Lifestyle and inflammation profiles among persons with rheumatoid arthritis

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A. Bernal-González
http://orcid.org/0000-0002-1204-9050
R.M. Gallegos-Torres
https://orcid.org/0000-0001-8034-4089
G. Peza-Cruz
http://orcid.org/0000-0002-2995-345X

Abstract

Introduction: Rheumatoid arthritis is a chronic-degenerative autoimmune illness whose control depends on medications and environmental factors, in particular the lifestyles.


Objective: To determine the profiles of lifestyles among persons suffering from rheumatoid arthritis and their related illness severity.


Methodology: This is a descriptive, transversal, and correlational study on adults with rheumatoid arthritis. After obtaining their corresponding informed consents, the Disease Activity Score of 28 joints test, and Nola J. Pender’s Lifestyles Profile Questionnaire were given. SPSS version 22 was used to determine descriptive statistics with Spearman correlations.


Results: 110 individuals were assessed, the global average of lifestyle scores was suggesting a healthy general profile, physical activity was found to be the most affected (85.5%). No correlation between the illness activity and the lifestyle was found.


Discussion: There are few analogous studies and their results have been diverse. Therefore, it is important to continue analyzing the characteristics of lifestyles that can help reduce rheumatoid arthritis related inflammation in these patients.


Conclusions: No correlation was found between the two studied variables; therefore, a lifestyle change does not necessarily imply a reduction in the level of inflammation.

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References

1. Vélez-Arango AL. Nuevas dimensiones del concepto de salud: el derecho a la salud en el estado social del derecho. Hacia Promoc. Salud. 2007; 12(1): 63-78. https://bit.ly/3wrYQ4K

2. Berenguer GMC, Pérez RA, Dávila FM, Sánchez JI. Determinantes sociales en la salud de la familia cubana. MEDISAN. 2017; 21(1): 61-73. https://bit.ly/3g5qdrT

3. Sánchez-Reyes A. Estilos de vida como determinante social en el proceso salud-enfermedad. En: Casasa-García P, Ramírez-Díaz E, Guillén-Velasco RC, Sánchez-Reyes A, Sánchez-Piña SC. Salud familiar y enfermería. México: Manual Moderno; 2016. p. 87-101.

4. Lalonde M. A new perspective on the health of Canadians: a working document. Ottawa: Public Health Agency of Canada; 1974. 31-7. https://bit.ly/3hahrKx

5. Organización Panamericana de la Salud. Promoción de la salud: una antología. Washington, DC: OPS; 1996. https://bit.ly/3lFoMF8

6. Sakraida J. Modelo de promoción de la salud. Nola J Pender. En: Raile-Alligood M, Marriner-Tomey A. Modelos y teorías en Enfermería. 8ª ed. Barcelona: Elsevier; 2015. p. 402-20.

7. Walker SN, Sechrist KR, Pender NJ. The Health-Promoting Lifestyle Profile: Development and psychometric characteristics. Nurs Res. 1987; 36(2): 76-81. https://doi.org/10.1097/00006199-198703000-00002

8. Walker SN, Hill-Polerecky DM. Psychometric evaluation of the health-promoting lifestyle profile II. EEUU: University of Nebraska Medical Center; 1996. https://bit.ly/3l3XI1x

9. Kurnat-Thoma E, El-Banna M, Oakcrum M, Tyroler J. Nurses' health promoting lifestyle behaviors in a community hospital. Appl Nurs Res. 2017; 35: 77-81. https://doi.org/10.1016/j.apnr.2017.02.012

10. Otañez-Ludick JE. Efectos de los estilos de vida saludables en las habilidades sociales en jóvenes. Vertientes. Rev Esp Cienc Salud. 2017; 20(2): 5-11. https://bit.ly/2Eigcui

11. Jiménez-Diez O, Ojeda–López RN. Estudiantes universitarios y el estilo de vida. PAG rev. iberoam. producción académica gest. educ. 2017; 4(8): 1-15. https://bit.ly/3mIpJwD

12. Vijil-Mejia M, Valeriano-Lanza M, Espinoza-Espinal B. Estilo de vida en estudiantes de medicina en internado rotatorio del Hospital Mario Catarino Rivas. Rev. cient. Esc. Univ. Cienc. Salud. 2018; 5(2): 16-24. https://doi.org/10.5377/rceucs.v5i2.7632

