Manolya Acar ÖZKÖSLÜ, Eda TONGA, Metin KARATAŞ, Arzu DAŞKAPAN, M Agah TEKİNDAL

Fibromyalji Sendromlu Hastalar ile Sağlıklı Bireylerin Fiziksel Aktivite ve Fiziksel Uygunluk Düzeyi Farkları

Amaç: Çalışmanın amacı fibromyalji sendromlu (FMS) hastalarda fiziksel aktivite ve fiziksel uygunluk düzeyini belirlemek ve sağlıklı bireylerin verileri ile karşılaştırmaktır. Yöntemler: Çalışmaya 82 fibromyalji hastası ve 110 sağlıklı olgu dahil edildi. Fiziksel aktivite düzeyini karşılaştırmak için tüm olgular Uluslararası Fiziksel Aktivite Anketi’nin (UFAA) uzun formatını cevaplandırdılar. Olguların sağlıkla ilişkili fiziksel uygunluk düzeyini belirlemek için vücut kompozisyonu, kassal endurans, kardiorespiratuar endurans esneklik ve denge ölçümleri değerlendirildi. Vücut kitle indeksi, mekik testi, 6 dakika yürüme testi, otur-uzan test, gövde lateral fleksiyon, KAT 3000 testleri sırasıyla vücut kompozisyonu, kassal endurans, kardiorespiratuar endurans, esneklik ve dengeyi belirlemek için kullanıldı. Bulgular: FMS'li hastaların %36,6’sı aktif, %45,1'i minimal aktif, %18,3’ü aktifti. Sağlıklı olguların %40,9’u aktif, %36,4’ü minimal aktif, %22,7’si inaktifti. Gruplar arasında UFAA yürüme ve toplam skoru arasında istatistiksel olarak anlamlı fark bulundu (p<0,05). Sağlıkla ilişkili fiziksel uygunluk düzeyinde mekik testi (p<0,001) ve her iki gövde lateral fleksiyonu (p<0,001) skorunda fibromyalji ve kontrol grubu arasında istatistiksel olarak anlamlı fark gözlendi. Sonuç: Sonuçlarımız FMS'li hastaların fiziksel aktivite ve fiziksel uygunluk düzeyinin sağlıklı bireylere göre daha düşük olduğunu gösterdi.

Anahtar Kelimeler:

Fibromyalji sendromu, fiziksel aktivite, fiziksel uygunluk düzeyi

Differences in Physical Activity and Physical Fitness Level in Patients with Fibromyalgia Syndrome and Healthy Individuals

Objective: The aim of this study was to investigate the physical activity and physical fitness levels in patients with fibromyalgia syndrome (FMS) and to compare the data with those in healthy individuals. Methods: The study included 82 patients with FMS and 110 healthy individuals. In order to compare physical activity levels, all the subjects responded to the International Physical Activity Questionnaire, Long Form (IPAQ). The health-related physical fitness of the subjects was evaluated by body composition, muscle endurance, cardiorespiratory endurance, flexibility, and balance. Body mass index (BMI), sit-up test, 6-min walk test, sit and reach test, body lateral flexion, and Kinesthetic Ability Trainer 3000 (KAT 3000) were used to determine body composition, muscle endurance, cardiorespiratory endurance, flexibility, and balance, respectively. Results: Of the patients with FMS, 36.6% were inactive, 45.1% were insufficiently active, and 18.3% were active. Of the healthy individuals, 40.9% were active, 36.4% were insufficiently active, and 22.7% were inactive. Significant differences were found (p<0.05) in IPAQ walking and total scores between the groups. The sit-up test scores (p<0.001) and right and left body lateral flexion scores (p<0.001) were significantly different between the FMS patient and control groups. Conclusion: Our results showed that the physical activity and physical fitness levels of patients with FMS were lower than those of healthy individuals.

Keywords:

