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Discussions of lifestyle habits as an integral part of care management in patients with established rheumatoid arthritis
R&D-centre, Spenshult, Halmstad, Sweden & Capio Movement, Halmstad, Sweden.
R&D-centre, Spenshult, Halmstad, Sweden & The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID iD: 0000-0002-6294-538X
R&D-centre, Spenshult, Halmstad, Sweden & Department of Clinical Sciences, Section of Rheumatology, Lund, Sweden.ORCID iD: 0000-0002-8081-579X
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). R&D-centre, Spenshult, Halmstad, Sweden.ORCID iD: 0000-0002-4341-660X
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2018 (English)In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 77, p. 1817-1817, article id FRI10741-HPRArticle in journal, Meeting abstract (Refereed) Published
Abstract [en]

Background: Rheumatoid arthritis (RA) is associated with an increased risk of developing comorbidities which are known to be associated with lifestyle-related habits; such as having a sedentary lifestyle, having an unhealthy diet, smoking, and over-consumption of alcohol. In 2010, the European League Against Rheumatism (EULAR) published general guidelines on risk management in patients with RA, with an update 2017 (1,2) in which health professionals are encouraged to prioritize discussions with patients regarding their lifestyle and it is of interest to study the extent to which these discussions actually occur.

Objectives: To study if lifestyle habits; physical activity, diet, smoking and alcohol had been discussed with patients having RA during health care visits.

Methods: A cross-sectional postal survey in 2017 included 1542 eligible patients from the BARFOT (Better Anti-Rheumatic Pharmacotherapy) study. All patients received a questionnaire including lifestyle habits (physical activity, diet, smoking, and alcohol), and whether these habits had been discussed during health care visits. There was also a question regarding if they would have wanted such a discussion.

Results: 1,061 patients (68%) responded to the survey (mean age 67 years (SD 13); 73% women). Physical activity was discussed with 49% of the patients (figure 1A). Those who reported that they were active on a health-enhancing level were more likely to have discussed physical activity with health professionals. Diet had been discussed with 23% of the patients (figure 1B). Patients who reported a non-traditional mixed diet were more likely to have discussed diet. Smoking was discussed with 25% of the patients (figure 1C). Current smokers had more often discussed smoking habits with healthcare professionals compared with never smokers (32% vs. 17%; p=0.000). Alcohol had been discussed with 17% of the patients (figure 1D). Of the patients with hazardous drinking habits, 77% had not had a discussion regarding alcohol.

Place, publisher, year, edition, pages
London: BMJ Publishing Group Ltd, 2018. Vol. 77, p. 1817-1817, article id FRI10741-HPR
Keywords [en]
lifestyle habits, rheumatoid arthritis
National Category
Nursing
Identifiers
URN: urn:nbn:se:hh:diva-37137OAI: oai:DiVA.org:hh-37137DiVA, id: diva2:1220051
Conference
Annual European Congress of Rheumatology EULAR, Amsterdam, Netherlands, 13-16 June, 2018
Note

On behalf of The BARFOT study group

Available from: 2018-06-18 Created: 2018-06-18 Last updated: 2018-07-27Bibliographically approved

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Bergman, StefanBremander, AnnLarsson, Ingrid

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