Factors Associated With Physical Activity in Home-Based Rehabilitation Patients With Ankylosing Spondylitis: A Prospective Longitudinal Study.

IF 1.5 Q3 RHEUMATOLOGY

Musculoskeletal Care Pub Date : 2025-09-01 DOI:10.1002/msc.70131

Heng-Ying Fang, Ying-Hua Pan, Yi-Heng Zhang, Yu-Hua Deng, Xiao-Wen Li, Lei Huang, Hui-Ting Gu, Yue Ding, Xin-Xin Hu, Mu Liu, Rui-Chong Wang, MeiFen Zhang

{"title":"Factors Associated With Physical Activity in Home-Based Rehabilitation Patients With Ankylosing Spondylitis: A Prospective Longitudinal Study.","authors":"Heng-Ying Fang, Ying-Hua Pan, Yi-Heng Zhang, Yu-Hua Deng, Xiao-Wen Li, Lei Huang, Hui-Ting Gu, Yue Ding, Xin-Xin Hu, Mu Liu, Rui-Chong Wang, MeiFen Zhang","doi":"10.1002/msc.70131","DOIUrl":null,"url":null,"abstract":"Background: To identify factors associated with physical activity levels among patients with ankylosing spondylitis (AS) who are undergoing home-based rehabilitation.Methods: A 6-month follow-up study of 225 AS patients in remission was conducted in a hospital. Data were collected at patient discharge (T0) and at 1 month (T1), 3 months (T2) and 6 months (T3) postdischarge via questionnaires that assessed a range of physiological, psychological, social and cognitive variables. The influence of these variables on physical activity levels was examined via generalised estimating equations (GEEs).Results: Physical activity levels significantly fluctuated over time, as they exhibited an initial decrease followed by a slight increase. Lower levels were observed at 3 months postdischarge (T0: 74.3 ± 81.9; T1: 70.1 ± 79.3; T2: 60.5 ± 73.1; T3: 75.4 ± 80.1). Univariate analysis revealed that anxiety level, depression severity, perceived exercise benefits/impairment, exercise self-efficacy and social support significantly influenced physical activity (p < 0.001). The GEE model revealed that educational level, the absence of biologics, the Bath Ankylosing Spondylitis Functional Index (BASFI) score, anxiety, perceived exercise benefits/barriers and social support were significant predictors of physical activity (p < 0.05). Specifically, patients with lower education levels and those not receiving biologics had higher physical activity levels, whereas increased BASFI scores, anxiety and perceived barriers were associated with reduced physical activity.Conclusion: Physical activity is essential for improving the functional outcomes of AS patients, and various factors significantly influence their engagement in physical activities. This study provides a foundational framework for tailored home rehabilitation strategies and emphasises the need for personalised approaches in long-term management.","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 3","pages":"e70131"},"PeriodicalIF":1.5000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Musculoskeletal Care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1002/msc.70131","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"RHEUMATOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Background: To identify factors associated with physical activity levels among patients with ankylosing spondylitis (AS) who are undergoing home-based rehabilitation.

Methods: A 6-month follow-up study of 225 AS patients in remission was conducted in a hospital. Data were collected at patient discharge (T0) and at 1 month (T1), 3 months (T2) and 6 months (T3) postdischarge via questionnaires that assessed a range of physiological, psychological, social and cognitive variables. The influence of these variables on physical activity levels was examined via generalised estimating equations (GEEs).

Results: Physical activity levels significantly fluctuated over time, as they exhibited an initial decrease followed by a slight increase. Lower levels were observed at 3 months postdischarge (T0: 74.3 ± 81.9; T1: 70.1 ± 79.3; T2: 60.5 ± 73.1; T3: 75.4 ± 80.1). Univariate analysis revealed that anxiety level, depression severity, perceived exercise benefits/impairment, exercise self-efficacy and social support significantly influenced physical activity (p < 0.001). The GEE model revealed that educational level, the absence of biologics, the Bath Ankylosing Spondylitis Functional Index (BASFI) score, anxiety, perceived exercise benefits/barriers and social support were significant predictors of physical activity (p < 0.05). Specifically, patients with lower education levels and those not receiving biologics had higher physical activity levels, whereas increased BASFI scores, anxiety and perceived barriers were associated with reduced physical activity.

Conclusion: Physical activity is essential for improving the functional outcomes of AS patients, and various factors significantly influence their engagement in physical activities. This study provides a foundational framework for tailored home rehabilitation strategies and emphasises the need for personalised approaches in long-term management.

查看原文本刊更多论文

强直性脊柱炎家庭康复患者体力活动相关因素：一项前瞻性纵向研究。

背景：确定正在接受家庭康复的强直性脊柱炎（AS）患者体力活动水平的相关因素。方法：对某医院225例缓解期AS患者进行为期6个月的随访研究。在患者出院（T0）和出院后1个月（T1）、3个月（T2）和6个月（T3）时，通过问卷收集数据，评估一系列生理、心理、社会和认知变量。这些变量对身体活动水平的影响通过广义估计方程（GEEs）进行了检验。结果：随着时间的推移，身体活动水平显著波动，因为他们表现出最初的减少，然后略有增加。出院后3个月较低(T0: 74.3±81.9；T1: 70.1±79.3；T2: 60.5±73.1；T3: 75.4±80.1)。单变量分析显示，焦虑水平、抑郁严重程度、感知运动益处/损害、运动自我效能感和社会支持显著影响体育活动(p)。结论：体育活动对改善AS患者的功能结局至关重要，各种因素显著影响其体育活动的参与。这项研究为量身定制的家庭康复策略提供了一个基础框架，并强调了在长期管理中个性化方法的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Musculoskeletal Care RHEUMATOLOGY-

CiteScore

2.30

自引率

7.70%

发文量

期刊介绍： Musculoskeletal Care is a peer-reviewed journal for all health professionals committed to the clinical delivery of high quality care for people with musculoskeletal conditions and providing knowledge to support decision making by professionals, patients and policy makers. This journal publishes papers on original research, applied research, review articles and clinical guidelines. Regular topics include patient education, psychological and social impact, patient experiences of health care, clinical up dates and the effectiveness of therapy.