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Torell, A., Olsson, M. C., Andersson, Å., Malm, K., Åberg, I., Wiking, E. & Haglund, E. (2023). Effects of a digital-based high-intensity interval training (HIIT) intervention in individuals with axial spondyloarthritis: – a randomized controlled pilot study (RCT). In: : . Paper presented at Reumadagarna 14-16 september 2023.
Open this publication in new window or tab >>Effects of a digital-based high-intensity interval training (HIIT) intervention in individuals with axial spondyloarthritis: – a randomized controlled pilot study (RCT)
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2023 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Background

Physical exercise is an important treatment for individuals with axial spondyloarthritis (axSpA). Although high-intensity training (HIT) has been shown to reduce disease symptoms and risk of comorbidity without exacerbating disease activity (1), compliance tends to decrease over time. Increased knowledge is needed on how to optimize and tailor individual exercise programs for continued regular exercising and improved health.

Objective

To study the effects of HIT on aerobic capacity, body composition, disease activity, physical function, health status and fatigue in individuals with axSpA after a 12-week intervention supported by digital coaching.

Methods

Twenty-two individuals (women, n=12), recruited from two rheumatology clinics in southern Sweden, were randomized to a HIT intervention group (HG; n=11) or a control group (CG; n=11). The HG completed three HIT sessions/week, including two interval training sessions (4x4 min), in self-selected activities for 12 weeks. The individuals in the HG were individually coached and had regular support from a physical therapist primarily by digital coaching. The CG continued exercising as usual. Assessment of aerobic capacity (VO2max), body composition (BMI and visceral fat area [cm2]), disease activity (CRP [µg/ml], BASDAI, 0-10 best-worst), physical function (BASFI, 0-10 best-worst), health status (EQ5D, 0-1 worst-best, ASAS health index [ASAS-HI], 0-17 best-worst), and fatigue (fatigue severity scale [FFS], 0-7 best-worst) were sampled at baseline and after 12 weeks. Mean and standard deviation (SD) were used for descriptive statistics. Repeated measures analysis of variance (ANOVA) was used to investigate effect of group (HG*CG) and time (PRE*POST), with a post-hoc analysis using t-tests when ANOVA indicated a significant difference in main effects or interactions. A significance level of p≤0.05 was used. Fisher´s exact test was used to study the effects over time for CRP (as dichotomized variable, > or < 4 µg/ml).

Results

Results presented are part of an ongoing RCT based on 19 individuals (women n=11) that have completed the 12-week follow-up analyses. The participants mean (SD) age was 48 (10) years, BMI 25 (4), VO2max 37 (6) mlO2/kg/min, and BASDAI 2.6 (0.3). No differences were present between the HG (n=9) and the CG group (n=10) at baseline for the studied variables. After 12 weeks of HIT an ANOVA interaction (p<0.05 showed that HG increased their VO2max (6.4 [3.6] mlO2/kg/min; p<0.001) but CG did not. For BMI, visceral fat area, disease activity (BASDAI), physical function (BASFI), fatigue (FFS) no differences in main effects or interactions were found (p>0.05). Health status (EQ5D) showed an ANOVA time main effect (p=0.007) where the HG increased their health status (0.10 [0.06] units; p=0.02) after 12-weeks, but CG did not. For health status measured with ASAS-HI no differences between groups were found. For dichotomized CRP-values no differences were found in either of the group’s pre-post. 

Conclusions

This pilot RCT shows that after 12 weeks of digital-based HIT intervention, the HG increased their aerobic capacity and EQ5D health status compared to CG, while body composition, disease activity, physical function, and fatigue did not show any significant differences between the groups. 

