The behavioural epidemiology of sedentary behaviour in inflammatory arthritis: where are we, and where do we need to go?

Abstract

In the last decade, studies into sedentary behaviour in inflammatory arthritis have raised important questions regarding its role in this condition. Specifically, evidence is needed on whether sedentary behaviour might exacerbate adverse inflammatory arthritis outcomes, and whether reducing sedentary behaviour might offer an effective avenue for self-management in this population. Research exploring these important research questions is still very much in its infancy and lacks the direction and scientific rigour required to inform effective intervention design, delivery and evaluation. Behavioural epidemiology refers to research that aims explicitly to understand and influence health behaviour patterns to prevent disease and improve health. To this end, the Behavioural Epidemiology Framework specifies a focused approach to health behaviour research, which leads to the development of evidence-based interventions directed at specific populations. In this review, we introduce the Behavioural Epidemiology Framework in the context of research into sedentary behaviour in inflammatory arthritis and ask: where are we, and where do we need to go?

Number of days required to measure sedentary time and physical activity using accelerometery in rheumatoid arthritis: a reliability study

“…In addition, Haider et al [ 20 ] showed that levels of accelerometer-assessed MVPA increased two-fold in individuals with a lower clinical disease burden (e.g., lower disease activity, pain intensity and functional disabilities). Further, a recent review highlighted pain, fatigue and compromised physical function as determinants of MVPA in RA, and suggested that such symptoms are less likely to hinder reductions in sedentary time and increases in overall PA (including LPA) in this patient group [ 21 ].…”

Differences in Associated Factors of Sedentary Behavior by Diabetes Mellitus Status: A Nationwide Cross-Sectional Study

“…Assessing physical activity levels in individuals with arthritis is challenging [46]. In addition, evidence regarding whether sedentary behavior worsens the outcomes of arthritis or whether increasing physical activity is beneficial is lacking [47].…”

Physical activity in rheumatoid arthritis—is it time to push the pace of change?

“…Minimizing sedentary behaviour provides health benefits and might offer another promising management approach for people with RA [ 8 , 28 , 29 ]. Fenton et al [ 30 ] draw on the five-phase behavioural epidemiology framework to summarize the current evidence on the role and mitigation of sedentary behaviour in people with inflammatory arthritis [ 31 ]. They highlight the sporadic nature and mixed quality of research targeting sedentary behaviour, gaps in our understanding, and a lack of causal, experimental research to inform effective intervention approaches.…”

“…They highlight the sporadic nature and mixed quality of research targeting sedentary behaviour, gaps in our understanding, and a lack of causal, experimental research to inform effective intervention approaches. A systematic approach to future investigations is recommended [ 30 ].…”