Spondyloarthritis & psoriatic arthritis

From awareness to action: poor knowledge of physical activity correlates with lower activity and worse disease in axial spondyloarthritis

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

Despite recognizing health benefits of PA, patients had limited awareness of PA recommendations and under-engaged in PA. This insufficient awareness correlated with lower activity and worse disease status.

Study context

Population
Chinese patients with radiographic axial spondyloarthritis (r-axSpA)
Participants
151 patients
Exposure
Sedentary vs moderately active/active
Outcome
Awareness, implementation and factors influencing PA engagement, and their relationships with disease status

Main finding

As reported in the abstract

Awareness of PA and PA engagement
Aware of health benefits of physical activity (PA)
98.0%
Physicians had recommended PA
97.4%
Knew WHO recommendations on aerobic PA
33.8%
Knew WHO recommendations on muscle-strengthening activities
33.1%
Knew European League Against Rheumatism (EULAR) recommendations for PA
55.6%
Classified as active by daily steps
13.2%
Individual exercise as the main form
62.3%

Observational data: associations, not effects.

Further findings

OutcomeP value
IFAB factors, sedentary vs moderately active/activeSedentary vs Moderately active/active · significant differenceP = 0.015
IFAB factors, sedentary vs moderately active/activeSedentary vs Moderately active/active · significant differenceP = 0.045

Awareness of recommendations and disease activity, sedentary vs moderately active/active

Sedentary showed significantly poorer awareness of recommendations and higher disease activity than moderately active/active

Correlation of awareness of EULAR recommendations with Godin Leisure-Time Exercise Questionnaire (GLTEQ) score

Positive correlation
P = 0.003
  • Spearman's correlation

Original publication

From awareness to action: poor knowledge of physical activity correlates with lower activity and worse disease in axial spondyloarthritis. Rheumatology (Oxford). Published 17 March 2025. doi:10.1093/rheumatology/keaf033

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