References

(1)    Sveaas SH, Bilberg a, Berg IJ, Provan SA, Rollefstad S, Semb AG, et al. high intensity exercise for 3 months reduces disease activity in axial spondyloarthritis (axSpA): a multicentre randomised trial of 100 patients. Br J Sports med. 2019

Acknowledgement

Thanks to participating patients, to patient partner Åsa Fiskaare and for contributions from the Swedish Rheumatism Association, Stig Thunes Foundation and Norrbacka Eugenia Foundation, Sweden

National Category
Medical and Health Sciences
Research subject
Health Innovation, M4HP
Identifiers
urn:nbn:se:hh:diva-52586 (URN)
Conference
Reumadagarna 14-16 september 2023
Available from: 2024-02-08 Created: 2024-02-08 Last updated: 2024-02-08
Torell, A., Olsson, M. C., Andersson, Å., Malm, K., Åberg, I., Wiking, E. & Haglund, E. (2023). Effects of a digital-based high-intensity training intervention in individuals with axial spondyloarthritis – a randomized controlled pilot study (RCT). Paper presented at EULAR 2023 European Congress of Rheumatology, Milan, Italy, 31 May - 3 June, 2023. Annals of the Rheumatic Diseases, 82(Suppl 1), 1049-1049
Open this publication in new window or tab >>Effects of a digital-based high-intensity training intervention in individuals with axial spondyloarthritis – a randomized controlled pilot study (RCT)
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2023 (English)In: Annals of the Rheumatic Diseases, ISSN 0003-4967, Vol. 82, no Suppl 1, p. 1049-1049Article in journal, Meeting abstract (Refereed) Published
Place, publisher, year, edition, pages
London: BMJ Publishing Group Ltd, 2023
National Category
Rheumatology and Autoimmunity
Research subject
Health Innovation, M4HP - Movement for health and performance; Health Innovation
Identifiers
urn:nbn:se:hh:diva-51823 (URN)10.1136/annrheumdis-2023-eular.3460 (DOI)
Conference
EULAR 2023 European Congress of Rheumatology, Milan, Italy, 31 May - 3 June, 2023
Funder
Swedish Rheumatism AssociationNorrbacka-Eugenia Foundation
Available from: 2023-10-13 Created: 2023-10-13 Last updated: 2023-10-24Bibliographically approved
Wiking, E., Larsson, I., Torell, A., Malm, K., Åberg, I. & Haglund, E. (2023). Experiences of a digital-based high-intensityinterval training (HIIT) intervention inindividuals with axial spondyloarthritis (axSpA). In: : . Paper presented at Reumadagarna, 14-16 september 2023.
Open this publication in new window or tab >>Experiences of a digital-based high-intensityinterval training (HIIT) intervention inindividuals with axial spondyloarthritis (axSpA)
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2023 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Background

Physical exercise is included in the recommended treatment for individuals with axial spondyloarthritis (axSpA), and different forms of aerobic training are known to improve health and cardiorespiratory function. However, little is known about the experiences of digital-based high-intensity interval training (HIIT) in individuals with axSpA.

Objective

The study aims to describe experiences of digital-based high-intensity interval training (HIIT) intervention in individuals with axSpA. 

 

Method

In a randomized control trial (RCT), individuals with axSpA (n=22), were recruited from two rheumatology clinics in southern Sweden, and randomized to a HIIT intervention group or a control group. The intervention group completed a standardized training protocol, including three sessions/week (two HIIT sessions) in self-selected activities for 12 weeks. They were individually coached and had regular support from a physical therapist, primarily through digital support and a fitness watch. 

In this qualitative study, individual interviews were conducted with participants from the intervention group (7 women/5 men) after completing the 12-week intervention. The participants' median age was 47 years (min-max 31-66), aerobic fitness 32 ml O2/kg/min (24-54), self-reported health status (EQ5D) 0.80 (0.73-1) disease activity (BASDAI) 2.4 (0.6-3.3), and physical function (BASFI) 1.1 (0-1.8). Open-ended questions were used: “How have you experienced the HIIT intervention?”, and “How has the HIIT intervention affected you?”. The qualitative content analysis resulted in four categories constituted of 12 sub-categories. 

ResultsThe result revealed that participation in a digital-based HIIT intervention was described as; 1) the digital design creates opportunities for exercise through easy accessibility, time efficiency, and increased self-awareness, 2) the encouragement facilitating exercise by feelings of being cared for, individual coaching, and social support, and 3) the exercise influencing well-being by positive health effects, altered pain, and feelings of self-satisfaction, but also 4) the need to overcome barriers to exercise by facing practical difficulties, effort and motivation, and feelings of uncertainty and failures (Table 1).

 

Conclusion

Individuals with axSpA experienced that the digital-based intervention with HIIT created exercise opportunities. The importance of encouragement in the intervention design, along with the positive effects on well-being, was highlighted. However, the need to overcome difficulties in exercise was emphasized. The findings have to be considered when implementing individually based sustainable rehabilitation containing HIIT.

