Validity of the Nurses’ health study physical activity questionnaire in estimating physical activity in adults with rheumatoid arthritis
Abstract Background Patients with rheumatoid arthritis (RA) demonstrate reduced aerobic capacity, excess cardiovascular risk, mobility limitations and are less physically active than their healthy peers. Physical activity may decrease RA disease activity through its anti-inflammatory effects and psy...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2017-05-01
|
| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12891-017-1589-y |
| _version_ | 1818034542382940160 |
|---|---|
| author | Thomas Quinn Michelle Frits BS Johan von Heideken Christine Iannaccone Nancy A. Shadick Michael Weinblatt Maura D. Iversen |
| author_facet | Thomas Quinn Michelle Frits BS Johan von Heideken Christine Iannaccone Nancy A. Shadick Michael Weinblatt Maura D. Iversen |
| author_sort | Thomas Quinn |
| collection | DOAJ |
| description | Abstract Background Patients with rheumatoid arthritis (RA) demonstrate reduced aerobic capacity, excess cardiovascular risk, mobility limitations and are less physically active than their healthy peers. Physical activity may decrease RA disease activity through its anti-inflammatory effects and psychological and health benefits. To successfully manage RA symptoms and reduce cardiovascular risks associated with RA through increased physical activity (PA), accurate physical activity assessments are critical. Accelerometry is an objective physical activity measure, but not widely used. Validity of the Nurses’ Health Study physical activity questionnaire II (NHSPAQ) has not been determined for estimation of physical activity in RA. This study examined NHSPAQ validity in adults with RA compared to accelerometry-based metabolic equivalents determined (METs) and results of performance tests. We hypothesized NHSPAQ scores would correlate moderately (0.4–0.5) with accelerometer physical activity estimates. Methods Thirty-five adults with RA (mean age [SD] 62 (Williams et. al, Health Qual Life Outcomes 10:28, 2012) years, 28 females (80%) recruited from a hospital-based clinic registry participated in a one-week accelerometry trial. Medical data was compiled. Participants completed the NHSPAQ, a self-paced 20-m walk test, and modified timed step test. Participants wore an accelerometer for 7 consecutive days, then completed a physical activity log and another NHSPAQ. Metabolic equivalents (METs) were derived from NHSPAQ and accelerometers using standardized formulas. NHSPAQ METs were correlated with accelerometer METs and data from performance measures. Results Average disease duration was 21 years (SD = 11), 63% patients took biologics. The average weekly METs reported were 29 (SD = 33) and accelerometer METs were 33 (SD = 22). NHSPAQ METs correlated moderately with accelerometer-derived METs (r = 0.48 95% CI (0.15–0.70). Self-reported PA correlated moderately with Step Test performance (r = 0.50 95% CI (0.18–0.72). Conclusion Patients with RA exhibit low physical activity levels. General fitness measures were moderately correlated with physical activity levels. A moderate significant correlation existed between NHSPAQ and accelerometry METs. These preliminary data suggest the NHSPAQ may be useful to describe physical activity levels in this population. |
| first_indexed | 2024-12-10T06:40:49Z |
| format | Article |
| id | doaj.art-f0a56db1c127483989b702705a6d721f |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-10T06:40:49Z |
| publishDate | 2017-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-f0a56db1c127483989b702705a6d721f2022-12-22T01:58:47ZengBMCBMC Musculoskeletal Disorders1471-24742017-05-011811910.1186/s12891-017-1589-yValidity of the Nurses’ health study physical activity questionnaire in estimating physical activity in adults with rheumatoid arthritisThomas Quinn0Michelle Frits BS1Johan von Heideken2Christine Iannaccone3Nancy A. Shadick4Michael Weinblatt5Maura D. Iversen6University of Massachusetts Medical SchoolDivision of Rheumatology, Immunology & Allergy, Brigham & Women’s HospitalDepartment of Women and Children’s Health Karolinska InstitutetDivision of Rheumatology, Immunology & Allergy, Brigham & Women’s HospitalDivision of Rheumatology, Immunology & Allergy, Brigham & Women’s HospitalDivision of Rheumatology, Immunology & Allergy, Brigham & Women’s HospitalDivision of Rheumatology, Immunology & Allergy, Brigham & Women’s HospitalAbstract Background Patients with rheumatoid arthritis (RA) demonstrate reduced aerobic capacity, excess cardiovascular risk, mobility limitations and are less physically active than their healthy peers. Physical activity