Deborah Da Costa is a New Investigator Awardee of The Arthritis Society.
Mental health status and leisure-time physical activity contribute to fatigue intensity in patients with spondylarthropathy
Version of Record online: 8 DEC 2004
Copyright © 2004 by the American College of Rheumatology
Arthritis Care & Research
Volume 51, Issue 6, pages 1004–1008, 15 December 2004
How to Cite
Da Costa, D., Dritsa, M., Ring, A. and Fitzcharles, M.-A. (2004), Mental health status and leisure-time physical activity contribute to fatigue intensity in patients with spondylarthropathy. Arthritis & Rheumatism, 51: 1004–1008. doi: 10.1002/art.20841
- Issue online: 8 DEC 2004
- Version of Record online: 8 DEC 2004
- Manuscript Accepted: 20 JUN 2004
- Manuscript Received: 12 NOV 2003
- Physical activity;
To examine the relationship between disease-related variables, leisure-time physical activity (LTPA), and mental health status with fatigue severity in patients with spondylarthropathy (SpA).
Sixty-six SpA patients completed questionnaires assessing disease activity (Bath Ankylosing Spondylitis Disease Activity Index [BASDAI]), functional ability (Bath Ankylosing Spondylitis Functional Index), and health-related quality of life (Short Form 36). LTPA patterns, demographics, and disease-related data were obtained by interview. A clinical examination determined tender point count. Fatigue was assessed with the BASDAI fatigue item.
The mean BASDAI fatigue score was 5.5 (SD = 2.7) with 59% of the sample obtaining a score ≥5. Disease activity, functional disability, and worse mental health contributed to greater fatigue (R2 = 0.56). The relationship between exercise duration and fatigue intensity was moderated by mental health status. For patients with poorer mental health scores, exercise did not influence fatigue severity. However, for patients reporting better mental health status, engaging in more LTPA decreased fatigue severity.
In addition to increased disease activity and functional disability, greater fatigue severity in SpA is associated with poorer mental health status. Integrating regular leisure physical activity into the comprehensive treatment of SpA may be useful for modulating fatigue.