National Category
Medical and Health Sciences
Research subject
Health Innovation, M4HP
Identifiers
urn:nbn:se:hh:diva-52585 (URN)
Conference
Reumadagarna, 14-16 september 2023
Available from: 2024-02-08 Created: 2024-02-08 Last updated: 2024-02-08
Sylwander, C., Wahl, A. K., Andersson, M. L. .., Haglund, E. & Larsson, I. (2023). Health literacy in individuals with knee pain-a mixed methods study. BMC Public Health, 23, 1-16, Article ID 1656.
Open this publication in new window or tab >>Health literacy in individuals with knee pain-a mixed methods study
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2023 (English)In: BMC Public Health, E-ISSN 1471-2458, Vol. 23, p. 1-16, article id 1656Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Low health literacy is associated with worse pain and poorer self-management. This study (1) examined the level of health literacy and associations with lifestyle habits, health status, chronic pain, and radiographic knee osteoarthritis; and (2) explored experiences illuminating health literacy among individuals with knee pain.

METHODS: A convergent parallel mixed-methods design was used, including 221 individuals. Health literacy was assessed by HLS-EU-Q16 and eHEALS. The questionnaire included questions on lifestyle habits, health status, and pain distribution. Radiographic knee osteoarthritis was assessed with x-rays. Associations were analysed using logistic regression analyses. Individual semi-structured interviews were conducted (n = 19) and analysed with qualitative content analysis.

RESULTS: The result showed that 71% reported sufficient health literacy. Higher education, healthy lifestyle habits, better general health, and absence of widespread pain were associated with sufficient health literacy. Experiences regarding health literacy influencing the decision-making process toward a decision on action comprised: (1) searching for information actively or passively; (2) processing of the information included being informed, critical, and interpretive; and (3) taking a stand on the information based on trustfulness and motivation.

CONCLUSION: Seven out of 10 reported sufficient health literacy. Despite this, unhealthy lifestyles were common, suggesting that having sufficient HL is not enough for a behavioural change and the decision-making process, including different phases such as searching, processing, and taking a stand on health information is important to consider. More research on health literacy is needed to gain knowledge of how best to develop health promotion in individuals with knee pain. © 2023, BioMed Central Ltd., part of Springer Nature.

Place, publisher, year, edition, pages
London: BioMed Central (BMC), 2023
Keywords
Chronic pain, Health literacy, Health promotion, Knee osteoarthritis, Knee pain, Mixed methods study, Patient perspective
National Category
Health Sciences
Identifiers
urn:nbn:se:hh:diva-51568 (URN)10.1186/s12889-023-16585-9 (DOI)001057913000005 ()37644536 (PubMedID)2-s2.0-85168977048 (Scopus ID)
Funder
Swedish Rheumatism Association, R-967899Anna and Edwin Bergers Foundation, F-22-0006
Note

Som manuskript i avhandling/As manuscript in thesis

Open access funding provided by Halmstad University. The study was funded by the Swedish Rheumatism Association (R-967899) and the Anna and Edwin Berger Foundation (F-22-0006). 

Available from: 2023-09-04 Created: 2023-09-04 Last updated: 2023-12-14Bibliographically approved
Mogard, E., Bremander, A. & Haglund, E. (2022). A combination of two or more unhealthy lifestyle factors is associated with impaired physical and mental health in patients with spondyloarthritis: a cross-sectional study. BMC Rheumatology, 6(1), Article ID 29.
Open this publication in new window or tab >>A combination of two or more unhealthy lifestyle factors is associated with impaired physical and mental health in patients with spondyloarthritis: a cross-sectional study
2022 (English)In: BMC Rheumatology, ISSN 2520-1026, Vol. 6, no 1, article id 29Article in journal (Refereed) Published
Abstract [en]

Background: There is increasing knowledge of how individual lifestyle factors affect patients with spondyloarthritis, while studies exploring the combination of unhealthy lifestyle factors are lacking. Thus, our aim was to study the frequency of two or more unhealthy lifestyle factors and their associations with physical and mental health in patients with spondyloarthritis (SpA).

