Physical activity and sedentary behaviour and their associations with clinical measures in axial spondyloarthritis

Elaine Coulter; Marie Therese McDonald; Sara Cameron; Stefan Siebert; Lorna Paul

doi:10.1007/s00296-019-04494-3

Physical activity and sedentary behaviour and their associations with clinical measures in axial spondyloarthritis

Elaine Coulter, Marie Therese McDonald^*, Sara Cameron, Stefan Siebert, Lorna Paul

^*Corresponding author for this work

Physiotherapy

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Abstract

Introduction
Engaging in physical activity (PA) is a key aspect in the management of axial spondyloarthritis (axial SpA) however its relationship with clinical measures is unknown. Previous research has mainly focused on subjective methods of measuring Physical Activity (PA) and Sedentary Behaviour (SB).

Objective
The aim of this study was to explore the associations between objectively measured PA and SB with clinical measures in people with established axial SpA.

Methods
Fifty participants were recruited from secondary-care rheumatology outpatient services in Glasgow, UK. Clinical measures collected included; Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index (BASFI), Bath Ankylosing Spondylitis Metrology Index (BASMI), Ankylosing Spondylitis Quality of Life (ASQOL) and the Six Minute Walk Test (6MWT). PA and SB were measured using the activPAL3 tri-axial accelerometer.

Results
Data from forty-five participants were included (23 male, average age 49 ± 12 years). Participants accumulated an average of 93.2 ± 41.5 mins/day walking with an average of 7,200 ± 3,397 steps/day. The majority of the day (65%) was spent sitting, accumulated in prolonged bouts. Walking time and steps taken/day were associated with better BASFI (r=-0.395, p=0.007 and r=-0.404, p=0.006), ASQOL (r=-0.375, p=0.011 and r=-0.361, p=0.015) and 6MWT (r=0.396, p=0.007 and r=0.421, p=0.004); while longer walking events were associated with better BASMI (rho=-0.352, p=0.018), BASFI (rho=-0.316, p=0.034) and 6MWT (rho= 0.404, p= 0.006). SB was associated with worse ASQOL (r= 0.380, p=0.010) and 6MWT (6MWT, r= -0.357, p=0.016).

Conclusion
In people with axial SpA PA is associated with better function, exercise capacity and spinal mobility, while SB is associated with lower exercise capacity and poor quality of life. These findings support the promotion of PA and reduction of SB in people with axial SpA.

Original language	English
Journal	Rheumatology International
DOIs	https://doi.org/10.1007/s00296-019-04494-3
Publication status	Published - 17 Dec 2019

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Keywords

axial spondyloarthritis
physical actitvity
sedentary behavior
rheumatology

Cite this

Coulter, E., McDonald, M. T., Cameron, S., Siebert, S., & Paul, L. (2019). Physical activity and sedentary behaviour and their associations with clinical measures in axial spondyloarthritis. Rheumatology International. https://doi.org/10.1007/s00296-019-04494-3

@article{192d3d1a41c94f32a4de87b43d7cbf85,

title = "Physical activity and sedentary behaviour and their associations with clinical measures in axial spondyloarthritis",

abstract = "IntroductionEngaging in physical activity (PA) is a key aspect in the management of axial spondyloarthritis (axial SpA) however its relationship with clinical measures is unknown. Previous research has mainly focused on subjective methods of measuring Physical Activity (PA) and Sedentary Behaviour (SB). ObjectiveThe aim of this study was to explore the associations between objectively measured PA and SB with clinical measures in people with established axial SpA.MethodsFifty participants were recruited from secondary-care rheumatology outpatient services in Glasgow, UK. Clinical measures collected included; Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index (BASFI), Bath Ankylosing Spondylitis Metrology Index (BASMI), Ankylosing Spondylitis Quality of Life (ASQOL) and the Six Minute Walk Test (6MWT). PA and SB were measured using the activPAL3 tri-axial accelerometer.ResultsData from forty-five participants were included (23 male, average age 49 ± 12 years). Participants accumulated an average of 93.2 ± 41.5 mins/day walking with an average of 7,200 ± 3,397 steps/day. The majority of the day (65%) was spent sitting, accumulated in prolonged bouts. Walking time and steps taken/day were associated with better BASFI (r=-0.395, p=0.007 and r=-0.404, p=0.006), ASQOL (r=-0.375, p=0.011 and r=-0.361, p=0.015) and 6MWT (r=0.396, p=0.007 and r=0.421, p=0.004); while longer walking events were associated with better BASMI (rho=-0.352, p=0.018), BASFI (rho=-0.316, p=0.034) and 6MWT (rho= 0.404, p= 0.006). SB was associated with worse ASQOL (r= 0.380, p=0.010) and 6MWT (6MWT, r= -0.357, p=0.016).ConclusionIn people with axial SpA PA is associated with better function, exercise capacity and spinal mobility, while SB is associated with lower exercise capacity and poor quality of life. These findings support the promotion of PA and reduction of SB in people with axial SpA.",

keywords = "axial spondyloarthritis, physical actitvity, sedentary behavior, rheumatology",

author = "Elaine Coulter and McDonald, {Marie Therese} and Sara Cameron and Stefan Siebert and Lorna Paul",

note = "Acceptance in SAN OA article - PDF doesn't seem to have CC licence displayed however this is in the html of the article. ET 9/1/20 ",

year = "2019",

month = dec

day = "17",

doi = "10.1007/s00296-019-04494-3",

language = "English",

journal = "Rheumatology International",

issn = "0172-8172",

publisher = "Springer-Verlag",

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TY - JOUR

T1 - Physical activity and sedentary behaviour and their associations with clinical measures in axial spondyloarthritis

