ACR open rheumatology · 2025
From Intention to Maintenance: A Two-Year Examination of Clinical and Lifestyle Changes in Rheumatoid Arthritis.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Collins-Bennett Katherine A, Ross Leanna M, Sudnick Alyssa M, Johnson Johanna L, Belski Kelsey B, Bennett William C, Connelly Margery A, Siegler Ilene C, Kraus William E, Bales Connie W, Porter Starr Kathryn N, Huffman Kim M, Andonian Brian J
Аннотация
OBJECTIVE: To evaluate the long-term impacts of a 16-week remotely supervised exercise and weight loss intervention for rheumatoid arthritis (Supervised Weight Loss and Exercise Training in Rheumatoid Arthritis [SWET-RA]).
METHODS: In total, 21 older adults with RA completed the SWET-RA parent trial; 17 of 21 completed an exit survey. Approximately two years after study completion, 14 of 19 eligible participants (mean age 68.9 years) returned for the SWET-RA Reunion. Reunion participants completed surveys on sustained health behaviors and barriers to maintenance. Clinical assessments were evaluated relative to pre-intervention values and included anthropometrics, RA disease activity (Disease Activity Score in 28 joints [DAS-28]), blood biomarkers, and patient-reported outcomes.
RESULTS: At study completion, most participants reported improvements in RA (n = 15) and intended to maintain health behaviors (n = 17). At the two-year Reunion, 50% engaged in aerobic activity regularly, whereas resistance training (21.4%) and dietary self-monitoring (14.3%) were less maintained. Barriers included lack of self-motivation and illness. In total, 10 of 14 participants experienced sustained improvements in RA disease activity without increasing medication. Among the 12 not increasing RA medication, DAS-28 C-reactive protein significantly improved (Δ = -1.0 ± SD 0.9, P = 0.002). Cardiometabolic risk, assessed via metabolic syndrome Z score, improved significantly for participants not increasing related medications (Δ = -1.6 ± SD 2.4, P = 0.05).
CONCLUSION: Two years post-intervention, only half of the older adults with RA maintained aerobic exercise, with fewer sustaining resistance exercise and self-monitoring dietary intake. Nonetheless, compared to pre-intervention, long-term improvements in RA disease activity and cardiometabolic risk were present. These findings support the inclusion of lifestyle programs in comprehensive RA management.
METHODS: In total, 21 older adults with RA completed the SWET-RA parent trial; 17 of 21 completed an exit survey. Approximately two years after study completion, 14 of 19 eligible participants (mean age 68.9 years) returned for the SWET-RA Reunion. Reunion participants completed surveys on sustained health behaviors and barriers to maintenance. Clinical assessments were evaluated relative to pre-intervention values and included anthropometrics, RA disease activity (Disease Activity Score in 28 joints [DAS-28]), blood biomarkers, and patient-reported outcomes.
RESULTS: At study completion, most participants reported improvements in RA (n = 15) and intended to maintain health behaviors (n = 17). At the two-year Reunion, 50% engaged in aerobic activity regularly, whereas resistance training (21.4%) and dietary self-monitoring (14.3%) were less maintained. Barriers included lack of self-motivation and illness. In total, 10 of 14 participants experienced sustained improvements in RA disease activity without increasing medication. Among the 12 not increasing RA medication, DAS-28 C-reactive protein significantly improved (Δ = -1.0 ± SD 0.9, P = 0.002). Cardiometabolic risk, assessed via metabolic syndrome Z score, improved significantly for participants not increasing related medications (Δ = -1.6 ± SD 2.4, P = 0.05).
CONCLUSION: Two years post-intervention, only half of the older adults with RA maintained aerobic exercise, with fewer sustaining resistance exercise and self-monitoring dietary intake. Nonetheless, compared to pre-intervention, long-term improvements in RA disease activity and cardiometabolic risk were present. These findings support the inclusion of lifestyle programs in comprehensive RA management.