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Empowerment as the key to health-enhancing physical activity in patients with rheumatoid arthritis and low physical function—a cross-sectional study

Andersson, M. L.E. LU orcid ; Wibring, K. ; Bergman, S. LU and Bremander, A. LU (2025) In Clinical Rheumatology
Abstract

Objective: To study factors associated with health-enhancing physical activity in people with rheumatoid arthritis (RA), stratified by physical function. Method: In 2017, a survey was sent to 1543 patients with RA in the BARFOT (Better Anti-Rheumatic Pharmacotherapy) cohort, and 69% of patients responded. The survey included questions on physical function, pain, fatigue, self-reported disease activity, physical activity level, health-related quality of life, empowerment, comorbidities, and antirheumatic treatment. The patients were stratified based on physical function according to the Health Assessment Questionnaire (median value as cut off) into groups with worse vs. better physical function and further dichotomized to whether or not... (More)

Objective: To study factors associated with health-enhancing physical activity in people with rheumatoid arthritis (RA), stratified by physical function. Method: In 2017, a survey was sent to 1543 patients with RA in the BARFOT (Better Anti-Rheumatic Pharmacotherapy) cohort, and 69% of patients responded. The survey included questions on physical function, pain, fatigue, self-reported disease activity, physical activity level, health-related quality of life, empowerment, comorbidities, and antirheumatic treatment. The patients were stratified based on physical function according to the Health Assessment Questionnaire (median value as cut off) into groups with worse vs. better physical function and further dichotomized to whether or not they met the World Health Organisation recommended level of health-enhancing physical activity (≥ 150 min/week). The Mann–Whitney U test or chi-squared test was used to analyse group differences. A logistic regression model adjusted for age and sex was used to study factors associated with health-enhancing physical activity. Results: In total, 1047 patients had available data on physical function, mean age 67 years (SD 13), 72% women. Younger age, non-obesity, less pain, less fatigue, and lower disease activity were associated with health-enhancing physical activity, irrespective of physical function level. In the group with worse physical function, better health-related quality of life and empowerment were also associated with health-enhancing physical activity. Conclusion: The results indicate a complex relationship between various factors that can affect the level of physical activity in individuals with RA. Strengthening empowerment could be a key when supporting improvement in physical activity in patients with RA with impaired physical function. (Table presented.)

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Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
Empowerment, Physical activity, Physical function, Rheumatoid arthritis
in
Clinical Rheumatology
publisher
Springer
external identifiers
  • scopus:105021065090
  • pmid:41184534
ISSN
0770-3198
DOI
10.1007/s10067-025-07696-2
language
English
LU publication?
yes
additional info
Publisher Copyright: © The Author(s) 2025.
id
b24176a3-3ea6-4377-84dd-57b59179380a
date added to LUP
2026-01-13 08:48:06
date last changed
2026-01-13 09:57:06
@article{b24176a3-3ea6-4377-84dd-57b59179380a,
  abstract     = {{<p>Objective: To study factors associated with health-enhancing physical activity in people with rheumatoid arthritis (RA), stratified by physical function. Method: In 2017, a survey was sent to 1543 patients with RA in the BARFOT (Better Anti-Rheumatic Pharmacotherapy) cohort, and 69% of patients responded. The survey included questions on physical function, pain, fatigue, self-reported disease activity, physical activity level, health-related quality of life, empowerment, comorbidities, and antirheumatic treatment. The patients were stratified based on physical function according to the Health Assessment Questionnaire (median value as cut off) into groups with worse vs. better physical function and further dichotomized to whether or not they met the World Health Organisation recommended level of health-enhancing physical activity (≥ 150 min/week). The Mann–Whitney U test or chi-squared test was used to analyse group differences. A logistic regression model adjusted for age and sex was used to study factors associated with health-enhancing physical activity. Results: In total, 1047 patients had available data on physical function, mean age 67 years (SD 13), 72% women. Younger age, non-obesity, less pain, less fatigue, and lower disease activity were associated with health-enhancing physical activity, irrespective of physical function level. In the group with worse physical function, better health-related quality of life and empowerment were also associated with health-enhancing physical activity. Conclusion: The results indicate a complex relationship between various factors that can affect the level of physical activity in individuals with RA. Strengthening empowerment could be a key when supporting improvement in physical activity in patients with RA with impaired physical function. (Table presented.)</p>}},
  author       = {{Andersson, M. L.E. and Wibring, K. and Bergman, S. and Bremander, A.}},
  issn         = {{0770-3198}},
  keywords     = {{Empowerment; Physical activity; Physical function; Rheumatoid arthritis}},
  language     = {{eng}},
  publisher    = {{Springer}},
  series       = {{Clinical Rheumatology}},
  title        = {{Empowerment as the key to health-enhancing physical activity in patients with rheumatoid arthritis and low physical function—a cross-sectional study}},
  url          = {{http://dx.doi.org/10.1007/s10067-025-07696-2}},
  doi          = {{10.1007/s10067-025-07696-2}},
  year         = {{2025}},
}