Physical activity and sedentary behavior in patients with systemic lupus erythematosus and rheumatoid arthritis

Alexandra Legge,1 Chris Blanchard,1 John G Hanly2,3 1Department of Medicine, 2Division of Rheumatology, Department of Medicine, 3Department of Pathology, Dalhousie University and Queen Elizabeth II Health Sciences Center, Halifax, NS, Canada Objective: Patients with systemic lupus erythematosus (SLE...

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Autores principales:	Legge A, Blanchard C, Hanly JG
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Systemic Lupus Erythematosus Rheumatoid Arthritis Physical Activity Sedentary Behavior Accelerometry. Diseases of the musculoskeletal system RC925-935
Acceso en línea:	https://doaj.org/article/752e004dbb9b4b5a9f287713e779b6fb
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spelling	oai:doaj.org-article:752e004dbb9b4b5a9f287713e779b6fb2021-12-02T03:36:26ZPhysical activity and sedentary behavior in patients with systemic lupus erythematosus and rheumatoid arthritis1179-156Xhttps://doaj.org/article/752e004dbb9b4b5a9f287713e779b6fb2017-11-01T00:00:00Zhttps://www.dovepress.com/physical-activity-and-sedentary-behavior-in-patients-with-systemic-lup-peer-reviewed-article-OARRRhttps://doaj.org/toc/1179-156XAlexandra Legge,1 Chris Blanchard,1 John G Hanly2,3 1Department of Medicine, 2Division of Rheumatology, Department of Medicine, 3Department of Pathology, Dalhousie University and Queen Elizabeth II Health Sciences Center, Halifax, NS, Canada Objective: Patients with systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA) are at increased risk of cardiovascular disease (CVD). As sedentary behavior and lack of physical activity are known cardiovascular risk factors, we compared habitual activity between SLE patients, RA patients, and healthy control participants.Patients and methods: For this cross-sectional study, RA and SLE patients were recruited from rheumatology clinics at an academic medical center from April 2013 to December 2014. Healthy control participants were recruited through local advertising during the same time period. Habitual activity was measured using a triaxial accelerometer worn during waking hours for 7 consecutive days. Minutes per day of sedentary, light, and moderate–vigorous physical activity (MVPA) were recorded and compared between SLE, RA, and healthy participants using ANOVA.Results: There were 59 participants included in the analysis: 20 SLE patients, 19 RA patients, and 20 healthy controls. Disease activity was quiescent in both the SLE and RA groups. All three groups demonstrated high sedentary behavior (mean ± SD sedentary time for all participants: 10.1±1.3 hours/day; 76.4% total wear time). There were no significant differences between SLE, RA, and healthy participants in time spent in sedentary behavior (p=0.80) or light activity (p=0.17). Total MVPA (mean ± SD, minutes/day) was significantly lower in SLE (34.5±22.7; p<0.001) and RA (41.5±21.3; p=0.005) patients compared to controls (64.9±22.4).Conclusion: SLE and RA patients demonstrate suboptimal MVPA despite well-controlled disease. Given their increased CVD risk, effective interventions are required to improve habitual physical activity levels in both populations. Keywords: systemic lupus erythematosus, rheumatoid arthritis, physical activity, sedentary behavior, accelerometryLegge ABlanchard CHanly JGDove Medical PressarticleSystemic Lupus ErythematosusRheumatoid ArthritisPhysical ActivitySedentary BehaviorAccelerometry.Diseases of the musculoskeletal systemRC925-935ENOpen Access Rheumatology: Research and Reviews, Vol Volume 9, Pp 191-200 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Systemic Lupus Erythematosus Rheumatoid Arthritis Physical Activity Sedentary Behavior Accelerometry. Diseases of the musculoskeletal system RC925-935
spellingShingle	Systemic Lupus Erythematosus Rheumatoid Arthritis Physical Activity Sedentary Behavior Accelerometry. Diseases of the musculoskeletal system RC925-935 Legge A Blanchard C Hanly JG Physical activity and sedentary behavior in patients with systemic lupus erythematosus and rheumatoid arthritis
description	Alexandra Legge,1 Chris Blanchard,1 John G Hanly2,3 1Department of Medicine, 2Division of Rheumatology, Department of Medicine, 3Department of Pathology, Dalhousie University and Queen Elizabeth II Health Sciences Center, Halifax, NS, Canada Objective: Patients with systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA) are at increased risk of cardiovascular disease (CVD). As sedentary behavior and lack of physical activity are known cardiovascular risk factors, we compared habitual activity between SLE patients, RA patients, and healthy control participants.Patients and methods: For this cross-sectional study, RA and SLE patients were recruited from rheumatology clinics at an academic medical center from April 2013 to December 2014. Healthy control participants were recruited through local advertising during the same time period. Habitual activity was measured using a triaxial accelerometer worn during waking hours for 7 consecutive days. Minutes per day of sedentary, light, and moderate–vigorous physical activity (MVPA) were recorded and compared between SLE, RA, and healthy participants using ANOVA.Results: There were 59 participants included in the analysis: 20 SLE patients, 19 RA patients, and 20 healthy controls. Disease activity was quiescent in both the SLE and RA groups. All three groups demonstrated high sedentary behavior (mean ± SD sedentary time for all participants: 10.1±1.3 hours/day; 76.4% total wear time). There were no significant differences between SLE, RA, and healthy participants in time spent in sedentary behavior (p=0.80) or light activity (p=0.17). Total MVPA (mean ± SD, minutes/day) was significantly lower in SLE (34.5±22.7; p<0.001) and RA (41.5±21.3; p=0.005) patients compared to controls (64.9±22.4).Conclusion: SLE and RA patients demonstrate suboptimal MVPA despite well-controlled disease. Given their increased CVD risk, effective interventions are required to improve habitual physical activity levels in both populations. Keywords: systemic lupus erythematosus, rheumatoid arthritis, physical activity, sedentary behavior, accelerometry
format	article
author	Legge A Blanchard C Hanly JG
author_facet	Legge A Blanchard C Hanly JG
author_sort	Legge A
title	Physical activity and sedentary behavior in patients with systemic lupus erythematosus and rheumatoid arthritis
title_short	Physical activity and sedentary behavior in patients with systemic lupus erythematosus and rheumatoid arthritis
title_full	Physical activity and sedentary behavior in patients with systemic lupus erythematosus and rheumatoid arthritis
title_fullStr	Physical activity and sedentary behavior in patients with systemic lupus erythematosus and rheumatoid arthritis
title_full_unstemmed	Physical activity and sedentary behavior in patients with systemic lupus erythematosus and rheumatoid arthritis
title_sort	physical activity and sedentary behavior in patients with systemic lupus erythematosus and rheumatoid arthritis
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/752e004dbb9b4b5a9f287713e779b6fb
work_keys_str_mv	AT leggea physicalactivityandsedentarybehaviorinpatientswithsystemiclupuserythematosusandrheumatoidarthritis AT blanchardc physicalactivityandsedentarybehaviorinpatientswithsystemiclupuserythematosusandrheumatoidarthritis AT hanlyjg physicalactivityandsedentarybehaviorinpatientswithsystemiclupuserythematosusandrheumatoidarthritis
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Physical activity and sedentary behavior in patients with systemic lupus erythematosus and rheumatoid arthritis

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