Evidence map›Paper›PMID 36877304›Full record

ArticleClinical rheumatology2023

Barriers and facilitators for physical activity in rheumatic and musculoskeletal disease: a European-based survey.

George S Metsios, S A M Fenton, K Tzika, R H Moe, G E Fragoulis, T P M Vliet Vlieland, E Nikiphorou, C H M Van den Ende, I Fatouros, M van der Esch and 11 more

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Clinical rheumatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
5.8field-weighted citation impact, top 4% 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

16 citing papers in PubMed, 20 citations in OpenAlex.

  1. Trial
  2. Trial
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  4. Article
  5. Article
  6. Physical Activity and Cardiovascular Health.Journal of diabetes research · 2026
    Review
  7. Article
  8. Article
  9. Article
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  13. Article
  14. Review
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  16. Patients' perspectives on adherence to cardiovascular screening consultation and lifestyle changes.Archives of public health = Archives belges de sante publique · 2024
    Article
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

21 authors at 16 institutions in 8 countries.

George S MetsiosSchool of Physical Education, Sport Science and Dietetics, Department of Nutrition and Dietetics, University of Thessaly, 42132, Trikala, Greece. g.metsios@uth.gr.ORCID http://orcid.org/0000-0001-5359-0436
S A M FentonSchool of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.
K TzikaFaculty of Education, Health and Wellbeing, University of Wolverhampton, Wolverhampton, UK.
R H MoeNational Resource Centre for Rehabilitation in Rheumatology, Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway.
G E FragoulisInstitute of Infection, Immunity and Inflammation, University of Glasgow, Glasgow, UK.
T P M Vliet VlielandDepartment of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, Leiden, The Netherlands.
E NikiphorouRheumatology Department, King's College Hospital, London, UK.
C H M Van den EndeDepartment of Rheumatology, Sint Maartenskliniek, Nijmegen, The Netherlands.
I FatourosDepartment of Physical Education and Sport Science, University of Thessaly, Karies, Trikala, Greece.
M van der EschACHIEVE-Center of Applied Research, Faculty of Health, Amsterdam University of Applied Sciences, Reade, Center for Rehabilitation and Rheumatology/Amsterdam Rehabilitation Research Center, Amsterdam, The Netherlands.
K NiedermannSchool of Health Sciences, Institute of Physiotherapy, Zurich University of Applied Sciences, Winterthur, Switzerland.
A Stavropoulos-KalinoglouCentre for Active Lifestyles, Carnegie School of Sport, Leeds Beckett University, Leeds, UK.
J J C S Veldhuijzen van ZantenSchool of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.
N BrodinDepartment of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Huddinge, Sweden.
C M O'BrienSchool of Psychology, University of Surrey, Guildford, UK.
Y KoutedakisFaculty of Education, Health and Wellbeing, University of Wolverhampton, Wolverhampton, UK.
N KennedySchool of Allied Health, Faculty of Education and Health Sciences and Health Research Institute, University of Limerick, Limerick, Ireland.
T W SwinnenDivision of Rheumatology, University Hospitals Leuven, Leuven, Belgium.
C BostromDepartment of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Huddinge, Sweden.
G D KitasDepartment of Rheumatology, Russells Hall Hospital, Dudley Group of Hospitals NHS Foundation Trust, Dudley, UK.
IMPACT-RMD Consortium
Karolinska Institutet · SEUniversity of Birmingham · GBUniversity of Thessaly · GRUniversity of Wolverhampton · GBDiakonhjemmet Hospital · NODudley Group NHS Foundation Trust · GBKing's College Hospital · GBKU Leuven · BELeeds Beckett University · GBLeiden University Medical Center · NLReade · NLSint Maartenskliniek · NLUniversity of Glasgow · GBUniversity of Limerick · IEUniversity of Surrey · GBZHAW Zurich University of Applied Sciences · CH

Funding

European League Against Rheumatism HPR043
6 · The paper itself

Abstract

Physical activity (PA) is a key strategy for improving symptoms in people with rheumatic and musculoskeletal diseases (RMDs). The aim of this study was to investigate and rank the importance of known barriers and facilitators for engaging in PA, from the perspective of people living with RMD. Five hundred thirty-three people with RMD responded to a survey (nine questions) disseminated by the People with Arthritis and Rheumatism (PARE) network of the European Alliance of Associations for Rheumatology (EULAR). The survey required participants to rank - based on their perceived importance - known PA barriers and facilitators from the literature, and specifically RMD symptoms as well as healthcare and community factors that may affect PA participation. Of the participants, 58% reported rheumatoid arthritis as their primary diagnosis, 89% were female, and 59% were between 51 and 70 years of age. Overall, participants reported fatigue (61.4%), pain (53.6%) and painful/swollen joints (50.6%) as the highest ranked barriers for engaging in PA. Conversely, less fatigue (66.8%) and pain (63.6%), and being able to do daily activities more easy (56.3%) were identified as the most important facilitators to PA. Three literature identified PA barriers, i.e., general health (78.8%), fitness (75.3%) and mental health (68.1%), were also ranked as being the most important for PA engagement. Symptoms of RMDs, such as pain and fatigue, seem to be considered the predominant barriers to PA by people with RMD; the same barriers are also the ones that they want to improve through increasing PA, suggesting a bi-directional relationship between these factors. Key Points • Symptoms of rheumatic and musculoskeletal disease (RMD) are the predominant barriers for lack of physical activity engagement. • RMD symptoms are the factors that people with RMDs want to improve when engaging in PA. • The barriers that stop people living with RMDs to do more PA are the ones that can be significantly improved through PA engagement.

Indexed as

Arthritis, RheumatoidMusculoskeletal DiseasesRheumatic DiseasesArthralgiaExerciseFatigueFemaleHumansMaleMuscular DiseasesPainExerciseFatiguePainPhysical activityRheumatic and musculoskeletal diseaseRheumatoid arthritis

Identifiers

PMID36877304
OpenAlexW4323294544

What OpenQuestion holds

Textmetadata
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.