Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: Barriers and facilitators for physical activity in rheumatic and musculoskeletal disease : a European-based survey
Authors: Metsios, George S.
Fenton, S.A.M.
Tzika, K.
Moe, R.H.
Fragoulis, G.E.
Vlieland, T.P.M. Vliet
Nikiphorou, E.
Van den Ende, C.H.M.
Fatouros, I.
van der Esch, M.
Niedermann Schneider, K.
Stavropoulos-Kalinoglou, A.
van Zanten, J.J.C.S. Veldhuijzen
Brodin, N.
O'Brien, C.M.
Koutedakis, Y.
Kennedy, N.
Swinnen, T.W.
Bostrom, C.
Kitas, G.D.
et. al: Yes
DOI: 10.1007/s10067-023-06518-7
Published in: Clinical Rheumatology
Volume(Issue): 42
Issue: 7
Page(s): 1897
Pages to: 1902
Issue Date: Jul-2023
Publisher / Ed. Institution: Springer
ISSN: 0770-3198
1434-9949
Language: English
Subjects: Exercise; Pain; Physical activity; Rheumatic and musculoskeletal disease; Rheumatoid arthritis; Humans; Female; Male; Exercise; Pain; Arthralgia; Fatigue; Musculoskeletal Diseases; Rheumatic Diseases; Arthritis, Rheumatoid
Subject (DDC): 615.82: Physical therapy
616.7: Diseases of musculoskeletal system and orthopaedics
Abstract: Physical activity (PA) is a key strategy for improving symptoms in people with rheumatic and musculoskeletal diseases (RMDs). The aim of this study was to investigate and rank the importance of known barriers and facilitators for engaging in PA, from the perspective of people living with RMD. Five hundred thirty-three people with RMD responded to a survey (nine questions) disseminated by the People with Arthritis and Rheumatism (PARE) network of the European Alliance of Associations for Rheumatology (EULAR). The survey required participants to rank - based on their perceived importance - known PA barriers and facilitators from the literature, and specifically RMD symptoms as well as healthcare and community factors that may affect PA participation. Of the participants, 58% reported rheumatoid arthritis as their primary diagnosis, 89% were female, and 59% were between 51 and 70 years of age. Overall, participants reported fatigue (61.4%), pain (53.6%) and painful/swollen joints (50.6%) as the highest ranked barriers for engaging in PA. Conversely, less fatigue (66.8%) and pain (63.6%), and being able to do daily activities more easy (56.3%) were identified as the most important facilitators to PA. Three literature identified PA barriers, i.e., general health (78.8%), fitness (75.3%) and mental health (68.1%), were also ranked as being the most important for PA engagement. Symptoms of RMDs, such as pain and fatigue, seem to be considered the predominant barriers to PA by people with RMD; the same barriers are also the ones that they want to improve through increasing PA, suggesting a bi-directional relationship between these factors. Key Points • Symptoms of rheumatic and musculoskeletal disease (RMD) are the predominant barriers for lack of physical activity engagement. • RMD symptoms are the factors that people with RMDs want to improve when engaging in PA. • The barriers that stop people living with RMDs to do more PA are the ones that can be significantly improved through PA engagement.
URI: https://digitalcollection.zhaw.ch/handle/11475/30139
Fulltext version: Published version
License (according to publishing contract): Licence according to publishing contract
Departement: School of Health Sciences
Organisational Unit: Institute of Physiotherapy (IPT)
Appears in collections:Publikationen Gesundheit

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Metsios, G. S., Fenton, S. A. M., Tzika, K., Moe, R. H., Fragoulis, G. E., Vlieland, T. P. M. V., Nikiphorou, E., Van den Ende, C. H. M., Fatouros, I., van der Esch, M., Niedermann Schneider, K., Stavropoulos-Kalinoglou, A., van Zanten, J. J. C. S. V., Brodin, N., O’Brien, C. M., Koutedakis, Y., Kennedy, N., Swinnen, T. W., Bostrom, C., & Kitas, G. D. (2023). Barriers and facilitators for physical activity in rheumatic and musculoskeletal disease : a European-based survey. Clinical Rheumatology, 42(7), 1897–1902. https://doi.org/10.1007/s10067-023-06518-7
Metsios, G.S. et al. (2023) ‘Barriers and facilitators for physical activity in rheumatic and musculoskeletal disease : a European-based survey’, Clinical Rheumatology, 42(7), pp. 1897–1902. Available at: https://doi.org/10.1007/s10067-023-06518-7.
G. S. Metsios et al., “Barriers and facilitators for physical activity in rheumatic and musculoskeletal disease : a European-based survey,” Clinical Rheumatology, vol. 42, no. 7, pp. 1897–1902, Jul. 2023, doi: 10.1007/s10067-023-06518-7.
METSIOS, George S., S.A.M. FENTON, K. TZIKA, R.H. MOE, G.E. FRAGOULIS, T.P.M. Vliet VLIELAND, E. NIKIPHOROU, C.H.M. VAN DEN ENDE, I. FATOUROS, M. VAN DER ESCH, K. NIEDERMANN SCHNEIDER, A. STAVROPOULOS-KALINOGLOU, J.J.C.S. Veldhuijzen VAN ZANTEN, N. BRODIN, C.M. O’BRIEN, Y. KOUTEDAKIS, N. KENNEDY, T.W. SWINNEN, C. BOSTROM und G.D. KITAS, 2023. Barriers and facilitators for physical activity in rheumatic and musculoskeletal disease : a European-based survey. Clinical Rheumatology. Juli 2023. Bd. 42, Nr. 7, S. 1897–1902. DOI 10.1007/s10067-023-06518-7
Metsios, George S., S.A.M. Fenton, K. Tzika, R.H. Moe, G.E. Fragoulis, T.P.M. Vliet Vlieland, E. Nikiphorou, et al. 2023. “Barriers and Facilitators for Physical Activity in Rheumatic and Musculoskeletal Disease : A European-Based Survey.” Clinical Rheumatology 42 (7): 1897–1902. https://doi.org/10.1007/s10067-023-06518-7.
Metsios, George S., et al. “Barriers and Facilitators for Physical Activity in Rheumatic and Musculoskeletal Disease : A European-Based Survey.” Clinical Rheumatology, vol. 42, no. 7, July 2023, pp. 1897–902, https://doi.org/10.1007/s10067-023-06518-7.


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