ArticleClinical rheumatology2013
High disease activity is related to low levels of physical activity in patients with ankylosing spondylitis.
Article in Clinical rheumatology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 6 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- The efficacy and safety of adalimumab in treating axial spondyloarthritis: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2026Pooled it
- The effectiveness of different exercise mode interventions in improving disease activity in patients with ankylosing spondylitis: a network and dose-dependent meta-analysis.Frontiers in physiology · 2025Pooled it
- Correlates of physical activity in adults with spondyloarthritis and rheumatoid arthritis: a systematic review.Rheumatology international · 2022Pooled it
- Wearables for Measuring the Physical Activity and Sedentary Behavior of Patients With Axial Spondyloarthritis: Systematic Review.JMIR mHealth and uHealth · 2022Pooled it
- [Long version on the S3 guidelines for axial spondyloarthritis including Bechterew's disease and early forms, Update 2019 : Evidence-based guidelines of the German Society for Rheumatology (DGRh) and participating medical scientific specialist societies and other organizations].Zeitschrift fur Rheumatologie · 2019Guideline
- Physical activity in spondyloarthritis: a systematic review.Rheumatology international · 2015Pooled it
- High-Intensity Exercise Improves Fatigue, Sleep, and Mood in Patients With Axial Spondyloarthritis: Secondary Analysis of a Randomized Controlled Trial.Physical therapy · 2020Trial
- Kinesiophobia and physical activity participation in axial spondyloarthritis: a cross-sectional study during the COVID-19 pandemic.Clinical rheumatology · 2026Article
- Cross-Cultural Adaptation and Translation of the Modified Short QUestionnaire to ASsess Health-Enhancing Physical Activity (mSQUASH) Into Korean for Use in Patients With Axial Spondyloarthritis.Journal of Korean medical science · 2026Article
- Evidence on physical activity-sleep associations in axial spondyloarthritis: a scoping review of current findings.Rheumatology international · 2026Article
- Physical activity in relation to health status, quality of life and compliance with World Health Organization recommendations in patients with axial spondyloarthritis.Arthritis research & therapy · 2025Article
- Personalized physical activity recommendations for people with axial spondyloarthritis using wearable activity tracker data: an exploratory study.Rheumatology international · 2025Article
- Article
- Associations between cardiovascular risk factors, disease activity and cardiorespiratory fitness in patients with inflammatory joint disease: a cross-sectional analysis.BMC sports science, medicine & rehabilitation · 2023Article
- Understanding beliefs related to physical activity in people living with axial Spondyloarthritis: a theory-informed qualitative study.BMC rheumatology · 2022Article
- Causal Relationships Between Total Physical Activity and Ankylosing Spondylitis: A Mendelian Randomization Study.Frontiers in immunology · 2022Article
- Objective Measurements of Physical Activity and Sedentary Behavior Using Wearable Devices in Patients With Axial Spondyloarthritis: Protocol for a Systematic Review.JMIR research protocols · 2021Article
- Physical activity in patients with axial spondyloarthritis in a multi-ethnic south-east Asian country.BMC rheumatology · 2021Article
- Clinical improvement of cardiac function in a patient with systemic lupus erythematosus and heart failure with preserved ejection fraction treated with belimumab.BMJ case reports · 2021Article
- How Do Patients With Axial Spondyloarthritis Experience High-Intensity Exercise?ACR open rheumatology · 2020Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study aims to compare physical activity (PA) level and exercise habits in patients with ankylosing spondylitis (AS) who have high disease activity with those who have low disease activity and, further, to compare both groups with population controls. Cross-sectional study design was used. The participants include 149 patients (mean age 49.3 (SD 11.1), 61% men, 54% high disease activity) and 133 controls (mean age 52.7 (SD11.3), 58% men). PA was reported with the International PA Questionnaire-Long and results were presented as weekly energy expenditure (metabolic equivalent, MET) in different intensities, domains, and proportion reaching health enhancing physical activity (HEPA). Types of PA were registered in a structured interview. The AS Disease Activity Score was used to assess patients' disease activity. Patients with high disease activity reported significantly lower total weekly energy expenditure (MET) than patients with low disease activity and controls (p = 0.02, p = 0.01, respectively) and lower amounts of walking (p < 0.01, p = 0.02, respectively) and vigorous activity (p = 0.06, p = 0.06, respectively). Only 41% of the patients with high disease activity reached HEPA compared to 61% of the patients with low disease activity (p = 0.02). Patients in general participated less in leisure PA performed outdoor and with higher intensities (MET ≥ 6) than controls.AS patients with high disease activity had lower weekly energy expenditure in PA than patients with low disease activity and controls, and were less likely to reach HEPA than patients with low disease activity. For optimal management, health professionals should focus on physical activity in their consultations with AS patients, especially those with high disease activity.
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