University of Wolverhampton
Browse
Collection All
bullet
bullet
bullet
bullet
Listed communities
bullet
bullet
bullet
bullet
bullet
bullet
bullet
bullet
bullet
bullet
bullet
bullet
bullet

Wolverhampton Intellectual Repository and E-Theses > Research Institutes > Research Institute in Healthcare Science > Sport, Exercise and Health Research Group > Disease activity and low physical activity associate with number of hospital admissions and length of hospitalisation in patients with rheumatoid arthritis.

Please use this identifier to cite or link to this item: http://hdl.handle.net/2436/135887
    Del.icio.us     LinkedIn     Citeulike     Connotea     Facebook     Stumble it!



Title: Disease activity and low physical activity associate with number of hospital admissions and length of hospitalisation in patients with rheumatoid arthritis.
Authors: Metsios, George S.
Stavropoulos-Kalinoglou, Antonios
Treharne, Gareth J.
Nevill, Alan M.
Sandoo, Aamer
Panoulas, Vasileios F.
Toms, Tracey E.
Koutedakis, Yiannis
Kitas, George D.
Citation: Arthritis research & therapy, 13(3)
Journal: Arthritis research & therapy
Issue Date: 2011
URI: http://hdl.handle.net/2436/135887
DOI: 10.1186/ar3390
PubMed ID: 21714856
Abstract: ABSTRACT: INTRODUCTION: Substantial effort has been devoted to devising effective and safe interventions to reduce preventable hospital admissions in chronic disease patients. In rheumatoid arthritis (RA), identifying risk factors for admission have important health policy implications, but knowledge of which factors cause or prevent hospital admissions is currently lacking. We hypothesised that disease activity/severity and physical activity are major predictors for the need of hospitalisation in patients with RA. METHODS: 244 RA patients were assessed for: physical activity (international physical activity questionnaire), RA activity (C-reactive protein: CRP; disease activity score: DAS28) and disability (health assessment questionnaire: HAQ). Number of hospital admissions and length of hospitalisation within a year from baseline assessment was collected prospectively. RESULTS: Disease activity and disability as well as levels of overall and intensive physical activity levels correlated significantly with both the number of admissions and length of hospitalisation (p<0.05); regression analyses revealed that only disease activity (DAS28) and physical activity were significant independent predictors of numbers of hospital admissions [DAS28: (exp(B)=1.795, p=0.002 and physical activity: (exp(B)=0.999, p=0.046)) and length of hospitalisation [DAS28: (exp(B)=1.795, p=0.002 and physical activity: (exp(B)=0.999, p=0.046). Sub-analysis of the data demonstrated that only 19% (n=49) of patients engaged in recommended levels of physical activity. CONCLUSIONS: This study provides evidence that physical activity, along with disease activity, are important predictors of the number of hospital admissions and length of hospitalisation in RA. The combination of lifestyle changes, particularly increased physical activity, along with effective pharmacological therapy, may improve multiple health outcomes as well as cost of care for RA patients.
Type: Article
Language: en
Description: Epub ahead of print
ISSN: 1478-6362
Appears in Collections: Sport, Exercise and Health Research Group

Files in This Item:

There are no files associated with this item.



Related articles on PubMed
bullet
Pain persists in DAS28 rheumatoid arthritis remission but not in ACR/EULAR remission: a longitudinal observational study.
Lee YC, Cui J, Lu B, Frits ML, Iannaccone CK, Shadick NA, Weinblatt ME, Solomon DH
2011 Jun 8
bullet
bullet
bullet
Measuring disease activity and functionality during pregnancy in patients with rheumatoid arthritis.
de Man YA, Hazes JM, van de Geijn FE, Krommenhoek C, Dolhain RJ
2007 Jun 15
bullet
See all 108 articles

All Items in WIRE are protected by copyright, with all rights reserved, unless otherwise indicated.

 

Fairtrade - Guarantees a better deal for Third World Producers

University of Wolverhampton, Wulfruna Street, Wolverhampton, WV1 1LY

Course enquiries: 0800 953 3222, General enquiries: 01902 321000,
Email: enquiries@wlv.ac.uk | Freedom of Information | Disclaimer and copyright | Website feedback | The University as a charity

OR Logo Powered by Open Repository | Cookies