Lupus & antiphospholipid syndrome

Levels of physical activity in a large international cohort of patients with systemic lupus erythematosus

Lupus Sci MedPublished Cross-sectional study

Authors' conclusion

In this large international study, more than 40% of patients with SLE were not active enough. We found an inverse association between PA levels and fatigue, pain, stress or depression.

Study context

Population
Patients with SLE in a large international cohort (LEAF participants)986 (95.8%) women
Participants
1,029 patients
Outcome
PA level (METs, IPAQ; low, moderate, high PA)
Methodological detailsinternational cohort, patient-reported instruments via LEAF digital tool
  • International cohort
  • Patient-reported instruments via LEAF digital tool

Main finding

As reported in the abstract

PA level (IPAQ)

Physical expenditure, median (IQR) metabolic equivalent of tasks (METs)/week

936

297–2622

Low physical activity (PA) level

456

44.3%

Observational data: associations, not effects.

Further findings

Association of lower PA (International Physical Activity Questionnaire (IPAQ)) with symptoms

Increased fatigue (FACIT-Fatigue) more prevalent in less active patients
P < 0.0001
Increased fatigue (Multidimensional Fatigue Inventory) more prevalent in less active patients
P < 0.0001
Increased fatigue (VAS) more prevalent in less active patients
P = 0.02
Pain more prevalent in less active patients
P = 0.009
Depression more prevalent in less active patients
P = 0.02
Stress more prevalent in less active patients
P < 0.0001

Original publication

Levels of physical activity in a large international cohort of patients with systemic lupus erythematosus. Lupus Sci Med. Published 15 March 2025. doi:10.1136/lupus-2024-001443

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