BeskrivelseSedentary Behaviour in Patients with Rheumatoid Arthritis: a Qualitative Study Thomsen T1,2, Aadahl M3, Hetland ML2, Beyer N4, Løppenthin K1,2, Esbensen BA1,2 1Research Unit of Nursing and Health Science, Glostrup University Hospital, 2Center for Rheumatology and Spine Diseases VRR, Glostrup University Hospital, 3Research Centre for Prevention and Health, Glostrup University Hospital, The Capital Region of Denmark, 4Musculoskeletal Rehabilitation Research Unit, Dept. Physical Therapy, Bispebjerg Hospital. Background: Sedentary behaviour (SB) has been defined as any waking behaviour characterized by an energy expenditure <1.5 METs while in a sitting or reclining position and not simply as the absence of physical activity. SB and in particular watching TV has been identified as an independent predictor of e.g. cardiovascular disease mortality and type 2 diabetes in healthy persons. Currently there exist very few intervention studies investigating the health effects of reducing SB. Patients with rheumatoid arthritis (RA) have increased risk of cardiovascular diseases. In addition, many patients are physically inactive and may be unable to adopt recommended levels of regular physical activity. Reducing SB rather than solely increasing physical activity may be suitable in sedentary patients with RA. However, it is unknown how, when and why the patients engage in SB. Objectives: The aim of this study was to understand how and when patients with RA engage in SB. Furthermore, to illuminate what is influencing SB. Methods: A qualitative study was conducted based on individual semi-structured interviews. Patients were recruited from a cross-sectional questionnaire study (N=438) investigating physical activity in patients with RA (unpublished data). Patients with more than four hours of self-reported daily leisure time SB were invited to participate. In total, 15 patients (10 women and five men; mean age 57 years), diagnosed with RA for an average of 13 years (range: 4-27 years) covering different degrees of disability were included. The recorded interviews were transcribed verbatim and analyzed using qualitative content analysis and by use of Nvivo software program. Findings: Patients with RA mainly engage in SB during mornings and evenings. In addition, they plan rest time and small breaks of sitting during the day and in between daily activities. SB includes activities such as computer, TV watching, resting in bed, reading and creative hobbies, e.g. needlework and painting. The analysis revealed four main categories influencing SB: (1) fatigue and pain: referring to two dominant symptoms of RA, (2) SB as an adaptation to RA referring to patients’ fear of straining the joints and thus planning of daily rest time with prolonged sitting, (3) social network referring to influences from partners, children, grandchildren and friends and (4) SB as being secondary to RA referring to the patients’ premorbid habits, their feeling of not being limited by the disease and thus doing as usual, laziness and personal pleasures of engaging in SB. Conclusions: Patients with RA described their daily SB as related to their disease and influences from partners and other members of the family. SB was also described as a strategy to protect themselves through planning of SB and acknowledging signals from their body. However, SB does not need to be related to RA but can be an expression of the individual’s everyday life.
|Periode||12 jun. 2013|
|Placering||Madrid, SpanienVis på kort|