Fibromyalgia syndrome, physical fitness, physical activity levels,

PDF

___

1. Mease P. Fibromyalgia syndrome: Review of clinical presentation, pathogenesis, outcome measures and treatment. J Rheumatol Suppl 2005; 32: 6-21. 2. Claw DJ. Fibromyalgia: Update on mechanisms and management. J Clin Rheumatol 2007; 13: 102-9. [CrossRef] 3. Wolfe F. Fibromyalgia: epidemiology of rheumatic disease. Rheum Clin N Am 1990; 16: 681-98. 4. Sönmezer E, Yosmaoğlu HB. Fibromiyalji sendromlu kadınlarda fizyoterapinin cinsel disfonksiyon üzerine etkisi. Saglık Toplum 2015; 25: 80-4. 5. Topbaş M, Cakirbay H, Gulec H. The prevalence of fibromyalgia in women aged 20-64 in Turkey. Scand J Rheumatol 2005; 34: 140-4. 6. Kasıkçıoglu E, Dinler M, Berker E. Reduced tolerance of exercise in fibromyalgia may be consequence of impaired microcirculation initialed by deficient action of nitric oxide: Medical Hypotheses 2006; 66: 950-2. [CrossRef] 7. Segura-Jimenez V, Alvarez-Gallardo IC, Carbonell-Baeza A, Aparicio VA, Ortega FB, Casimiro AJ, et al. Fibromyalgia has a larger impact on physical health than on psychological health, yet both are markedly affected: the al-Andalus project. Semin Arthritis Rheum 2015; 44: 563-70. [CrossRef] 8. Nijs J, Roussel N, Van Oosterwijck J, De Kooning M, Ickmans K, Struyf F, et al. Fear of movement and avoidance behaviour toward physical activity in chronic-fatigue syndrome and fibromyalgia: state of the art and implications for clinical practice. Clin Rheumatol 2013; 32: 1121-9. [CrossRef] 9. McLoughlin MJ, Colbert LH, Stegner AJ, Cook DB. Are women with fibromyalgia less physically active than healthy women? Med Sci Sports Exerc 2011; 43: 905-12. [CrossRef] 10. Kaleth AS, Saha CK, Jensen MP, Slaven JE, Ang DC. Moderate-vigorous physical activity improves longterm clinical outcomes without worsening pain in fibromyalgia. Arthritis Care Res (Hoboken) 2013; 65: 1211-8. [CrossRef] 11. Ruiz J, Segura- Jeminez V, Ortega F. Objectively measured sedentary time and physical activity in women with fibromyalgia: a cross-sectional study. BMJ Open 2013; 3: pii: e002722. [CrossRef] 12. Yakut Y, Yakut E, Kılıçhan B, Uygur F. Reliability and Validity of the Turkish Version Short- Form McGill Pain Questionnaire in Patients with Rheumatoid Arthritis. Clin Rheumatol 2007; 26: 1083-7. [CrossRef] 13. Sağlam M, Arıkan H, Savcı S. International Physical Activity Questionnare: Realiability and Validity of the Turkish Version. Percept Mot Skills 2010; 11: 278-84. [CrossRef] 14. Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 2003; 35: 1381-95. [CrossRef] 15. Sunı JH, Miilunpalo SI, Asikainen TM. Safety and feasibility of a health-related fitness test battery for adults. Phys Ther 1998; 78: 134-48. [CrossRef] 16. ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS Statement: Guidelines for the six-minute walk test. Am J Respir Crit Care Med 2002; 166: 111-7. [CrossRef] 17. Çetin N, Karataş M, Aytar A, Sürenkök Ö. Reliability for static balance testing with a kinesthetic ability trainer (Sport Kat 3000) in healthy young subjects. Romatol Tıp Rehab Dergisi 2006; 17: 158-65. 18. Kaleth AS, Ang DC, Chakr R, Tong Y. Validity and reliability of community health activities model program for seniors and short-form international physical activity questionnaire as physical activity assessment tools in patients with fibromyalgia. Disabil Rehabil 2010; 32: 353. [CrossRef] 19. Fontaine KR, Conn L, Clauw DJ. Effects of lifestyle physical activity on perceived symptoms and physical function in adults with fibromyalgia: results of a randomized trial. Arthritis Res Ther 2010; 12: R55. [CrossRef] 20. Mannerkorpi K, Hernelid C. Leisure Time Physical Activity Instrument and Physical Activity at Home and Work Instrument. Development, face validity, construct validity and test-retest reliability for subjects with fibromyalgia. Disabil Rehabil 2005; 27: 695-701. [CrossRef] 21. Segura-Jiménez V, Álvarez-Gallardo IC, Estévez-López F, Soriano-Maldonado A, Delgado-Fernández M, Ortega FB, et al. Differences in sedentary time and physical activity between female patients with fibromyalgia and healthy controls: the al-Ándalus project. Arthritis Rheumatol 2015; 67: 3047-57. [CrossRef] 22. Aparicio VA, Ortega FB, Carbonell-Baeza A, Camiletti D, Ruiz JR, Delgado-Fernández M. Relationship of weight status with mental and physical health in female fibromyalgia patients. Obes Facts 2011; 4: 443-8. [CrossRef] 23. Sener U, Ucok K, Ulasli AM, Genc A, Karabacak H, Coban NF, et al. Evaluation of health-related physical fitness parameters and association analysis with depression, anxiety, and quality of life in patients with fibromyalgia. Int J Rheum Dis 2016; 19: 763-72. [CrossRef]