AU - Coulter, Elaine

AU - McDonald, Marie Therese

AU - Cameron, Sara

AU - Siebert, Stefan

AU - Paul, Lorna

N1 - Acceptance in SAN OA article - PDF doesn't seem to have CC licence displayed however this is in the html of the article. ET 9/1/20

PY - 2019/12/17

Y1 - 2019/12/17

N2 - IntroductionEngaging in physical activity (PA) is a key aspect in the management of axial spondyloarthritis (axial SpA) however its relationship with clinical measures is unknown. Previous research has mainly focused on subjective methods of measuring Physical Activity (PA) and Sedentary Behaviour (SB). ObjectiveThe aim of this study was to explore the associations between objectively measured PA and SB with clinical measures in people with established axial SpA.MethodsFifty participants were recruited from secondary-care rheumatology outpatient services in Glasgow, UK. Clinical measures collected included; Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index (BASFI), Bath Ankylosing Spondylitis Metrology Index (BASMI), Ankylosing Spondylitis Quality of Life (ASQOL) and the Six Minute Walk Test (6MWT). PA and SB were measured using the activPAL3 tri-axial accelerometer.ResultsData from forty-five participants were included (23 male, average age 49 ± 12 years). Participants accumulated an average of 93.2 ± 41.5 mins/day walking with an average of 7,200 ± 3,397 steps/day. The majority of the day (65%) was spent sitting, accumulated in prolonged bouts. Walking time and steps taken/day were associated with better BASFI (r=-0.395, p=0.007 and r=-0.404, p=0.006), ASQOL (r=-0.375, p=0.011 and r=-0.361, p=0.015) and 6MWT (r=0.396, p=0.007 and r=0.421, p=0.004); while longer walking events were associated with better BASMI (rho=-0.352, p=0.018), BASFI (rho=-0.316, p=0.034) and 6MWT (rho= 0.404, p= 0.006). SB was associated with worse ASQOL (r= 0.380, p=0.010) and 6MWT (6MWT, r= -0.357, p=0.016).ConclusionIn people with axial SpA PA is associated with better function, exercise capacity and spinal mobility, while SB is associated with lower exercise capacity and poor quality of life. These findings support the promotion of PA and reduction of SB in people with axial SpA.

AB - IntroductionEngaging in physical activity (PA) is a key aspect in the management of axial spondyloarthritis (axial SpA) however its relationship with clinical measures is unknown. Previous research has mainly focused on subjective methods of measuring Physical Activity (PA) and Sedentary Behaviour (SB). ObjectiveThe aim of this study was to explore the associations between objectively measured PA and SB with clinical measures in people with established axial SpA.MethodsFifty participants were recruited from secondary-care rheumatology outpatient services in Glasgow, UK. Clinical measures collected included; Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index (BASFI), Bath Ankylosing Spondylitis Metrology Index (BASMI), Ankylosing Spondylitis Quality of Life (ASQOL) and the Six Minute Walk Test (6MWT). PA and SB were measured using the activPAL3 tri-axial accelerometer.ResultsData from forty-five participants were included (23 male, average age 49 ± 12 years). Participants accumulated an average of 93.2 ± 41.5 mins/day walking with an average of 7,200 ± 3,397 steps/day. The majority of the day (65%) was spent sitting, accumulated in prolonged bouts. Walking time and steps taken/day were associated with better BASFI (r=-0.395, p=0.007 and r=-0.404, p=0.006), ASQOL (r=-0.375, p=0.011 and r=-0.361, p=0.015) and 6MWT (r=0.396, p=0.007 and r=0.421, p=0.004); while longer walking events were associated with better BASMI (rho=-0.352, p=0.018), BASFI (rho=-0.316, p=0.034) and 6MWT (rho= 0.404, p= 0.006). SB was associated with worse ASQOL (r= 0.380, p=0.010) and 6MWT (6MWT, r= -0.357, p=0.016).ConclusionIn people with axial SpA PA is associated with better function, exercise capacity and spinal mobility, while SB is associated with lower exercise capacity and poor quality of life. These findings support the promotion of PA and reduction of SB in people with axial SpA.

KW - axial spondyloarthritis

KW - physical actitvity

KW - sedentary behavior

KW - rheumatology

U2 - 10.1007/s00296-019-04494-3

DO - 10.1007/s00296-019-04494-3

M3 - Article

JO - Rheumatology International

JF - Rheumatology International

SN - 0172-8172

ER -

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10.1007/s00296-019-04494-3

Coulter, E.H. et al (2019) Physical activity and sedentary behaviour and their associations with clinical measures in axial spondyloarthritis
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