may decrease RA disease activity through its anti-inflammatory effects and psychological and health benefits. To successfully manage RA symptoms and reduce cardiovascular risks associated with RA through increased physical activity (PA), accurate physical activity assessments are critical. Accelerometry is an objective physical activity measure, but not widely used. Validity of the Nurses’ Health Study physical activity questionnaire II (NHSPAQ) has not been determined for estimation of physical activity in RA. This study examined NHSPAQ validity in adults with RA compared to accelerometry-based metabolic equivalents determined (METs) and results of performance tests. We hypothesized NHSPAQ scores would correlate moderately (0.4–0.5) with accelerometer physical activity estimates. Methods Thirty-five adults with RA (mean age [SD] 62 (Williams et. al, Health Qual Life Outcomes 10:28, 2012) years, 28 females (80%) recruited from a hospital-based clinic registry participated in a one-week accelerometry trial. Medical data was compiled. Participants completed the NHSPAQ, a self-paced 20-m walk test, and modified timed step test. Participants wore an accelerometer for 7 consecutive days, then completed a physical activity log and another NHSPAQ. Metabolic equivalents (METs) were derived from NHSPAQ and accelerometers using standardized formulas. NHSPAQ METs were correlated with accelerometer METs and data from performance measures. Results Average disease duration was 21 years (SD = 11), 63% patients took biologics. The average weekly METs reported were 29 (SD = 33) and accelerometer METs were 33 (SD = 22). NHSPAQ METs correlated moderately with accelerometer-derived METs (r = 0.48 95% CI (0.15–0.70). Self-reported PA correlated moderately with Step Test performance (r = 0.50 95% CI (0.18–0.72). Conclusion Patients with RA exhibit low physical activity levels. General fitness measures were moderately correlated with physical activity levels. A moderate significant correlation existed between NHSPAQ and accelerometry METs. These preliminary data suggest the NHSPAQ may be useful to describe physical activity levels in this population.http://link.springer.com/article/10.1186/s12891-017-1589-yPhysical activityRheumatoid arthritisMeasurement validity |
| spellingShingle | Thomas Quinn Michelle Frits BS Johan von Heideken Christine Iannaccone Nancy A. Shadick Michael Weinblatt Maura D. Iversen Validity of the Nurses’ health study physical activity questionnaire in estimating physical activity in adults with rheumatoid arthritis BMC Musculoskeletal Disorders Physical activity Rheumatoid arthritis Measurement validity |
| title | Validity of the Nurses’ health study physical activity questionnaire in estimating physical activity in adults with rheumatoid arthritis |
| title_full | Validity of the Nurses’ health study physical activity questionnaire in estimating physical activity in adults with rheumatoid arthritis |
| title_fullStr | Validity of the Nurses’ health study physical activity questionnaire in estimating physical activity in adults with rheumatoid arthritis |
| title_full_unstemmed | Validity of the Nurses’ health study physical activity questionnaire in estimating physical activity in adults with rheumatoid arthritis |
| title_short | Validity of the Nurses’ health study physical activity questionnaire in estimating physical activity in adults with rheumatoid arthritis |
| title_sort | validity of the nurses health study physical activity questionnaire in estimating physical activity in adults with rheumatoid arthritis |
| topic | Physical activity Rheumatoid arthritis Measurement validity |
| url | http://link.springer.com/article/10.1186/s12891-017-1589-y |
| work_keys_str_mv | AT thomasquinn validityofthenurseshealthstudyphysicalactivityquestionnaireinestimatingphysicalactivityinadultswithrheumatoidarthritis AT michellefritsbs validityofthenurseshealthstudyphysicalactivityquestionnaireinestimatingphysicalactivityinadultswithrheumatoidarthritis AT johanvonheideken validityofthenurseshealthstudyphysicalactivityquestionnaireinestimatingphysicalactivityinadultswithrheumatoidarthritis AT christineiannaccone validityofthenurseshealthstudyphysicalactivityquestionnaireinestimatingphysicalactivityinadultswithrheumatoidarthritis AT nancyashadick validityofthenurseshealthstudyphysicalactivityquestionnaireinestimatingphysicalactivityinadultswithrheumatoidarthritis AT michaelweinblatt validityofthenurseshealthstudyphysicalactivityquestionnaireinestimatingphysicalactivityinadultswithrheumatoidarthritis AT mauradiversen validityofthenurseshealthstudyphysicalactivityquestionnaireinestimatingphysicalactivityinadultswithrheumatoidarthritis |