Methods: A population-based postal survey involving questions on lifestyle factors was completed by 1793 patients with ankylosing spondylitis (AS), psoriatic arthritis (PsA), and undifferentiated spondyloarthritis (USpA). Self-reported physical activity, body mass index, and tobacco use were respectively dichotomized as “healthy” or “unhealthy”, summarized for each patient and stratified into four groups (0–3; 0 = no unhealthy lifestyle factors). Group comparisons were performed with Chi-squared tests, and associations with physical and mental health outcomes were performed with analysis of covariance and logistic regression analysis.

Results: Out of 1426 patients (52% women) with complete information for all studied lifestyle factors, 43% reported ≥ two unhealthy lifestyle factors—more frequently patients with PsA (48%) than AS (39%) or USpA (38%)—and with no difference between women and men (p = 0.399). Two or more unhealthy lifestyle factors were associated with worse health-related quality of life, disease activity, physical function, pain, fatigue, anxiety, and depression, adjusted for age and SpA-subgroup. If an unhealthy level of physical activity was one of the two unhealthy lifestyle factors, patients reported worse health outcomes.

Conclusion: Reporting two or more unhealthy lifestyle factors were associated with worse physical and mental health in patients with SpA. This highlights the need to screen for a combination of unhealthy lifestyle factors and offer individualized coordinated interventions, and tailored coaching to support behavioral change, in order to promote sustainable health. © 2022, The Author(s).

Place, publisher, year, edition, pages
London: BioMed Central (BMC), 2022
Keywords
Ankylosing spondylitis, Body mass index, Health-related quality of life, Overweight/obesity, Physical activity, Psoriatic arthritis, Smoking, Spondyloarthropathy, Tobacco
National Category
Pharmacology and Toxicology
Identifiers
urn:nbn:se:hh:diva-48506 (URN)10.1186/s41927-022-00260-4 (DOI)000801155700001 ()35610662 (PubMedID)2-s2.0-85130731987 (Scopus ID)
Funder
Region SkåneSwedish Rheumatism AssociationLund University
Note

Funding: Open access funding provided by Lund University. This work was supported by grants from: Region Skåne; Skåne University Hospital; Spenshult Research and Development Centre; the Swedish Rheumatism Association; and the Kock Foundation.

Available from: 2022-11-02 Created: 2022-11-02 Last updated: 2023-01-02Bibliographically approved
Reinodt, S., Haglund, E., Bremander, A., Jarbin, H. & Larsson, I. (2022). Adolescents’ Long-Term Experiences of Manageability, Comprehensibility, and Meaningfulness of a Group-Based Exercise Intervention for Depression. International Journal of Environmental Research and Public Health, 19(5), Article ID 2894.
Open this publication in new window or tab >>Adolescents’ Long-Term Experiences of Manageability, Comprehensibility, and Meaningfulness of a Group-Based Exercise Intervention for Depression
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2022 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 5, article id 2894Article in journal (Refereed) Published
Abstract [en]

Physical exercise is a potentially effective treatment for adolescents with mild to moderate depression. However, there is a lack of long-term follow-ups to reveal adolescents’ experiences of exercise as a treatment for depression. The salutogenic concept of sense of coherence (SOC), comprising the domains manageability, comprehensibility, and meaningfulness is important to understand behaviour change. This study aimed to describe adolescents’ long-term experiences of manageability, comprehensibility, and meaningfulness of a group-based exercise intervention for depression. Fourteen adolescents with persistent depression were recruited from a psychiatric outpatient clinic and interviewed one year after participating in a 14-week moderate to vigorous exercise intervention for depression. An abductive qualitative content analysis was conducted, based on the three SOC domains manageability, comprehensibility, and meaningfulness. The results revealed that participation in the intervention was made manageable by a supportive environment, including: the intervention design, togetherness with peer group, and encouragement from adults. The comprehensibility of the intervention emerged through the insights regarding health benefits of exercise and the aim of the intervention. Meaningfulness was achieved through improved health behaviour, well-being and self-esteem, along with strengthened belief in the future and increased commitment to everyday life. The group-based exercise intervention was experienced as manageable, comprehensible, and meaningful. © 2022 by the authors. Licensee MDPI, Basel, Switzerland.

