The Impact of Disease Activity and Obesity on Kinesiophobia in Ankylosing Spondylitis Kinesiophobia and Ankylosing Spondylitis

Authors : Elif ALTUNEL KILINÇ, Gizem KIRMIZIER, Nurdan ORUÇOĞLU

Pages : 54-64

Doi:10.56941/odutip.1313738

View : 65 | Download : 24

Publication Date : 2023-08-31

Article Type : Research Paper

Abstract :Objective: This study aims to determine the rate of kinesiophobia in ankylosing spondylitis insert ignore into journalissuearticles values(AS); patients and to determine the relationship between kinesiophobia and disease activity, obesity, quality of life, functional status, fatigue, and fear of falling. Methods: The study design is a prospective study. That included 83 ankylosing spondylitis patients and 79 age- and gender-matched healthy controls. Kinesiophobia was evaluated using the Tampa Scale for Kinesiophobia insert ignore into journalissuearticles values(TSK);, disease activity with the Bath AS Disease Activity Index insert ignore into journalissuearticles values(BASDAI);, functional status with the Health Assessment Questionnaire insert ignore into journalissuearticles values(HAQ); and Bath AS Functional Index insert ignore into journalissuearticles values(BASFI);, fear of falling with the Falls Efficacy Scale International insert ignore into journalissuearticles values(FES-I); and Fatigue Severity Scale insert ignore into journalissuearticles values(FSS);, Quality of Life Questionnaire insert ignore into journalissuearticles values(ASQoL);, Body Mass Index insert ignore into journalissuearticles values(BMI);. The correlation of outcome measures with kinesiophobia levels was analyzed, and all parameters were compared in patients with insert ignore into journalissuearticles values(TSK>37); and without kinesiophobia insert ignore into journalissuearticles values(TSK≤37);. Results: In AS patients, the rate of kinesiophobia was 78.3%, the mean TSK score was 43.85±9.78, while in healthy controls, the kinesiophobia rate was 17.7%, the mean TSK score was 27.07±8.46 insert ignore into journalissuearticles values(odds ratio insert ignore into journalissuearticles values(OR);=16.766, 95% confidence interval insert ignore into journalissuearticles values(CI);: 7.697-36.518; p<0.001);. TSK was positively correlated with BMI, ASQoL, BASDAI, HAQ, FES-I, FSS, and BASFI insert ignore into journalissuearticles values(r=0.336, r=0.457, r=0.341, r=0.447, r=0.269, r=0.371, p<0.05 for each);. Patients with a BMI>25, and a BASDAI> 4 had higher TSK scores insert ignore into journalissuearticles values(p=0.041 and p<0.001, respectively);. Conclusion: AS patients have a very high rate of kinesiophobia. Patients with obesity and high disease activity have higher levels of kinesiophobia. Detection of kinesiophobia in patients with AS, control of weight/obesity, and reduction of disease activity should be an important goal.
Keywords : Ankilozan Spondilit, vücut kitle indeksi, hastalık aktivitesi, kinezyofobi

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