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Aktuelle Rheumatologie 2017; 42(04): 329-335
DOI: 10.1055/s-0042-100614
Originalarbeit
© Georg Thieme Verlag KG Stuttgart · New York

Comparison of Physical Activity Levels in Rheumatic Diseases

Vergleich des körperlichen Aktivitätsniveaus bei rheumatischen Erkrankungen
M. Acar
1   Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Baskent University, Ankara, Turkey
,
E. Tonga
2   Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Marmara University, İstanbul, Turkey
,
A. Daskapan
3   Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Kırıkkale University, Kırıkkale, Turkey
,
M. Karataş
4   Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Baskent University, Ankara, Turkey
,
A. Tekindal
5   Faculty of Medicine, Department of Biostatistics, İzmir, İzmir University, Turkey
› Author Affiliations
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Publication History

Publication Date:
29 June 2016 (online)

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Abstract

Objectives: The aim of this study was to evaluate levels of physical activity in patients with rheumatoid arthritis, osteoarthritis and fibromyalgia and to compare the results with both healthy subjects and each other.

Methods: A group of 50 rheumatoid arthritis patients, 95 osteoarthritis patients, 82 fibromyalgia patients and 110 healthy subjects were included in this study. Physical activity levels were assessed by the International Physical Activity Questionnaire (IPAQ).

Results: There were significant differences in walking and total physical activity scores in IPAQ between the rheumatoid arthritis (RA), osteoarthritis (OA), fibromyalgia (FMS) patients and the control group (p<0.05). 36.6% of the fibromyalgia group, 28.4% of the osteoarthritis group, 38% of the rheumatoid arthritis group and 22.7% of the healthy subjects were found to be inactive. 45.1% of the fibromyalgia group, 42.1% of the osteoarthritis group, 46% of the rheumatoid arthritis group and 36.4% of the healthy subjects were found to be insufficiently active.

Conclusion: As a result, when compared to healthy people, physical activity levels were significantly decreased in patients with rheumatoid arthritis, osteoarthritis, fibromyalgia. The decreases in the physical activity levels were clearer in patients with rheumatoid arthritis than in patients with osteoarthritis and fibromyalgia. Recommending regular physical activity should be integral to rheumatic disease management and walking offers a potentially accessible, inexpensive, and acceptable physical activity intervention.

Zusammenfassung

Zielsetzung: Ziele dieser Studie waren die Beurteilung des körperlichen Aktivitätsniveaus bei Patienten mit rheumatoider Arthritis, Arthrose und Fibromyalgie sowie ein Vergleich der Ergebnisse zwischen den einzelnen Krankheitsbildern und mit gesunden Probanden.

Methoden: Es wurden 50 Patienten mit rheumatoider Arthritis, 95 Patienten mit Arthrose, 82 Patienten mit Fibromyalgie sowie 110 gesunde Probanden in die Studie aufgenommen. Mithilfe des IPAQ-Fragebogens („International Physical Activity Questionnaire“) wurde das körperliche Aktivitätsniveau ermittelt.

Ergebnisse: Die Auswertung des IPAQ ergab bei den Scores für Gehen und körperliche Gesamtaktivität signifikante Unterschiede zwischen den Patienten mit rheumatoider Arthritis (RA), Arthrose („Osteoarthritis“, OA), Fibromyalgie (FMS) und der Kontrollgruppe (p<0,05). 36,6% der Fibromyalgie-Patienten, 28,4% der Arthrose-Patienten, 38% der Patienten mit rheumatoider Arthritis und 22,7% der gesunden Probanden wurden als inaktiv eingestuft. Bei 45,1% der Fibromyalgie-Patienten, 42,1% der Arthrose-Patienten, 46% der Patienten mit rheumatoider Arthritis und 36,4% der gesunden Probanden wurde ein unzureichendes Aktivitätsniveau festgestellt.

Schlussfolgerung: Die Ergebnisse zeigen, dass das körperliche Aktivitätsniveau bei Patienten mit rheumatoider Arthritis, Arthrose oder Fibromyalgie im Vergleich zu gesunden Personen deutlich reduziert war. Bei Patienten mit rheumatoider Arthritis trat die Reduktion des körperlichen Aktivitätsniveaus stärker zutage als bei Patienten mit Arthrose oder Fibromyalgie. Regelmäßige körperliche Aktivität sollte im Rahmen der Behandlung rheumatischer Erkrankungen immer empfohlen werden. Hierfür bietet sich insbesondere das Walken an, da es potenziell quasi immer und überall möglich ist, keine hohen Kosten mit sich bringt und eine akzeptable Form der körperlichen Aktivität darstellt.

Schlüsselwörter

körperliche Aktivität - rheumatoide Arthritis - Arthrose - Fibromyalgie

Key words

rheumatoid arthritis - osteoarthritis - fibromyalgia - physical activity - IPAQ
 

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