 0.003 | 0.212 | 0.989 |
Duration of vigorous physical activity | 0.029 | 0.017 | 0.161 | 0.927 |
Sitting time during the week | −0.31 | 0.173 | 0.001 | 0.25 |
Sitting time during the weekend | −0.341 | 0.403 | −0.138 | 0.496 |
Mental component | ||||
Frequency of walking | 0.14 | 0.072 | −0.153 | 0.643 |
Walking duration | 0.131 | 0.036 | −0.099 | 0.655 |
Frequency of moderate physical activity | 0.207 | 0.186 | 0.111 | 0.462 |
Duration of moderate physical activity | 0.206 | 0.028 | −0.063 | 0.481 |
Frequency of vigorous physical activity | 0.193 | 0.003 | 0.308 | 0.939 |
Duration of vigorous physical activity | 0.211 | 0.013 | 0.301 | 0.859 |
Sitting time during the week | −0.184 | 0.373 | −0.14 | 0.964 |
Sitting time during the weekend | −0.288 | 0.541 | 0.001 | 0.859 |
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de Oliveira, R.J.; Londe, A.C.; de Souza, D.P.; Marini, R.; Fernandes, P.T.; Appenzeller, S. Physical Activity Influences Health-Related Quality of Life in Adults with Juvenile Idiopathic Arthritis. J. Clin. Med. 2023, 12, 771. https://doi.org/10.3390/jcm12030771
de Oliveira RJ, Londe AC, de Souza DP, Marini R, Fernandes PT, Appenzeller S. Physical Activity Influences Health-Related Quality of Life in Adults with Juvenile Idiopathic Arthritis. Journal of Clinical Medicine. 2023; 12(3):771. https://doi.org/10.3390/jcm12030771
Chicago/Turabian Stylede Oliveira, Rodrigo Joel, Ana Carolina Londe, Débora Pessoa de Souza, Roberto Marini, Paula Teixeira Fernandes, and Simone Appenzeller. 2023. "Physical Activity Influences Health-Related Quality of Life in Adults with Juvenile Idiopathic Arthritis" Journal of Clinical Medicine 12, no. 3: 771. https://doi.org/10.3390/jcm12030771
APA Stylede Oliveira, R. J., Londe, A. C., de Souza, D. P., Marini, R., Fernandes, P. T., & Appenzeller, S. (2023). Physical Activity Influences Health-Related Quality of Life in Adults with Juvenile Idiopathic Arthritis. Journal of Clinical Medicine, 12(3), 771. https://doi.org/10.3390/jcm12030771