Place, publisher, year, edition, pages
Basel: MDPI, 2022
Keywords
Adolescents, Comprehensibility, Depression, Exercise intervention, Manageability, Meaningfulness, Qualitative content analysis, Treatment
National Category
Health Sciences
Research subject
Health Innovation, Information driven care
Identifiers
urn:nbn:se:hh:diva-46488 (URN)10.3390/ijerph19052894 (DOI)000768042200001 ()35270586 (PubMedID)2-s2.0-85125405791 (Scopus ID)
Available from: 2022-03-18 Created: 2022-03-18 Last updated: 2023-01-02Bibliographically approved
Andersson, M. L. .., Haglund, E., Aili, K., Bremander, A. & Bergman, S. (2022). Associations between metabolic factors and radiographic knee osteoarthritis in early disease - a cross-sectional study of individuals with knee pain. BMC Musculoskeletal Disorders, 23(1), Article ID 938.
Open this publication in new window or tab >>Associations between metabolic factors and radiographic knee osteoarthritis in early disease - a cross-sectional study of individuals with knee pain
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2022 (English)In: BMC Musculoskeletal Disorders, E-ISSN 1471-2474, Vol. 23, no 1, article id 938Article in journal (Refereed) Published
Abstract [en]

Objective: Metabolic factors have been shown to be associated to severe radiographic knee osteoarthritis (RKOA). However, more knowledge is needed in early clinical knee osteoarthritis (KOA). The aim was to study associations between metabolic factors and radiographic knee osteoarthritis (OA) in individuals with knee pain. A second aim was to study associations between metabolic factors and RKOA in those with normal BMI and in those overweight/obese, respectively. Method: This cross-sectional study included 282 individuals with knee pain (without cruciate ligament injury) and aged 30–67 years, and 70% women. Waist circumference, body mass index (BMI), proportion of fat and visceral fat area (VFA) were assessed. RKOA was defined as Ahlbäck grade 1 in at least one knee. Fasting blood samples were taken and triglycerides, cholesterol (total, low density lipoprotein (LDL) and high density lipoprotein (HDL)), C-reactive protein (CRP), glucose, HbA1C were analysed. Metabolic syndrome was defined in accordance with the International Diabetes Federation (IDF). Associations were analysed by logistic regression. Results: Individuals with RKOA were older, had higher BMI, higher VFA, larger waist circumference and had increased total cholesterol, triglycerides and LDL-cholesterol, but not fasting glucose. There was no difference between the group with RKOA vs. non-radiographic group regarding the presence of metabolic syndrome. In a subgroup analysis of individuals with normal BMI (n = 126), those with RKOA had higher VFA, more central obesity, higher levels of CRP and total cholesterol, compared with individuals without RKOA. In individuals with obesity, age was the only outcome associated to RKOA. Conclusion: There were clear associations between metabolic factors and RKOA in individuals with knee pain, also in those with normal BMI. In individuals with obesity age was the only variable associated to RKOA. Trial registration:: clinicalTrials.gov Identifier: NCT04928170. © 2022, The Author(s).

Place, publisher, year, edition, pages
London: BioMed Central (BMC), 2022
Keywords
Knee osteoarthritis, Knee pain, Metabolic factors
National Category
Orthopaedics
Identifiers
urn:nbn:se:hh:diva-48784 (URN)10.1186/s12891-022-05881-x (DOI)000876271800005 ()36307803 (PubMedID)2-s2.0-85141056952 (Scopus ID)
Funder
Swedish Rheumatism Association, R-531621, R-635431, R-939824, R-967899The Crafoord Foundation
Note

The study was funded by the Swedish Rheumatism Association, grant number R-531621, R-635431, R-939824, R-967899, Targeted investment from the Swedish Rheumatism Association – Osteoarthritis from 2014 to 2019, and the Crafoord Foundation. The funders have not influenced the study design, collection, analysis, or interpretation of data, nor the writing of the manuscript or the decision to submit the manuscript for publication. Open access funding provided by Lund University

Available from: 2022-12-09 Created: 2022-12-09 Last updated: 2024-01-17Bibliographically approved
Andersson, M. L., Haglund, E., Aili, K., Bremander, A. & Bergman, S. (2022). Cohort profile: the Halland osteoarthritis (HALLOA) cohort–from knee pain to osteoarthritis: a longitudinal observational study in Sweden. BMJ Open, 12(7), Article ID e057086.
Open this publication in new window or tab >>Cohort profile: the Halland osteoarthritis (HALLOA) cohort–from knee pain to osteoarthritis: a longitudinal observational study in Sweden
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2022 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 12, no 7, article id e057086Article in journal (Refereed) Published
Abstract [en]

Purpose: The overall objective in this study is to investigate the early development of radiographic knee osteoarthritis (OA) and its association with hand or/and knee OA, metabolic diseases, biomarkers, chronic pain, physical function and daily physical activity types.

