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Obstacles to action in arthritis: A community case-control study
International Journal of Rheumatic Diseases, 07/24/09
Hutton I et al. – Study identifies that people with arthritis are less active and demonstrate different attitudes toward physical activity, and have different psychosocial barriers. In order to design effective physical activity programs for people with arthritis, these barriers must be specifically addressed.
Methods- Aim was to determine the motivators and obstacles to physical activity for adults with arthritis
- Participants: from the Obstacles to Action Study; 8163 adults
- A 1 : 1 case-control study was designed:
- Cases: those participants who reported arthritis (n=1106)
- Controls: age, sex and ethnicity-matched non-arthritis subjects for each case (n=1106)
- Cases were less likely to achieve recommended physical activity targets
- Fewer people with arthritis believed that-
- Physical activity would help them lead healthy lives or
- Viewed physical activity as a priority
- Cases were less confident in their abilities to try a new activity or maintain a healthy weight
- Cases also reported greater negative impact scores for barriers to activity, particularly arthritis, accessibility, cost and discomfort while exercising
- Motivators and environmental barriers to activity were similar for cases and controls
- These findings persisted after adjusting for educational level, BMI, and comorbidities
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