Background: RMDs are autoinflammatory diseases with severe symptoms and comorbidities. The impact of RMDs on the quality of life is extremely high and can lead to disability and high levels of depression.
Objectives: The aim of this study was to examine whether (compared to inactivity) physical activity is associated with better health outcomes in patients with RMDs on QoL and Depression. Furthermore, to determine the type of preferred physical activity by the patients.
Methods: 112 RMDs patients participated in the study. SF-36 to measure QoL, PHQ-9 to measure Depression and IPAQ SF to measure PA were used. The (IBM) SPSS 25 Statistics was used for statistical analysis. Descriptive analysis conducted to describe quantitative variables of interests. Data normality was verified by the Kolmogorov-Smirnov and one-way ANOVA was performed to determine the association of PA with QoL and Depression.
Results: Data was analyzed for 112 patients [24,1% RA, 19.6% Fibromyalgia, and 17% SLE; mean age 50.5 (SD=12.6), minimum 19 and maximum 15, 85.7% female, and 59.8% living in large metropolitan areas]. The largest percentage of the sample was PA inactive, and the most common type of PA was House Cleaning. Cronbach’s α for SF-36’s eight health dimensions (physical functioning, role limitation due to physical health problems, role limitation due to personal or emotional problems, energy/fatigue, emotional well-being, social functioning, bodily pain, and general health perceptions) range between 0.81 and 0.93. As PHQ 9, 32.1% had moderated severe or severe depression and as per IPAQ 39.3% percent were inactive. Mann-Whitney U tests compared average RAND SF 36 (eight health dimensions) and PHQ-9 scores between “inactive” and “non inactive” patients. Irrespective of the type of disease, significant differences were observed in Role limitations due to personal or emotional problems (z=-2.165, p=0.030), energy/fatigue (z=-2.094, p=0.036), and general health perception (z=-2.018, p=0.044), as well in depression (z=-2.632, p=0.008)- in all cases indicated poorer health outcomes in the inactive Group. One-way ANOVA showed that “Minimally Active” and “HEPA Active” groups did not differ significantly in their association with health outcomes.
Conclusion: Patients who were as minimum “Minimally Active” had better health and depression outcomes than those “Inactive”.
REFERENCES: [1] Alexanderson H. & Bostrom C. (2020), “Exercise therapy in patients with idiopathic inflammatory myopathies and systemic lupus erythematosus – A systematic review.”, Best Practice & Research Clinical Rheumatology, 34(2), 101547.
[2] Al-Qubaeissy K.Y., Fatoye F. A., Goodwin P.C. & Yohannes A. M., (2013), “The effectiveness of Hydrotherapy in the Management of Rheumatoid Arthritis: A systematic review: The Effectiveness of Hydrotherapy in RA.”, Musculoskeletal Care , 11(1), pp: 3-18 .
[3] American College of Sports and Exercise Medicine (2018), “Exercise Guidelines”.
[4] Athanasiou A., Papazachou O., Rovina N., Nanas S., Dimopoulos S., & Kourel C., (2024),” The effectiveness of Exercise Training on Functional Capacity and Quality of Life in Patirnts with Rheumatoid Arthritis: A systematic Review.” Journal of Cardiovascular Development and Disease , 11(6), pp: 161 .
[5] Bao Y., Liang Q., JI J., Cheng C., Dong C., &Zhao R., (2024), “Effects of exercise on depression in patients with rheumatic diseases: a systematic review and meta-analysis.” Zeitschrift fur Rheumatologie , 83(1), pp: 40-47.
[6] Bonia K. D., Sourvinos S., & Siaperas P. (2022), “The type and the Effect of therapeutic Exercise on QoL and Fatigue in patients with SLE in Greece: a cross-sectional study.” Journal of Physical Activity, Nutrition and Rehabilitation.
[7] Brazier J., Harper R., Jones N.M.B., & O’Cathain (1992), “Validating the SF-36 Health Survey Questionnaire: New Outcome Measure for Primary Care.”, The BMJ, 305(6846), pp: 160-164.
Acknowledgements: NIL.
Disclosure of Interests: None declared.
© The Authors 2025. This abstract is an open access article published in Annals of Rheumatic Diseases under the CC BY-NC-ND license (