13. Organización Mundial de la Salud. Enfermedades no transmisibles. Ginebra: OMS; 2017. https://bit.ly/2FIjRCu

14. Uhlig T, Moe RH, Kvien TK. The burden of disease in rheumatoid arthritis. Pharmaco Economics. 2014; 32(9): 841-51. https://doi.org/10.1007/s40273-014-0174-6

15. Salazar-Mejía CE, Galarza-Delgado DA, Colunga-Pedraza IJ, Azpiri-López JR, Wah-Suárez M, Wimer-Castillo BO, et al. Relación entre productividad laboral y características clínicas de la artritis reumatoide. Reumatol Clin. 2019; 15(6): 327-32. https://doi.org/10.1016/j.reuma.2017.12.006

16. Combe B, Lukas C, Morel J. Artritis reumatoide del adulto: epidemiología, clínica y diagnóstico. EMC-Aparato locomotor. 2015; 48(4): 1-17. https://doi.org/10.1016/S1286-935X(15)74992-0

17. Peláez-Ballestas I, Sanin LH, Moreno-Montoya J, et al. Epidemiology of the rheumatic diseases in Mexico. A study of 5 regions based on the COPCORD methodology. J Rheumatol. 2011; Suppl 86: 3-8. https://doi.org/10.3899/jrheum.100951

18. Taylor PC, Moore A, Vasilescu R, Alvir J, Tarallo M. A structured literature review of the burden of illness and unmet needs in patients with rheumatoid arthritis: a current perspective. Rheumatol Int. 2016; 36(5): 685-95. https://doi.org/10.1007/s00296-015-3415-x

19. Rodríguez-Jaillier JC, Posada-Arango M, Martínez-Pérez DA. Challenges faced in Latin America for the implementation of an ideal health-care model for rheumatoid arthritis patients: are we ready?. Clin Rheumatol. 2015; 34: 79-93. https://doi.org/10.1007/s10067-015-3034-7

20. Horta-Baas G, Bolde-Hernández AP, Hernández-Cabrera MF, Vergara-Sánchez I, Romero-Figueroa MS. Evaluación de la actividad de la artritis reumatoide en la atención clínica habitual. Concordancia entre la autoclinimetría y la evaluación clínica con los índices de actividad: DAS28, CDAI y SDAI. Med. Clín. 2017; 149(7): 293-99. https://doi.org/10.1016/j.medcli.2017.02.025

21. Chang K, Min-Yang S, Heon-Kim S, Hee-Han K, Jin-Park S, Shin JII. Smoking and rheumatoid arthritis. Int J Mol Sci. 2014; 15(12): 22279–95. https://doi.org/10.3390/ijms151222279

22. Di-Giuseppe D, Discacciati A, Orsini N, Wolk A. Cigarette smoking and risk of rheumatoid arthritis: a dose-response meta-analysis. Arthritis Res Ther. 2014; 16(R61): 1-7. https://doi.org/10.1186/ar4498

23. Sivas F, Yurdakul-Gül F, Kiliçarslan A, Duran S, Başkan B, Bodur H. Relationship between smoking and structural damage, autoimmune antibodies, and disability in rheumatoid arthritis patients. Arch. Rheumatol. 2018; 33(1): 45-51. https://doi.org/10.5606/ArchRheumatol.2018.6332

24. Skoczyńska M, Świerkot J. The role of diet in rheumatoid arthritis. Reumatologia/Rheumatology. 2018; 56(4): 259-67. https://doi.org/10.5114/reum.2018.77979

25. Lupoli R, Pizzicato P, Scalera A, Ambrosino P, Amato M, Peluso R, et al. Impact of body weight on the achievement of minimal disease activity in patients with rheumatic diseases: a systematic review and meta-analysis. Arthritis Res Ther. 2016; 18: 297. https://doi.org/10.1186/s13075-016-1194-8

26. Zhang L, Xia Y, Zhang Q, Fu T, Yin R, Guo G, et al. The correlations of socioeconomic status, disease activity, quality of life, and depression/anxiety in Chinese patients with rheumatoid arthritis Psychol Health Med. 2017; 22(1): 28–36. https://doi.org/10.1080/13548506.2016.1198817

27. Grove KS, Gray JR, Burns N. Aclaración de los diseños de la investigación cuantitativa. En: Grove KS, Gray JR, Burns N. Investigación en Enfermería: desarrollo de la práctica enfermera basada en la evidencia. 6ª ed. España: Elsevier; 2016. p. 211-59.

