In a community-based setting spondyloarthritis patients report higher levels of physical disability than chronic low back pain patients-results from EpiReuma.pt

Bibliographic Details
Main Author: Santos, Helena Carneiro
Publication Date: 2023
Other Authors: Oliveira Henriques, Ana Rita, Branco, Jaime, Machado, P., Canhão, Helena, M. Pimentel-Santos, F., Rodrigues, A. M.
Format: Article
Language: eng
Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Download full: http://hdl.handle.net/10362/155500
Summary: Publisher Copyright: © 2023, Sociedade Portuguesa de Reumatologia. All rights reserved.
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network_name_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
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spelling In a community-based setting spondyloarthritis patients report higher levels of physical disability than chronic low back pain patients-results from EpiReuma.ptDisability evaluationQuality of lifeSpondylarthritisRheumatologySDG 3 - Good Health and Well-beingPublisher Copyright: © 2023, Sociedade Portuguesa de Reumatologia. All rights reserved.Objectives: Chronic low back pain (CLBP) is a common health problem and in most patients it is not possible to identify a specific cause (non-specific CLBP). Spondyloarthritis is a musculoskeletal disorder characterized by (often inflammatory) back pain and spinal stiffness. The impact of CLBP and spondyloarthritis on patients’ physical function may be different. This study aims to compare physical disability in patients with spondyloarthritis and CLBP, in a population-based setting. Furthermore, we aim to identify modifiable risk factors for physical disability among these two populations. Methods: Data from EpiReumaPt, a national health cohort with 10 661 individuals, conducted from September 2011 to December 2013, was used. Physical function was accessed by the Health Assessment Questionnaire Disability Index (HAQ-DI) and by the physical function dimension of the 36-Item Short Form Survey (SF-36). Univariable and multivariable linear regression analyses were used to assess the differences between groups. Factors associated with physical disability were explored for both diseases. Results: We evaluated 92 patients with spondyloarthritis, 1376 patients with CLBP and 679 subjects without rheumatic and musculoskeletal diseases (RMDs). Spondyloarthritis and CLBP patients reported significantly higher levels of disability in HAQ-DI (b=0.33; p<0.001 and b=0.20; p<0.001, respectively) than subjects without RMDs. In comparison to CLBP patients, spondyloarthritis patients reported higher disability (b=0.14; p=0.03). The physical domains of SF-36, bodily pain and general health, where more affected in spondyloarthritis patients than in CLBP patients (b=-6.61; p=0.02 and b=-5.94; p=0.001, respectively). Spondyloarthritis and CLBP patients had a worse physical summary score (PCS) than mental summary score (MCS), and only PCS was significantly worse in comparison to subjects without RMDs. Factors associated with physical disability in CLBP were low back pain intensity, older age, obesity, multimorbidity, and retirement. Similarly, in spondyloarthritis physical disability was associated with retirement and multimorbidity. Factors associated with lower disability were alcohol consumption and male gender in CLBP, and regular physical exercise was associated with lower disability in both disorders. Conclusions: In this nationwide cohort, spondyloarthritis and CLBP patients reported significant physical disability. Regular physical exercise was associated with lower disability in both diseases.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Comprehensive Health Research Centre (CHRC) - pólo NMSRUNSantos, Helena CarneiroOliveira Henriques, Ana RitaBranco, JaimeMachado, P.Canhão, HelenaM. Pimentel-Santos, F.Rodrigues, A. M.2023-07-18T22:16:34Z2023-05-132023-05-13T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article14application/pdfhttp://hdl.handle.net/10362/155500eng2795-4552PURE: 66683444info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2024-09-23T01:38:23Zoai:run.unl.pt:10362/155500Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T17:43:41.529147Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv In a community-based setting spondyloarthritis patients report higher levels of physical disability than chronic low back pain patients-results from EpiReuma.pt
title In a community-based setting spondyloarthritis patients report higher levels of physical disability than chronic low back pain patients-results from EpiReuma.pt
spellingShingle In a community-based setting spondyloarthritis patients report higher levels of physical disability than chronic low back pain patients-results from EpiReuma.pt
Santos, Helena Carneiro
Disability evaluation
Quality of life
Spondylarthritis
Rheumatology
SDG 3 - Good Health and Well-being
title_short In a community-based setting spondyloarthritis patients report higher levels of physical disability than chronic low back pain patients-results from EpiReuma.pt
title_full In a community-based setting spondyloarthritis patients report higher levels of physical disability than chronic low back pain patients-results from EpiReuma.pt
title_fullStr In a community-based setting spondyloarthritis patients report higher levels of physical disability than chronic low back pain patients-results from EpiReuma.pt
title_full_unstemmed In a community-based setting spondyloarthritis patients report higher levels of physical disability than chronic low back pain patients-results from EpiReuma.pt
title_sort In a community-based setting spondyloarthritis patients report higher levels of physical disability than chronic low back pain patients-results from EpiReuma.pt
author Santos, Helena Carneiro
author_facet Santos, Helena Carneiro
Oliveira Henriques, Ana Rita
Branco, Jaime
Machado, P.
Canhão, Helena
M. Pimentel-Santos, F.
Rodrigues, A. M.
author_role author
author2 Oliveira Henriques, Ana Rita
Branco, Jaime
Machado, P.
Canhão, Helena
M. Pimentel-Santos, F.
Rodrigues, A. M.
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
Comprehensive Health Research Centre (CHRC) - pólo NMS
RUN
dc.contributor.author.fl_str_mv Santos, Helena Carneiro
Oliveira Henriques, Ana Rita
Branco, Jaime
Machado, P.
Canhão, Helena
M. Pimentel-Santos, F.
Rodrigues, A. M.
dc.subject.por.fl_str_mv Disability evaluation
Quality of life
Spondylarthritis
Rheumatology
SDG 3 - Good Health and Well-being
topic Disability evaluation
Quality of life
Spondylarthritis
Rheumatology
SDG 3 - Good Health and Well-being
description Publisher Copyright: © 2023, Sociedade Portuguesa de Reumatologia. All rights reserved.
publishDate 2023
dc.date.none.fl_str_mv 2023-07-18T22:16:34Z
2023-05-13
2023-05-13T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/155500
url http://hdl.handle.net/10362/155500
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2795-4552
PURE: 66683444
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 14
application/pdf
dc.source.none.fl_str_mv reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron:RCAAP
instname_str FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron_str RCAAP
institution RCAAP
reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
collection Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
repository.name.fl_str_mv Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
repository.mail.fl_str_mv info@rcaap.pt
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