Marleine Azar1,2, Danielle B Rice1,3, Linda Kwakkenbos1,4,5, Marie-Eve Carrier1, Ian Shrier1, Susan J Bartlett6, Marie Hudson1,6, Luc Mouthon7,8, Serge Poiraudeau7,9,10, Cornelia H M van den Ende11, Sindhu R Johnson12, Tatiana Sofia Rodriguez Reyna13, Anne A Schouffoer14,15, Joep Welling16, Brett D Thombs1,2,3,4,6,17. 1. Lady Davis Institute for Medical Research, Jewish General Hospital , Montréal, Québec, Canada. 2. Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montréal, Québec, Canada. 3. Department of Psychology, McGill University, Montréal , Québec , Canada. 4. Department of Psychiatry, McGill University, Montréal, Québec, Canada. 5. Behavioural Science Institute, Clinical Psychology, Radboud University, Nijmegen, the Netherlands. 6. Department of Medicine, McGill University, Montréal, Québec, Canada. 7. Assistance Publique-Hôpitaux de Paris, Université Paris Descartes, Paris, France. 8. Service de Médecine Interne, Hôpital Cochin, Paris, France. 9. Service de Médecine Physique et Réadaptation, Hôpital Cochin, Paris, France. 10. IFR Handicap INSERM, Paris, France. 11. Department of Rheumatology , Sint Maartenskliniek , the Netherlands. 12. Toronto Scleroderma Program, Mount Sinai Hospital, Toronto Western Hospital, and University of Toronto, Toronto, Ontario, Canada. 13. Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico. 14. Leiden University Medical Center, Leiden, the Netherlands. 15. Haga Teaching Hospital, the Hague, the Netherlands. 16. NVLE Dutch Patient Organization for Systemic Autoimmune Diseases, Utrecht, the Netherlands. 17. Department of Educational and Counselling Psychology, McGill University , Montréal, Québec, Canada.
Abstract
OBJECTIVE: Exercise is associated with improved health in many medical conditions. Little is known about the exercise habits of people with systemic sclerosis (SSc, or scleroderma). This study assessed the proportion of individuals with SSc who exercise and associations of demographic and disease variables with exercise. Additionally, the weekly amount of time spent exercising and the types of exercise performed were assessed among patients exercising. METHODS: The sample consisted of adult participants with SSc enrolled in the Scleroderma Patient-centered Intervention Network (SPIN) Cohort who completed baseline questionnaires from March 2014 through August 2015. Baseline questionnaires included questions on exercise habits, physician-reported medical characteristics, self-report demographic characteristics, the Health Assessment Questionnaire-Disability Index, Patient Health Questionnaire-9, and Patient-Reported Outcomes Measurement Information System-29. RESULTS: Of 752 patients, 389 (51.7%) reported presently engaging in exercise, and these patients exercised on average 4.7 h [standard deviation (SD) = 2.8] per week. Among patients who reported exercising, walking was most commonly reported (n = 295, 75.8%). In bivariate analyses, present exercise was associated with more education, lower body mass index, some (versus no) alcohol consumption, non-smoking, limited/sine disease subtype, absence of skin thickening, lower disability, higher physical function, lower symptoms of anxiety and depression, less fatigue, lower sleep disturbance, higher ability to participate in social roles and activities, and less pain. CONCLUSIONS: Approximately half of SSc patients reported that they are currently exercising with walking being the most common form of exercise. Understanding exercise patterns and factors associated with exercise will help better inform intervention programs to support exercise for patients with SSc. Implications for rehabilitation Systemic sclerosis is a rare autoimmune rheumatic disease associated with great morbidity and highly diverse presentation. Approximately half of people with both limited and diffuse systemic sclerosis report exercising. Most exercisers walk, but patients engage in a wide variety of exercise-related activities. Individually designed exercise programs are most likely to support and encourage exercise in patients with diverse disease manifestations.
OBJECTIVE: Exercise is associated with improved health in many medical conditions. Little is known about the exercise habits of people with systemic sclerosis (SSc, or scleroderma). This study assessed the proportion of individuals with SSc who exercise and associations of demographic and disease variables with exercise. Additionally, the weekly amount of time spent exercising and the types of exercise performed were assessed among patients exercising. METHODS: The sample consisted of adult participants with SSc enrolled in the SclerodermaPatient-centered Intervention Network (SPIN) Cohort who completed baseline questionnaires from March 2014 through August 2015. Baseline questionnaires included questions on exercise habits, physician-reported medical characteristics, self-report demographic characteristics, the Health Assessment Questionnaire-Disability Index, Patient Health Questionnaire-9, and Patient-Reported Outcomes Measurement Information System-29. RESULTS: Of 752 patients, 389 (51.7%) reported presently engaging in exercise, and these patients exercised on average 4.7 h [standard deviation (SD) = 2.8] per week. Among patients who reported exercising, walking was most commonly reported (n = 295, 75.8%). In bivariate analyses, present exercise was associated with more education, lower body mass index, some (versus no) alcohol consumption, non-smoking, limited/sine disease subtype, absence of skin thickening, lower disability, higher physical function, lower symptoms of anxiety and depression, less fatigue, lower sleep disturbance, higher ability to participate in social roles and activities, and less pain. CONCLUSIONS: Approximately half of SSc patients reported that they are currently exercising with walking being the most common form of exercise. Understanding exercise patterns and factors associated with exercise will help better inform intervention programs to support exercise for patients with SSc. Implications for rehabilitation Systemic sclerosis is a rare autoimmune rheumatic disease associated with great morbidity and highly diverse presentation. Approximately half of people with both limited and diffuse systemic sclerosis report exercising. Most exercisers walk, but patients engage in a wide variety of exercise-related activities. Individually designed exercise programs are most likely to support and encourage exercise in patients with diverse disease manifestations.
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