Participants: The Halland osteoarthritis (HALLOA) cohort is a longitudinal cohort study that includes individuals with knee pain in the southwest of Sweden. Enrolment took place from 2017 to 2019. The inclusion criteria were current knee pain, with no former known radiographic knee OA and no cruciate ligament rupture or rheumatological disorder. The participants were recruited: (1) when seeking care for knee pain in primary healthcare or (2) by advertisements in local newspapers. There are 306 individuals included in the study, mean age (SD) 51.7 (8.7) years and 69% are women. The baseline and follow-ups include clinical tests, radiographical examinations, blood samples, metabolic measures, pain pressure thresholds, tests of physical functions, daily physical activity types and patient-reported outcomes.

Findings to date: There were associations between metabolic factors and radiographic knee OA, even in those with normal body mass index at baseline. In addition, clinical hand OA was positively associated with fasting plasma glucose. We also found that modifiable factors as increased visceral fat and total body fat were associated with increased pain sensitivity among individuals with knee pain.

Future plans: By studying possible pathophysiological mechanisms of OA over time, we aim to provide new insights on OA progression, identify usable preventive measures helping the clinicians in the management of the disease and improve health for the patients. It is also important to study the development of chronic pain in OA, to get tools to identify individuals at risk and to be able to offer them treatment.

 © Author(s) (or their employer(s)) 2022. 

Place, publisher, year, edition, pages
London: BMJ Publishing Group Ltd, 2022
Keywords
Internal Medicine, Knee, Musculoskeletal disorders, Rheumatology
National Category
Rheumatology and Autoimmunity Health Sciences
Identifiers
urn:nbn:se:hh:diva-48969 (URN)10.1136/bmjopen-2021-057086 (DOI)000826598000010 ()35835523 (PubMedID)2-s2.0-85134137962 (Scopus ID)
Funder
Swedish Rheumatism Association, R-531621Swedish Rheumatism Association, R-635431Swedish Rheumatism Association, R-939824Swedish Rheumatism Association, R-967899The Crafoord Foundation
Note

Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Available from: 2022-12-20 Created: 2022-12-20 Last updated: 2023-08-28Bibliographically approved
Sylwander, C., Sunesson, E., Andersson, M. L. .., Haglund, E. & Larsson, I. (2022). Experiences of Health-Promoting Activities among Individuals with Knee Pain: The Halland Osteoarthritis Cohort. International Journal of Environmental Research and Public Health, 19(17), Article ID 10529.
Open this publication in new window or tab >>Experiences of Health-Promoting Activities among Individuals with Knee Pain: The Halland Osteoarthritis Cohort
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2022 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 17, article id 10529Article in journal (Refereed) Published
Abstract [en]

Knee pain is an early sign of knee osteoarthritis (KOA) and a risk factor for chronic widespread pain (CWP). Early prevention is vital, and more research is needed to understand health-promoting activities for individuals with knee pain from a patient perspective. This study aimed to explore how individuals with knee pain experienced health-promoting activities. Explorative qualitative design with inductive approach was applied to explore the experiences of 22 individuals (13 women, 9 men; median age: 52). Semi-structured interviews were conducted and analysed using latent qualitative content analysis. The results revealed health-promoting activities in individuals with knee pain and were interpreted in the overall theme, striving for balance in everyday life. Two categories explored the content in health-promoting activities: (1) Caring for the body—being physically active, having a healthy diet, and utilising support; and (2) Managing life stressors—allowing for recovery, promoting vitality, and safeguarding healthy relationships. In conclusion, individuals with knee pain described various health-promoting activities. They strived for balance in everyday life by caring for the body and managing life stressors. We suggest that a broader approach to everyday life can be helpful in treatment plans and health promotion to manage and prevent KOA and CWP, while striving for a healthy lifestyle.

