Spondyloarthritis & psoriatic arthritis

Impaired cardiorespiratory fitness in psoriatic arthritis: insights from cardiopulmonary exercise testing

RMD OpenPublished Cross-sectional study

Authors' conclusion

The CRF level of patients with PsA was significantly decreased compared to a physically active population with 41% having an impaired CRF.

Study context

Population
Patients with psoriatic arthritis (PsA) (41% females, mean age 51 years (SD=11))41% females
Participants
80 patients
Exposure
PsA vs physically active reference population
  • PsAn = 80
Outcome
CRF measured as VO2peak during incremental maximal cardiopulmonary exercise test, compared with reference charts of the general population
Methodological detailsincremental maximal cardiopulmonary exercise test, multivariable linear regression, Holm-Bonferroni correction
  • Incremental maximal cardiopulmonary exercise test
  • Multivariable linear regression
  • Holm-Bonferroni correction

Main finding

As reported in the abstract

VO2peak
GroupValue% of physically active reference (mean)Impaired cardiorespiratory fitness (CRF)
PsAmean 26.03 (SD 7.56) mL/min/kg74.01% (SD=19.19)41%

PsA

Valuemean 26.03 (SD 7.56) mL/min/kg
% of physically active reference (mean)74.01% (SD=19.19)
Impaired cardiorespiratory fitness (CRF)41%
  • PsA vs Reference population: P < 0.001 — significantly decreased; one-sided t-test

Observational data: associations, not effects.

Further findings

Associations with VO2peak (log-transformed), multivariable linear regression adjusted for age and sex

Disease activity (Psoriatic Arthritis Disease Activity Score), β
−0.2757, p*=0.009
Waist-hip ratio, β
−0.4193, p*<0.001
Patient-reported disease impact (Psoriatic Arthritis Impact of Disease 12-item questionnaire), β
−0.2385, p*=0.015
Moderate-to-vigorous physical activity during commuting and leisure time (minutes/week), β
0.1702, p*=0.015
Adjusted R²
0.71
  • P* = Holm-Bonferroni corrected

Original publication

Impaired cardiorespiratory fitness in psoriatic arthritis: insights from cardiopulmonary exercise testing. RMD Open. Published 20 October 2025. doi:10.1136/rmdopen-2025-006110

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