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Titre : | Decreased health-related physical fitness in adults with ankylosing spondylitis: a cross-sectional controlled study (2016) |
Auteurs : | Tom O'Dwyer ; Finbar O'Shea ; Fiona Wilson |
Type de document : | Article |
Dans : | Physiotherapy (2016/2, 2016) |
Article en page(s) : | pp. 202-209 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Activité motrice ; Exercice physique ; Pelvispondylite rhumatismale |
Mots-clés: | Spondylitis ; Spondylite ; Ankylosing ; Physical Fitness ; Aptitude physique ; Motor activity ; Exercise |
Résumé : |
Objectives (1) Assess the health-related physical fitness of adults with ankylosing spondylitis (AS) and compare these to the general population, and (2) examine the relationships between physical fitness and condition-specific outcomes. Design Cross-sectional, controlled study. Setting Exercise research laboratory. Participants Thirty-nine adults with AS (32 men, 7 women) and 39 age- and gender-matched controls. Intervention Comprehensive physical fitness assessment, and completion of questionnaires assessing disease activity, physical function and quality-of-life. Main outcome measures Body composition was assessed by bio-impedance analysis. Flexibility was measured with the Bath AS Metrology Index (BASMI). Cardiorespiratory fitness was assessed by submaximal treadmill test with breath-by-breath gas analysis and heart rate monitoring. Muscular strength and endurance were measured by isokinetic dynamometry of concentric knee flexion/extension. Results The AS group demonstrated significantly lower cardiorespiratory fitness [mean difference −1.3 mL min−1 kg−1 (95% CI −1.1 to −1.4)], flexibility [0.4 BASMI units (0.2 to 0.7)], muscular strength [−31.6 peak torque per body weight dominant knee extension (−56.1 to −7.1)], and increased body fat [0.4% (0.0 to 1.2)] compared to population controls (p Conclusion Adults with AS have significantly reduced health-related physical fitness compared to population controls. Decreased body fat, and higher aerobic capacity, muscular fitness and flexibility are significantly associated with improved function. These findings have implications for clinicians assessing adults with AS, and for targeted-exercise prescription in this cohort. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0031940615037852 |