Place, publisher, year, edition, pages
Basel: MDPI, 2022
Keywords
health promotion, knee pain, knee osteoarthritis, chronic pain, patient perspective, interviews, qualitative content analysis
National Category
Health Sciences
Research subject
Health Innovation, Information driven care
Identifiers
urn:nbn:se:hh:diva-48021 (URN)10.3390/ijerph191710529 (DOI)000851150500001 ()36078245 (PubMedID)2-s2.0-85137831845 (Scopus ID)
Funder
Swedish Rheumatism Association, R-967899Anna and Edwin Bergers Foundation, F-21-0031
Note

Som manuskript i avhandling/As manuscript in thesis

Available from: 2022-09-08 Created: 2022-09-08 Last updated: 2023-12-14Bibliographically approved
Sunesson, E., Sylwander, C., Haglund, E., Andersson, M. L. .. & Larsson, I. (2022). Experiences of How Health and Lifestyle among Individuals with Knee Pain Have Been Influenced during the COVID-19 Pandemic, a HALLOA Study. International Journal of Environmental Research and Public Health, 19(14), Article ID 8255.
Open this publication in new window or tab >>Experiences of How Health and Lifestyle among Individuals with Knee Pain Have Been Influenced during the COVID-19 Pandemic, a HALLOA Study
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2022 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 14, article id 8255Article in journal (Refereed) Published
Abstract [en]

The COVID-19 pandemic has affected the health and lifestyles of both the general population and of vulnerable groups. Individuals with knee pain are recommended to lead an active lifestyle to relieve pain but find it difficult to maintain health and lifestyle compared to the general population due to the cause of chronic pain, impaired physical function, and a diminished quality of life. This study aimed to explore experiences of how health and lifestyle among individuals with knee pain have been influenced during the COVID-19 pandemic. Interviews (n = 19) were conducted in 2021 and analysed with qualitative content analysis. The results showed how individuals with knee pain adjusted their behaviour and revalued their life to maintain health and lifestyle during COVID-19. Adjusted behaviours emerged, such as spending more time at home, becoming digital, and spending more time outdoors, while revaluing life emerged as having a positive outlook on life and sharing responsibility. In conclusion, behaviour was adjusted, and life revalued to manage health and lifestyle during the pandemic. However, the findings are probably similar to the general population, i.e., individuals with knee pain live similar lives as the general population despite knee pain. The results may contribute to alternative ways of maintaining health and lifestyle in various vulnerable groups and may be applied in situations other than the pandemic. © 2022 by the authors. Licensee MDPI, Basel, Switzerland.

Place, publisher, year, edition, pages
Basel: MDPI, 2022
Keywords
COVID-19, knee pain, health, lifestyle, adjusting behaviour, revaluing life, qualitative content analysis, interviews
National Category
Health Sciences
Research subject
Health Innovation, Information driven care
Identifiers
urn:nbn:se:hh:diva-48020 (URN)10.3390/ijerph19148255 (DOI)000833277000001 ()35886110 (PubMedID)2-s2.0-85133453134 (Scopus ID)
Funder
Swedish Rheumatism Association
Available from: 2022-09-08 Created: 2022-09-08 Last updated: 2023-12-14Bibliographically approved
Projects
Hur påverkar högintensiv konditionsträning inflammationsparametrar hos individer med inflammatorisk ryggsjukdom - en pilotstudie; Halmstad University; Publications
Torell, A., Olsson, M. C., Andersson, Å., Malm, K., Åberg, I., Wiking, E. & Haglund, E. (2023). Effects of a digital-based high-intensity interval training (HIIT) intervention in individuals with axial spondyloarthritis: – a randomized controlled pilot study (RCT). In: : . Paper presented at Reumadagarna 14-16 september 2023. Wiking, E., Larsson, I., Torell, A., Malm, K., Åberg, I. & Haglund, E. (2023). Experiences of a digital-based high-intensityinterval training (HIIT) intervention inindividuals with axial spondyloarthritis (axSpA). In: : . Paper presented at Reumadagarna, 14-16 september 2023.
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-1445-5247

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