@misc{10498/29708,
year = {2022},
month = {11},
url = {http://hdl.handle.net/10498/29708},
abstract = {Objective: To analyze changes over time and the predictive value of baseline and changes of sedentary time (ST) and physical activity (PA) on pain, disease impact, and health-related quality of life (HRQoL) at 2- and 5-year follow-up in women with fibromyalgia. Methods: This is a longitudinal and exploratory study with three time points. A total of 427 women with fibromyalgia (51.4 ± 7.6 years) were followed after 2 (n = 172) and 5 years (n = 185). ST and PA (light and moderate-to-vigorous [MVPA]) were assessed using triaxial accelerometers. Pain, disease impact, and HRQoL were measured using: pressure pain threshold, the pain subscale of the revised fibromyalgia impact questionnaire (FIQR), the bodily pain subscale of the 36-item short-form health survey (SF-36), a visual analog scale (VAS), the FIQR, and the SF-36 physical and mental components. Results: Over 5 years, pressure pain threshold, ST, light PA, and MVPA variables were worsened, while FIQR and SF-36 variables were improved (Cohen's d < 0.1–0.3). Baseline ST or light PA were not associated with future outcomes, whereas greater MVPA at baseline was associated with better SF-36 bodily pain at 5-year follow-up (β = 0.13). Reducing ST and increasing light PA were associated with better bodily pain (β = −0.16 and 0.17, respectively) and SF-36 physical component (β = −0.20 and 0.17, respectively) at 5-year follow-up. Increasing MVPA was associated with less pain (pressure pain threshold, VAS, and FIQR-pain) and better SF-36 physical component at 2- and 5-year follow-up (β's from −0.20 to 0.21). Conclusions: Objectively measured variables slightly worsened over years, while for self-reported outcomes there was a trend for improvement. Reductions in ST and increases in light PA and MVPA were associated with better HRQoL at 5-year follow-up, and increases in MVPA were additionally associated with better pain and HRQoL at 2-year follow-up.},
publisher = {Wiley},
keywords = {accelerometry},
keywords = {chronic pain},
keywords = {GT3X},
keywords = {sitting},
keywords = {well-being},
title = {Longitudinal association of sedentary time and physical activity with pain and quality of life in fibromyalgia},
doi = {10.1111/sms.14258},
author = {Gavilán Carrera, Blanca and Delgado Fernández, Manuel and Álvarez Gallardo, Inmaculada Concepción and Acosta Manzano, Pedro and Borges Cosic, Milkana María and Estévez  López, Fernando and Soriano Maldonado, Alberto and Carbonell Baeza, Ana and Aparicio, Virginia A. and Segura Jiménez, Víctor},
}