1. Assessment of fatigue in a large series of 1492 Brazilian patients with Spondyloarthritis
- Author
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Sueli Carneiro, Rita Menin, Percival D. Sampaio-Barros, Mittermayer Barreto Santiago, Manoel Barros Bertolo, Charles Lubianca Kohem, Francisco Airton Castro Rocha, Walber Pinto Vieira, Célio Roberto Gonçalves, Thelma L. Skare, Gustavo Gomes Resende, Valeria Valim, Fernanda R. Elias, Mauro Waldemar Keiserman, José Antonio Braga da Silva, Adriana Bruscato Bortoluzzo, Elisa N. Albuquerque, Sonia A.L. Lima, Antonio Carlos Ximenes, Sandra Lúcia Euzébio Ribeiro, Rubens Bonfiglioli, Cristiano Campanholo, Elizandra Polito, Izaias Pereira da Costa, Nocy H. Leite, Marcelo de Medeiros Pinheiro, Eduardo de Souza Meirelles, Ivânio Alves Pereira, Maria de Fátima Lobato da Cunha Sauma, Valderílio Feijó Azevedo, Angela Luzia Branco Pinto Duarte, Washington A. Bianchi, and Hellen M.S. Carvalho
- Subjects
Male ,medicine.medical_specialty ,Severity of Illness Index ,Disease activity ,Disability Evaluation ,Sex Factors ,Rheumatology ,Quality of life ,Surveys and Questionnaires ,Disease patterns ,Spondylarthritis ,Female patient ,medicine ,Humans ,Prospective Studies ,Exercise ,Life Style ,BASDAI ,Fatigue ,Ankylosing spondylitis ,business.industry ,Significant difference ,Large series ,medicine.disease ,Quality of Life ,Physical therapy ,Female ,Symptom Assessment ,business ,Brazil - Abstract
The aim of the present study was to analyze the score of fatigue in a large cohort of Brazilian patients with SpA, comparing different disease patterns and its association with demographic and disease-specific variables.A common protocol of investigation was prospectively applied to 1492 Brazilian patients classified as SpA according to the European Spondyloarthropathies Study Group (ESSG) criteria, attended at 29 reference centers. Clinical and demographic variables were recorded. Fatigue was evaluated using the first item of the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) questionnaire.The mean BASDAI fatigue score was 4.20 ± 2.99. There was no significant difference in the fatigue score between the different SpA. Fatigue was higher in female patients (p0.001), with mixed (axial + peripheral) involvement (p0.001) and in those who did not practice exercises (p0.001). Higher scores of fatigue were significantly associated with inflammatory low back pain (p = 0.013), alternating buttock pain (p = 0.001), cervical pain (p = 0.001), and hip involvement (p = 0.005). Fatigue presented a moderate positive statistical correlation with Bath Ankylosing Spondylitis Functional Index (BASFI) (0.469; p0.001) and Ankylosing Spondylitis Quality of Life (0.462; p0.001).In this large series of Brazilian SpA patients, higher fatigue scores were associated with female gender, sedentary, worse functionality, and quality of life.
- Published
- 2014
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