Evidence map›Paper›PMID 27863147›Full record

ArticleArthritis care & research2017

Physical Activity and Correlates of Physical Activity Participation Over Three Years in Adults With Rheumatoid Arthritis.

Maura D Iversen, Michelle Frits, Johan von Heideken, Jing Cui, Michael Weinblatt, Nancy A Shadick

Abstract readComparative Study
In one paragraph

Article in Arthritis care & research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

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  13. Rheumatoid arthritis treatment: Is exercise a game changer?Turkish journal of physical medicine and rehabilitation · 2024
    Review
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  15. Ethical issues experienced by persons with rheumatoid arthritis in a wearable-enabled physical activity intervention study.Health expectations : an international journal of public participation in health care and health policy · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Maura D IversenNortheastern University, Brigham and Women's Hospital, and Harvard Medical School, Boston, Massachusetts, and Karolinska Institutet, Stockholm, Sweden.
Michelle FritsBrigham and Women's Hospital, Boston, Massachusetts.
Johan von HeidekenKarolinska Institutet, Stockholm, Sweden.
Jing CuiBrigham and Women's Hospital, Boston, Massachusetts.
Michael WeinblattBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
Nancy A ShadickBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
Brigham and Women's Hospital · USHarvard University · USKarolinska Institutet · SE

Funding

Trial of risk mangement for prevention of accelerated atherosclerosis in SLEP60AR047782 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI LOSINA, ELENA · 2001 to 2016
$18.8M
Joint Biology Consortium Resource-based CenterP30AR070253 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI Peter A Nigrovic, Jeffrey Andrew Sparks · 2016 to 2026
$9.4M
Activity Presciptions in Rheumatoid Arthritis: Toward Personalized CounselingR03AR057133 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI IVERSEN, MAURA · 2010 to 2011
$175k
NIAMS NIH HHS P30 AR070253NIAMS NIH HHS P60 AR047782NIAMS NIH HHS R03 AR057133
6 · The paper itself

Abstract

objectiveTo characterize physical activity participation (moderate-to-vigorous physical activity [MVPA], ≥150 minutes of moderate physical activity or 75 minutes of vigorous physical activity per week), to examine associations between disease activity and MVPA, and to identify MVPA correlates in adults with rheumatoid arthritis (RA) over 3 years.

methodsThis study included 573 RA patients (94% white, 83% female, mean age 61 years, mean RA duration 19.5 years) with ≥1 annual registry visit and who completed the physical activity questionnaire. Baseline and annual measures included demographics/medical history, self-efficacy for disease management, quality of life, patient/physician global assessment, physical function, and self-reported physical activity. A logistic repeated-measures model using the generalized estimating equation examined the relationship between disease activity and MVPA.

resultsAverage disease activity (from the 3-variable Disease Activity Score in 28 joints using the C-reactive protein level) was mean ± SD 3.1 ± 1.4, 36% were physically inactive, and 29% met MVPA recommendations. There was a negative borderline association with disease activity (odds ratio [OR] 0.89 [95% confidence interval (95% CI) 0.79-1.00]). Correlates of meeting MVPA recommendations, adjusting for disease activity, were being white (OR 2.95 [95% CI 1.29-6.75]), older age (ages >69 years OR 0.58 [95% CI 0.36-0.92]), poor mental health (OR 0.63 [95% CI 0.41-0.95]), poor physical function (OR 0.59 [95% CI 0.34-1.01]), overweight/obese (body mass index [BMI] >25-30 OR 0.69 [95% CI 0.50-0.95], BMI >30-39.9 OR 0.60 [95% CI 0.41-0.88], and BMI ≤40 OR 0.24 [95% CI 0.08-0.74]), and patient global assessment (≥10-20 OR 0.57 [95% CI 0.39-0.83]).

conclusionA small proportion of patients met MVPA recommendations despite well-controlled disease. Disease activity was negatively associated with physical activity over time. Physical activity correlates were linked to lifestyle, mental health, and patient perceptions of disease, suggesting physical activity interventions that address patient perspectives may facilitate RA management.

Indexed as

ExerciseAdolescentAdultAgedArthritis, RheumatoidFemaleHealth Knowledge, Attitudes, PracticeHealth StatusHumansLife StyleLogistic ModelsLongitudinal StudiesMaleMental HealthMiddle AgedMultivariate Analysis

Identifiers

PMID27863147
PMCPMC5436948
OpenAlexW2549250994

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.