Observational studyPloS one2026
Long-term adherence to adapted physical activity in patients with chronic inflammatory arthritis: Insights from a longitudinal observational study.
Observational study in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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.
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Who cites it
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Adapted physical activity is recommended as a non-pharmacological strategy for the management of chronic inflammatory arthritis. However, the long-term adherence of patients to physical activity programs remains a major challenge in clinical practice. The present study aimed to assess adherence to World Health Organization (WHO) physical activity recommendations and to identify factors associated with long-term adherence in patients with chronic inflammatory arthritis (CIA). This longitudinal observational study included patients with spondyloarthritis, psoriatic arthritis, or rheumatoid arthritis who were referred to a specialized center for adapted physical activity between 2019 and 2021. Baseline demographic, clinical, and treatment-related variables were collected during the initial medical consultation. In August 2023, participants were contacted by telephone to assess their level of physical activity using a standardized questionnaire. Adherence was defined as meeting the WHO recommendations of at least 150 minutes of moderate-intensity physical activity or 75 minutes of vigorous physical activity per week. Among the 78 patients initially included, 61 responded to the follow-up assessment. Of these, 41 participants (67.2%) met the WHO physical activity recommendations. In univariate analyses, no clinical or treatment-related variables were significantly associated with long-term adherence. Male sex was the only factor significantly associated with adherence, with men showing a higher likelihood of meeting the WHO recommendations after adjustment for underlying pathology (OR 7.85, 95% CI 1.60-38.42). In this real-world cohort of patients with chronic inflammatory arthritis, approximately two-thirds of respondents maintained a level of physical activity consistent with WHO recommendations more than one year after the initial consultation. Clinical disease characteristics were not associated with adherence, while sex appeared to influence long-term engagement in physical activity. These findings highlight the need for further studies to better understand determinants of long-term adherence to adapted physical activity in this population.
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