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Objective: Exercise is associated with improved health in many medical conditions. Little is known about the exercise habits of people with systemic sclerosis (SSc, or scleroderma). This study assessed the proportion of individuals with SSc who exercise and associations of demographic and disease variables with exercise. Additionally, the weekly amount of time spent exercising and the types of exercise performed were assessed among patients exercising.

Methods: The sample consisted of adult participants with SSc enrolled in the Scleroderma Patient-centered Intervention Network (SPIN) Cohort who completed baseline questionnaires from March 2014 through August 2015. Baseline questionnaires included questions on exercise habits, physician-reported medical characteristics, self-report demographic characteristics, the Health Assessment Questionnaire-Disability Index, Patient Health Questionnaire-9, and Patient-Reported Outcomes Measurement Information System-29.

Results: Of 752 patients, 389 (51.7%) reported presently engaging in exercise, and these patients exercised on average 4.7 h [standard deviation (SD) = 2.8] per week. Among patients who reported exercising, walking was most commonly reported (n = 295, 75.8%). In bivariate analyses, present exercise was associated with more education, lower body mass index, some (versus no) alcohol consumption, non-smoking, limited/sine disease subtype, absence of skin thickening, lower disability, higher physical function, lower symptoms of anxiety and depression, less fatigue, lower sleep disturbance, higher ability to participate in social roles and activities, and less pain.

Conclusions: Approximately half of SSc patients reported that they are currently exercising with walking being the most common form of exercise. Understanding exercise patterns and factors associated with exercise will help better inform intervention programs to support exercise for patients with SSc. Implications for rehabilitation Systemic sclerosis is a rare autoimmune rheumatic disease associated with great morbidity and highly diverse presentation. Approximately half of people with both limited and diffuse systemic sclerosis report exercising. Most exercisers walk, but patients engage in a wide variety of exercise-related activities. Individually designed exercise programs are most likely to support and encourage exercise in patients with diverse disease manifestations.