28. Grove KS, Gray JR, Burns N. Análisis de poblaciones y muestras en investigación. En: Grove KS, Gray JR, Burns N. Investigación en Enfermería: desarrollo de la práctica enfermera basada en la evidencia. 6ª ed. España: Elsevier; 2016. p. 260-91.

29. Grove KS, Gray JR, Burns N. Análisis de la ética en investigación en enfermería. En: Grove KS, Gray JR, Burns N. Investigación en Enfermería: desarrollo de la práctica enfermera basada en la evidencia. 6ª ed. España: Elsevier; 2016. p. 106-40

30. Cámara de Diputados del H Congreso de la Unión. Reglamento de la Ley General de Salud en Materia de Investigación para la Salud. México: Diario Oficial de la Federación; 2014. https://bit.ly/31jwmg5

31. Walker-Noble S, Kerr MJ, Pender NJ, Sechrist KR. A Spanish language version of the health promoting lifestyle profile. Nursing Research. 1990; 39(5): 268-73. https://bit.ly/3lojM7o

32. Kerr MJ, Ritchey DA. Health‐promoting lifestyles of English‐speaking and Spanish‐speaking Mexican‐American migrant farm workers. Public Health Nursing. 1990; 7(2): 80-7. https://doi.org/10.1111/j.1525-1446.1990.tb00616.x

33. Kuster AE, Fong CM. Further psychometric evaluation of the Spanish language Health-Promoting Lifestyle Profile. Nursing Research. 1990; 42(5): 266-69. https://psycnet.apa.org/doi/10.1097/00006199-199309000-00003

34. Robles-Garrote P, Carmen-Rojas M. La validación por juicio de expertos: dos investigaciones cualitativas en lingüística aplicada. Rev. Nebrija de lingüíst. apl. enseñ. leng. 2015; (18). https://bit.ly/3mLr4Tg

35. Barragán-Ledesma L, González-Preza M, Estrada-Martínez S, Hernández-Cosaín Y, Hernández–Cosaín E, Ríos-Valles J, et al. Estilo de vida y dimensiones, en estudiantes universitarios de área de la salud. Cienc. humanismo salud. 2015; 2(2): 53-63. https://bit.ly/3huYQcf

36. Sosa-Hernández A, Barragán-Ledesma LE, Linares-Olivas OL, Estrada-Martínez S, Quintanar Escorza MA. Análisis de la relación entre el estilo de vida y la inteligencia emocional en estudiantes universitarios. Cienc. humanismo salud. 2016; 3(1): 14-23. https://bit.ly/32kd3T8

37. Van-Riel PLCM, Renskers L. The Disease Activity Score (DAS) and the Disease Activity Score using 28 joint counts (DAS28) in the management of rheumatoid arthritis. Clin Exp Rheumatol. 2016; 34(5 Suppl 101): S40-4. https://bit.ly/3cTCEsE

38. Iglesias-González IM, Padilla-Docal B, Dorta-Contreras AJ, Junco-Calzadilla R, Ramírez-Agüera PJ. Torres-López D, et al. Reactantes de fase aguda en reumatología. Rev. cuba. reumatol. 2014; 16(1): 59-62. https://bit.ly/3jexNCF

39. Klimek L, Bergmann KC, Biedermann T, Bousquet J, Hellings P, Jung K, et al. Visual analogue scales (VAS): Measuring instruments for the documentation of symptoms and therapy monitoring in cases of allergic rhinitis in everyday health care. Allergo J Int. 2017; 26(1): 16-24. https://doi.org/10.1007/s40629-016-0006-7

40. Malm K, Bremander A, Arvidsson B, Andersson MLE, Bergman S, Larsson I. The influence of lifestyle habits on quality of life in patients with established rheumatoid arthritis-A constant balancing between ideality and reality. Int J Qual Stud Health Well-being. 2016; 11: 30534. https://dx.doi.org/10.3402%2Fqhw.v11.30534

41. Gerlag DM, Norris JM, Tak PP. Towards prevention of autoantibody-positive rheumatoid arthritis: from lifestyle modification to preventive treatment. Rheumatology. 2016; 55(4): 607-14. https://doi.org/10.1093/rheumatology/kev347

42. Lahiri M, Luben RN, Morgan C, Bunn DK, Marshall T, Lunt M, et al. Using lifestyle factors to identify individuals at higher risk of inflammatory polyarthritis (results from the European Prospective Investigation of Cancer-Norfolk and the Norfolk Arthritis Register-the EPIC-2-NOAR Study). Ann Rheum Dis. 2014; 73(1): 219-26. https://bit.ly/3hGSKG9

