类风湿关节炎的工作能力和就业:肌肉力量和下肢功能作用的横断面研究。

IF 2.3 Q2 RHEUMATOLOGY International Journal of Rheumatology Pub Date : 2018-08-01 eCollection Date: 2018-01-01 DOI:10.1155/2018/3756207
Carolin Berner, Sandra Haider, Igor Grabovac, Thomas Lamprecht, Karl Heinrich Fenzl, Ludwig Erlacher, Michael Quittan, Thomas Ernst Dorner
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引用次数: 15

摘要

目的:本研究的目的是评估RA患者肌肉力量、下肢功能、就业状况和工作能力之间的关系。方法:选取100例工作年龄的RA门诊血清阳性患者进行横断面研究。就业状况以面试方式评估,工作能力以工作能力指数单项量表(was)评估。肌肉力量是用测力仪测量等距握力和膝关节伸肌力量来确定的。采用短物理性能电池(SPPB)测量下肢功能。回归模型估计失业、工作能力、肌肉力量和下肢功能之间的关系,控制社会人口和疾病相关因素。结果:41%的RA患者无酬就业,工作能力中位数WAS值较好(7.00[4.00-7.00])。膝关节伸肌力量较好的患者(OR=1.07, 95% CI[1.02-1.12])和身体表现较好的患者(OR=1.71, 95% CI[1.18-2.49])有较好的就业机会。经社会人口学因素调整后(OR=1.5, 95% CI[1.00-1.09]),手握力的优势仍然显著,但对疾病特异性变量没有影响。更好的握力(β=0.25, p=0.039)、更好的膝伸肌力量(β=0.45, p=0.001)和更好的下肢功能(SPPB) (β=0.51, p)结论:就业状况和工作能力与体质参数的相关性表明,肌肉力量和下肢功能的改善可能对RA患者的工作能力和就业有积极的影响。
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Work Ability and Employment in Rheumatoid Arthritis: A Cross-Sectional Study on the Role of Muscle Strength and Lower Extremity Function.

Objective: The aim of the present study was to assess the association between muscle strength, lower extremity function, employment status, and work ability in RA patients.

Methods: One hundred seropositive RA outpatients of working age were included in this cross-sectional study. Employment status was assessed by interview and work ability by the Work Ability Index-Single Item Scale (WAS). Muscle strength was determined using dynamometer measurement of isometric hand grip and knee extensor strength. Lower extremity function was measured using the short physical performance battery (SPPB). Regression models estimate the association between unemployment, work ability and muscle strength, and lower extremity function, controlling for sociodemographic and disease-related factors.

Results: Forty-one percent of the RA patients were not gainfully employed, and their median work ability had a good WAS value (7.00 [4.00-7.00]). Patients with better knee extensor strength (OR=1.07, 95% CI [1.02-1.12) and better physical performance (OR=1.71, 95% CI [1.18-2.49]) had a significantly better chance of gainful employment. The odds for hand grip strength remained significant when adjusted for sociodemographic (OR=1.5, 95% CI [1.00-1.09]), but not for disease-specific variables. Better hand grip strength (β=0.25, p=0.039) and better knee extensor strength (β=0.45, p=0.001) as well as better lower extremity function (SPPB) (β=0.51, p<0.001) remained significantly associated with work ability following adjustment for sociodemographic and disease-specific variables.

Conclusions: The association of employment status and work ability with parameters of physical fitness suggests that improvement in muscle strength and lower extremity function may positively influence work ability and employment in individuals with RA.

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来源期刊
CiteScore
4.40
自引率
0.00%
发文量
9
审稿时长
24 weeks
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