Titel:	Exercise habits and factors associated with exercise in systemic sclerosis: a Scleroderma Patient-centered Intervention Network (SPIN) cohort study.
Autor/in / Beteiligte Person:	Azar, M ; Rice, DB ; Kwakkenbos, L ; Carrier, ME ; Shrier, I ; Bartlett, SJ ; Hudson, M ; Mouthon, L ; Poiraudeau, S ; van den Ende CHM ; Johnson, SR ; Rodriguez Reyna, TS ; Schouffoer, AA ; Welling, J ; Thombs, BD
Zeitschrift:	Disability and rehabilitation, Jg. 40 (2018-08-01), Heft 17, S. 1997-2003
Veröffentlichung:	2015- : Abingdon, Oxford : Taylor & Francis ; <i>Original Publication</i>: London ; Washington, DC : Taylor & Francis, c1992-, 2018
Medientyp:	academicJournal
ISSN:	1464-5165 (electronic)
DOI:	10.1080/09638288.2017.1323023
Schlagwort:	Adult Anxiety etiology Anxiety prevention & control Cohort Studies Depression etiology Depression prevention & control Fatigue etiology Fatigue prevention & control Female Humans Male Middle Aged Pain etiology Pain prevention & control Self Report Surveys and Questionnaires Disabled Persons psychology Disabled Persons rehabilitation Exercise physiology Exercise psychology Physical Fitness physiology Physical Fitness psychology Scleroderma, Systemic physiopathology Scleroderma, Systemic psychology Scleroderma, Systemic rehabilitation
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Corporate Authors: SPIN investigators Publication Type: Journal Article; Research Support, Non-U.S. Gov't Language: English [Disabil Rehabil] 2018 Aug; Vol. 40 (17), pp. 1997-2003. <i>Date of Electronic Publication: </i>2017 May 08. MeSH Terms: Disabled Persons* / psychology ; Disabled Persons* / rehabilitation ; Exercise* / physiology ; Exercise* / psychology ; Physical Fitness* / physiology ; Physical Fitness* / psychology ; Scleroderma, Systemic* / physiopathology ; Scleroderma, Systemic* / psychology ; Scleroderma, Systemic* / rehabilitation ; Adult ; Anxiety / etiology ; Anxiety / prevention & control ; Cohort Studies ; Depression / etiology ; Depression / prevention & control ; Fatigue / etiology ; Fatigue / prevention & control ; Female ; Humans ; Male ; Middle Aged ; Pain / etiology ; Pain / prevention & control ; Self Report ; Surveys and Questionnaires Grant Information: Canada CIHR Contributed Indexing: Investigator: M Baron, McGill University, Montréal, Québec, Canada.; D Furst, University of California, Los Angeles, CA, USA.; K Gottesman, Scleroderma Foundation, Los Angeles, CA, USA.; F van den Hoogen, Radboud University Medical Center and Sint Maartenskliniek, Nijmegen, the Netherlands.; V Malcarne, San Diego State University, San Diego, CA, USA.; MD Mayes, University of Texas McGovern School of Medicine, Houston, TX, USA.; WR Nielson, St. Joseph’s Health Care, London, Ontario, Canada.; R Riggs, Scleroderma Foundation, Danvers, MA, USA.; M Sauve, Scleroderma Society of Ontario, Hamilton, Ontario, Canada.; F Wigley, Johns Hopkins University School of Medicine, Baltimore, MD, USA.; S Assassi, University of Texas McGovern School of Medicine, Houston, TX, USA.; I Boutron, Université Paris Descartes, and Assistance Publique-Hôpitaux de Paris, Paris, France.; AC Maia, University of Minho, Braga, Portugal.; G El-Baalbaki, Université du Québec à Montréal, Montréal, Québec, Canada; C Ells, McGill University, Montréal, Québec, Canada.; K Fligelstone, Scleroderma Society, London, UK.; C Fortune, Scleroderma Society of Ontario, Hamilton, Ontario, Canada.; T Frech, University of Utah, Salt Lake City, UT, USA.; D Godard, Association des Sclérodermiques de France, Sorel-Moussel, France.; D Harel, New York University, New York, NY, USA.; A Impens, Midwestern University, Downers Grove, IL, USA.; Y Jang, McGill University, Montréal, Québec, Canada.; AT Kennedy, Federation of European Scleroderma Associations, Dublin, Ireland.; M Larche, McMaster University, Hamilton, Ontario, Canada.; C Leite, University of Minho, Braga, Portugal.; C Marra, Memorial University, St. John’s, Newfoundland, Canada.; K Nielsen, Scleroderma Society of Ontario, Hamilton, Ontario, Canada.; JL Poole, University of New Mexico, Albuquerque, New Mexico, USA.; J Pope, University of Western Ontario, London, Ontario, Canada.; A Portales, Asociación Española de Esclerodermia, Madrid, Spain.; RJ Steele, Jewish General Hospital and McGill University, Montréal, Québec, Canada.; ME Suarez-Almazor, University of Texas MD Anderson Cancer Center, Houston, TX, USA.; D Wong-Rieger, Canadian Organization for Rare Disorders, Toronto, Ontario, Canada.; A Albert, Université Laval, Québec, Canada.; G Arsenault, Sherbrooke University, Sherbrooke, Québec, Canada.; L Bissonnette, Sherbrooke University, Sherbrooke, Québec, Canada.; G Boire, Sherbrooke University, Sherbrooke, Québec, Canada.; A Bruns, Sherbrooke University, Sherbrooke, Québec, Canada.; P Carreira, Servicio de Reumatologia del Hospital 12 de Octubre, Madrid, Spain.; L Chung, Stanford University, Stanford, CA, USA.; P Dagenais, Sherbrooke University, Sherbrooke, Québec, Canada.; C Denton, Royal Free London Hospital, London, UK.; R Domsic, University of Pittsburgh, Pittsburgh, PA, USA.; JV Dunne, St. Paul’s Hospital and University of British Columbia, Vancouver, British Columbia, Canada.; P Fortin, Université Laval, Québec, Québec, Canada.; A Gill, Royal Free London Hospital, London, UK.; J Gordon, Hospital for Special Surgery, New York City, NY, USA.; G Gyger, Jewish General Hospital and McGill University, Montréal, Québec, Canada.; AL Herrick, University of Manchester, Salford Royal NHS Foundation Trust, Manchester, UK.; M Hinchcliff, Northwestern University, Chicago, Illinois, USA.; A Ikic, Université Laval, Québec, Québec, Canada.; N Jones, University of Alberta, Edmonton, Alberta, Canada.; AJBF Fernandes, Sherbrooke University, Sherbrooke, Québec, Canada.; S Kafaja, University of California, Los Angeles, CA, USA.; N Khalidi, McMaster University, Hamilton, Ontario, Canada.; B Korman, Northwestern University, Chicago, IL, USA.; P Liang, Sherbrooke University, Sherbrooke, Québec, Canada.; J Manning, Salford Royal NHS Foundation Trust, Salford, UK.; A Masetto, Sherbrooke University, Sherbrooke, Québec, Canada.; D Robinson, University of Manitoba, Winnipeg, Manitoba, Canada.; S Roux, Sherbrooke University, Sherbrooke, Québec, Canada.; D Smith, University of Ottawa, Ottawa, Ontario, Canada.; R Spiera, Hospital for Special Surgery, New York, NY, USA.; V Steen, Georgetown University, Washington, DC, USA.; E Sutton, Dalhousie University, Halifax, Nova Scotia, Canada.; C Thorne, Southlake Regional Health Centre, Newmarket, Ontario, Canada.; J Varga, Northwestern University, Chicago, Illinois, USA.; P Wilcox, St. Paul’s Hospital and University of British Columbia, Vancouver, British Columbia, Canada.; VC Delisle, Jewish General Hospital and McGill University, Montréal, Québec, Canada.; C Fodoruk, Jewish General Hospital, Montréal, Québec, Canada.; RS Fox, San Diego State University and University of California, San Diego, San Diego, CA, USA.; S Gholizadeh, San Diego State University and University of California, San Diego, San Diego, CA, USA.; LR Jewett, Jewish General Hospital and McGill University, Montréal, Québec, Canada.; B Levis, Jewish General Hospital and McGill University, Montréal, Québec, Canada.; SD Mills, San Diego State University and University of California, San Diego, San Diego, CA, USA.; MR Pepin, Jewish General Hospital, Montréal, Québec, Canada.; J Persmann, Université du Québec à Montréal, Montréal, Québec, Canada ; Keywords: SPIN; Scleroderma; exercise; exercise habits; systemic sclerosis Entry Date(s): Date Created: 20170509 Date Completed: 20181022 Latest Revision: 20190703 Update Code: 20240513

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Exercise habits and factors associated with exercise in systemic sclerosis: a Scleroderma Patient-centered Intervention Network (SPIN) cohort study.