43. Bautista-Molano W, Fernández-Ávila D, Jiménez R, Cardozo R, Marín A, Soler MP, et al. Perfil epidemiológico de pacientes colombianos con artritis reumatoide evaluados en una clínica especializada de atención integral. Reumatol Clin. 2016; 12(6): 313-18. https://doi.org/10.1016/j.reuma.2015.11.009

44. Espinosa-Balderas D, Hernández-Sosa MC, Cerdán-Galán M. Calidad de vida y capacidad funcional en pacientes con artritis reumatoide. Aten Fam. 2017; 24(2): 67-71. https://doi.org/10.1016/j.af.2017.04.003

45. Zangi HA, Ndosi M, Adams J, Andersen L, Bode C, Boström C, et al. EULAR recommendations for patient education for people with inflammatory arthritis. Ann Rheum Dis. 2015; 74(6): 954-62. http://dx.doi.org/10.1136/annrheumdis-2014-206807

46. Kiadaliri AA, Petersson IF, Englund M. Educational inequalities in mortality associated with rheumatoid arthritis and other musculoskeletal disorders in Sweden. BMC Musculoskelet Disord. 2019; 20: 83. https://doi.org/10.1186/s12891-019-2465-8

47. Nikiphorou E, Norton S, Young A, Dixey J, Walsh D, Helliwell H, et al. The association of obesity with disease activity, functional ability and quality of life in early rheumatoid arthritis: data from the Early Rheumatoid Arthritis Study/Early Rheumatoid Arthritis Network UK prospective cohorts. Rheumatology. 2018; 57(7): 1194-202. https://doi.org/10.1093/rheumatology/key066

48. Løppenthin K, Esbensen BA, Jennum P. Østergaard M, Tolver A, Thomsen T, et al. Sleep quality and correlates of poor sleep in patients with rheumatoid arthritis. Clin Rheumatol. 2015; 34(12): 2029–39. https://doi.org/10.1007/s10067-015-2875-4

49. Keilani M, Crevenna R, Dorner TE. Sleep quality in subjects suffering from chronic pain. Wien Klin Wochenschr. 2018; 130: 31–36. https://doi.org/10.1007/s00508-017-1256-1

50. Lu B, Rho YH, Cui J, Iannaccone CK, Frits ML, Karlson EW, et al. Associations of smoking and alcohol consumption with disease activity and functional status in rheumatoid arthritis. J Rheumatol. 2014; 41(1): 24-30. https://bit.ly/3gtyMx1

51. Smolen JS, Landewé R, Bijlsma J, Burmester G, Chatzidionysiou K, Dougados M, et al. EULAR recommendations for the management of rheumatoid arthritis with synthetic and biological disease-modifying antirheumatic drugs: 2016 update. Ann Rheum Dis. 2017; 76(6): 960-77. https://bit.ly/31rTIjw

52. Roelsgaard IK, Thomsen T, Østergaard M, Christensen R, Hetland ML, Jacobsen S, et al. The effect of an intensive smoking cessation intervention on disease activity in patients with rheumatoid arthritis: study protocol for a randomised controlled trial. Trials. 2017; 18(1): 570. https://doi.org/10.1186/s13063-017-2309-5

53. Klodziński l, Wislowska M. Comorbidities in rheumatic arthritis. Reumatologia. 2018; 56(4): 228-33. https://doi.org/10.5114/reum.2018.77974

54. Boer AC, Ten-Brinck RM, Evers AWM, van der Helm-van-Mil AHM. Does psychological stress in patients with clinically suspect arthralgia associate with subclinical inflammation and progression to inflammatory arthritis? Arthritis Res Ther. 2018; 20(1): 93. https://dx.doi.org/10.1186%2Fs13075-018-1587-y

55. Rydén PJ, Mattsson-Sydner Y. Implementing and sustaining dietary change in the context of social relationships. Scand J Caring Sci. 2011; 25(3): 583–90. https://doi.org/10.1111/j.1471-6712.2010.00867.x

56. Flurey CA, Morris M, Richards P, Hughes R, Hewlett S. It's like a juggling act: rheumatoid arthritis patient perspectives on daily life and flare while on current treatment regimes. Rheumatology (Oxford). 2014; 53(4): 696–703. https://doi.org/10.1093/rheumatology/ket416

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