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Discussions of lifestyle habits as an integral part of care management: a cross-sectional cohort study in patients with established rheumatoid arthritis in Sweden
Department of Clinical Sciences Lund, Faculty of Medicine, Lund University, Lund, Sweden & Spenshult Research and Development Centre, Halmstad, Sweden & Rheumatology, Capio Movement, Halmstad, Sweden.ORCID iD: 0000-0002-2798-4981
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Department of Clinical Sciences Lund, Faculty of Medicine, Lund University, Lund, Sweden & Spenshult Research and Development Centre, Halmstad, Sweden & Primary Health Care Unit, Department of Public Health and Community Medicine, Institute of Medicine, the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID iD: 0000-0002-6294-538X
Halmstad University, School of Business, Engineering and Science, The Rydberg Laboratory for Applied Sciences (RLAS). Department of Clinical Sciences Lund, Faculty of Medicine, Lund University, Lund, Sweden & Spenshult Research and Development Centre, Halmstad, Sweden & Department of Regional Health Research, University of Southern Denmark, Odense, Denmark & Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, Sønderborg, Denmark.ORCID iD: 0000-0002-8081-579X
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Spenshult Research and Development Centre, Halmstad, Sweden.ORCID iD: 0000-0002-4341-660X
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2019 (English)In: Rheumatology Advances in Practice, E-ISSN 2514-1775, Vol. 3, no 2, article id rkz039Article in journal (Refereed) Published
Abstract [en]

Objectives: The primary aim was to determine whether patients with RA recalled having discussions concerning lifestyle habits during their health-care visits. The secondary aim was to study the association between patients' reported lifestyle and their wish to discuss it.

Methods: A postal questionnaire sent to 1542 eligible patients from the Better Anti-Rheumatic Pharmacotherapy (BARFOT) study included questions on lifestyle habits (physical activity, diet, smoking and alcohol), on whether these were discussed during health-care visits and on whether there was an interest in such discussions.

Results: A total of 1061 patients (68%) responded [mean age 67 (s.d. 13) years, 73% women]. Half of the patients (49%) recalled discussions on physical activity, and 23% recalled discussions about diet. Those who reported health-enhancing levels of physical activity were more likely to discuss physical activity with their health professionals. Likewise, patients who reported having a non-traditional mixed diet were more likely to discuss diet. Smoking was discussed with 25% of the patients, more often with current smokers than with non-smokers (32 vs 17%; P < 0.001). Alcohol was discussed with 17% of the patients. Of those patients who reported having hazardous drinking habits, 77% had not discussed alcohol use with any health professional.

Conclusion: Discussions about lifestyle were recalled by half of the patients with established RA. There is a need for improvement, because lifestyle habits may affect the long-term outcome in a chronic disease, such as RA. Patient education concerning lifestyle habits should be an integral part of care management and an interactive process. © Malm et al. 2019. Published by Oxford University Press on behalf of the British Society for Rheumatology.

Place, publisher, year, edition, pages
Oxford: Oxford University Press, 2019. Vol. 3, no 2, article id rkz039
Keywords [en]
rheumatoid arthritis, lifestyle, habits, physical activity, diet, smoking, alcohol, discussion
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:hh:diva-40912DOI: 10.1093/rap/rkz039PubMedID: 31701084OAI: oai:DiVA.org:hh-40912DiVA, id: diva2:1369756
Funder
Swedish Rheumatism Association
Note

Other funders: County Council of Halland Research Fund & Norrbacka-Eugenia Foundation

Available from: 2019-11-12 Created: 2019-11-12 Last updated: 2019-11-27Bibliographically approved

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Bergman, StefanBremander, AnnLarsson, Ingrid

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Malm, KarinaBergman, StefanBremander, AnnLarsson, IngridAndersson, Maria L. E.
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Health Care Service and Management, Health Policy and Services and Health Economy

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