Autonomous motivation to reduce sedentary behaviour is associated with less sedentary time and improved health outcomes in rheumatoid arthritis: a longitudinal study
Abstract Background This longitudinal study investigated whether changes in autonomous and controlled motivation to reduce sedentary behaviour were associated with variability in sedentary, standing and stepping time and, in turn, disease activity, systemic inflammation, pain and fatigue in rheumato...
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| Format: | Article |
| Language: | English |
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BMC
2022-10-01
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| Series: | BMC Rheumatology |
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| Online Access: | https://doi.org/10.1186/s41927-022-00289-5 |
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| author | Ciara M. O’Brien Joan L. Duda George D. Kitas Jet J. C. S. Veldhuijzen van Zanten George S. Metsios Sally A. M. Fenton |
| author_facet | Ciara M. O’Brien Joan L. Duda George D. Kitas Jet J. C. S. Veldhuijzen van Zanten George S. Metsios Sally A. M. Fenton |
| author_sort | Ciara M. O’Brien |
| collection | DOAJ |
| description | Abstract Background This longitudinal study investigated whether changes in autonomous and controlled motivation to reduce sedentary behaviour were associated with variability in sedentary, standing and stepping time and, in turn, disease activity, systemic inflammation, pain and fatigue in rheumatoid arthritis (RA). Methods People with RA undertook assessments at baseline (T1, n = 104) and 6 months follow-up (T2, n = 54) to determine autonomous and controlled motivation to reduce sedentary behaviour (Behavioural Regulation in Exercise Questionnaire-2), free-living sedentary, standing and stepping time (7 days activPAL3μ wear), Disease Activity Score-28 (DAS-28), systemic inflammation (c-reactive protein [CRP]), pain (McGill Pain Questionnaire) and fatigue (Multidimensional Assessment of Fatigue Scale). N = 52 participants provided complete data at T1 and T2. Statistical analyses: In a series of models (A and B), path analyses examined sequential associations between autonomous and controlled motivation to reduce sedentary behaviour with activPAL3μ-assessed behaviours and, in turn, RA outcomes. Results Models demonstrated good fit to the data. Model A (sedentary and stepping time): autonomous motivation was significantly negatively associated with sedentary time and significantly positively related to stepping time. In turn, sedentary time was significantly positively associated with CRP and pain. Stepping time was not significantly associated with any health outcomes. Model B (standing time): autonomous motivation was significantly positively associated with standing time. In turn, standing time was significantly negatively related to CRP, pain and fatigue. Conclusions Autonomous motivation to reduce sedentary behaviour is associated with sedentary and standing time in RA which may, in turn, hold implications for health outcomes. |
| first_indexed | 2024-04-11T19:31:09Z |
| format | Article |
| id | doaj.art-bb044b82bc1a45f582b6ab3a33a8a00c |
| institution | Directory Open Access Journal |
| issn | 2520-1026 |
| language | English |
| last_indexed | 2024-04-11T19:31:09Z |
| publishDate | 2022-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Rheumatology |
| spelling | doaj.art-bb044b82bc1a45f582b6ab3a33a8a00c2022-12-22T04:06:59ZengBMCBMC Rheumatology2520-10262022-10-016111210.1186/s41927-022-00289-5Autonomous motivation to reduce sedentary behaviour is associated with less sedentary time and improved health outcomes in rheumatoid arthritis: a longitudinal studyCiara M. O’Brien0Joan L. Duda1George D. Kitas2Jet J. C. S. Veldhuijzen van Zanten3George S. Metsios4Sally A. M. Fenton5School of Psychology, University of SurreySchool of Sport, Exercise and Rehabilitation Sciences, University of BirminghamDepartment of Rheumatology, Russells Hall Hospital, Dudley Group NHS Foundation TrustSchool of Sport, Exercise and Rehabilitation Sciences, University of BirminghamDepartment of Rheumatology, Russells Hall Hospital, Dudley Group NHS Foundation TrustSchool of Sport, Exercise and Rehabilitation Sciences, University of BirminghamAbstract Background This longitudinal study investigated whether changes in autonomous and controlled motivation to reduce sedentary behaviour were associated with variability in sedentary, standing and stepping time and, in turn, disease activity, systemic inflammation, pain and fatigue in rheumatoid arthritis (RA). Methods People with RA undertook assessments at baseline (T1, n = 104) and 6 months follow-up (T2, n = 54) to determine autonomous and controlled motivation to reduce sedentary behaviour (Behavioural Regulation in Exercise Questionnaire-2), free-living sedentary, standing and stepping time (7 days activPAL3μ wear), Disease Activity Score-28 (DAS-28), systemic inflammation (c-reactive protein [CRP]), pain (McGill Pain Questionnaire) and fatigue (Multidimensional Assessment of Fatigue Scale). N = 52 participants provided complete data at T1 and T2. Statistical analyses: In a series of models (A and B), path analyses examined sequential associations between autonomous and controlled motivation to reduce sedentary behaviour with activPAL3μ-assessed behaviours and, in turn, RA outcomes. Results Models demonstrated good fit to the data. Model A (sedentary and stepping time): autonomous motivation was significantly negatively associated with sedentary time and significantly positively related to stepping time. In turn, sedentary time was significantly positively associated with CRP and pain. Stepping time was not significantly associated with any health outcomes. Model B (standing time): autonomous motivation was significantly positively associated with standing time. In turn, standing time was significantly negatively related to CRP, pain and fatigue. Conclusions Autonomous motivation to reduce sedentary behaviour is associated with sedentary and standing time in RA which may, in turn, hold implications for health outcomes.https://doi.org/10.1186/s41927-022-00289-5Self-determination theorySedentaryStandingSteppingactivPALRheumatoid arthritis |
| spellingShingle | Ciara M. O’Brien Joan L. Duda George D. Kitas Jet J. C. S. Veldhuijzen van Zanten George S. Metsios Sally A. M. Fenton Autonomous motivation to reduce sedentary behaviour is associated with less sedentary time and improved health outcomes in rheumatoid arthritis: a longitudinal study BMC Rheumatology Self-determination theory Sedentary Standing Stepping activPAL Rheumatoid arthritis |
| title | Autonomous motivation to reduce sedentary behaviour is associated with less sedentary time and improved health outcomes in rheumatoid arthritis: a longitudinal study |
| title_full | Autonomous motivation to reduce sedentary behaviour is associated with less sedentary time and improved health outcomes in rheumatoid arthritis: a longitudinal study |
| title_fullStr | Autonomous motivation to reduce sedentary behaviour is associated with less sedentary time and improved health outcomes in rheumatoid arthritis: a longitudinal study |
| title_full_unstemmed | Autonomous motivation to reduce sedentary behaviour is associated with less sedentary time and improved health outcomes in rheumatoid arthritis: a longitudinal study |
| title_short | Autonomous motivation to reduce sedentary behaviour is associated with less sedentary time and improved health outcomes in rheumatoid arthritis: a longitudinal study |
| title_sort | autonomous motivation to reduce sedentary behaviour is associated with less sedentary time and improved health outcomes in rheumatoid arthritis a longitudinal study |
| topic | Self-determination theory Sedentary Standing Stepping activPAL Rheumatoid arthritis |
| url | https://doi.org/10.1186/s41927-022-00289-5 |
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