Does fibromyalgia affect physical activity due to pain?

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL Agri-The Journal of the Turkish Society of Algology Pub Date : 2023-04-01 DOI:10.14744/agri.2022.54533
Muhammed Recai Akdoğan, Ekin Başak Doğancı, Zeynep Tüzün, Sümeyye Arslan, Meltem Alkan Melikoğlu
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Abstract

Objectives: The aim of this case-control study was to evaluate the physical activity levels of patients with fibromyalgia syndrome (FMS) and to assess a possible relation between physical activity and FMS characteristics.

Methods: Seventy patients with FMS and 50 age-gender-matched controls were included. Pain was evaluated using the visual analog scale. The Fibromyalgia Impact Questionnaire (FIQ) scoring system was used for the evaluation of the impact of FMS. Furthermore, for assessing the physical activity in our participants, we used the International Physical Activity Questionnaire (IPAQ). The Mann-Whitney U and Pearson's correlation tests were used for group comparisons and correlation analyses.

Results: The patients presented significantly less transportation-related, recreational, and total physical activity levels, besides reporting significantly less time spent walking and less time spent in vigorous activities than controls (p<0.05). Furthermore, there was a negative correlation between pain and the scores of self-reported moderate or vigorous physical activity (r=-0.41, p<0.01) in patients. However, we could not find any correlation between FIQ and IPAQ scores.

Conclusion: Patients with FMS are physically less active than healthy individuals. This reduced activity seems to be associated with pain, but not with the impact of the disease. In the management of the patient with FMS, considering the patient's physical activity behavior negatively affected by pain may contribute to holistic approach to the patients.

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纤维肌痛会因疼痛而影响身体活动吗?
目的:本病例对照研究的目的是评估纤维肌痛综合征(FMS)患者的身体活动水平,并评估身体活动与FMS特征之间的可能关系。方法:选取70例FMS患者和50例年龄性别匹配的对照组。采用视觉模拟量表评估疼痛。采用纤维肌痛影响问卷(FIQ)评分系统评价FMS的影响。此外,为了评估参与者的身体活动,我们使用了国际身体活动问卷(IPAQ)。采用Mann-Whitney U和Pearson相关检验进行组间比较和相关分析。结果:与对照组相比,FMS患者的交通相关、娱乐和总体力活动水平显著降低,步行时间和剧烈运动时间也显著减少(结论:FMS患者的体力活动少于健康个体)。这种活动的减少似乎与疼痛有关,但与疾病的影响无关。在FMS患者的管理中,考虑到患者的身体活动行为受到疼痛的负面影响可能有助于对患者采取整体方法。
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CiteScore
1.00
自引率
16.70%
发文量
22
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