
Rheumatology Advances in Practice, Год журнала: 2024, Номер 8(4)
Опубликована: Янв. 1, 2024
Abstract Objective Inflammatory spondyloarthropathies are associated with pain, fatigue, stiffness and anxiety. The National Institute for Health Care Excellence the EULAR provide limited lifestyle guidance managing symptoms inflammatory spondyloarthropathies. We investigated combined associations of obesity physical activity symptom severity in Methods relationship between BMI, (spinal general anxiety, mobility) was examined people ISpAs (n = 1577). BMI categories were normal weight (18.5–24.9 kg/m2), overweight (25.0–29.9 kg/m2) obese (≥30 kg/m2). Physical assessed via International Activity Questionnaire (low < 600 metabolic equivalent task (MET)-min/week, moderate ≥ METs, high 3000 METs). Statistical models adjusted confounders, including medication, estimated likelihood (odds ratios, OR) higher across categories. Results Overweight obesity, compared weight, linked to all symptoms, stronger (OR 2.34, P 0.001) than 1.37, ≤ 0.032). Moderate activity, low, lower 0.77, High anxiety mobility issues 0.74, 0.029), but spinal pain not significant 0.80, 0.056). No BMI-by-physical combinations detected, indicating benefits groups a similar extent. Conclusion should emphasize maintaining weight. is optimal reducing be promoted guidance.
Язык: Английский