Evidence mapPaperPMID 28356089Full record

Trial reportBMC musculoskeletal disorders2017

Sedentary behaviour is associated with increased long-term cardiovascular risk in patients with rheumatoid arthritis independently of moderate-to-vigorous physical activity.

Sally A M Fenton, Jet J C S Veldhuijzen van Zanten, George D Kitas, Joan L Duda, Peter C Rouse, Chen-An Yu, George S Metsios

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Sally A M FentonSchool of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK. s.a.m.fenton@bham.ac.uk.
Jet J C S Veldhuijzen van ZantenSchool of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.
George D KitasSchool of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.
Joan L DudaSchool of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.
Peter C RouseDepartment for Health, University of Bath, Bath, UK.
Chen-An YuSchool of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.
George S MetsiosSchool of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.

Funding

Medical Research Council G0802121
6 · The paper itself

Abstract

backgroundRheumatoid Arthritis (RA) is associated with an increased risk of cardiovascular disease (CVD). The physical dysfunction symptomatic of RA means people living with this disease spend large periods of the day sedentary, which may further elevate their risk of CVD. The primary aim of this study was to investigate relationships between objectively assessed sedentary behaviour patterns and light physical activity (LPA) with 10-year risk of CVD. Secondary aims were to explore the role of sedentary behaviour patterns and LPA for individual CVD risk factors and functional disability in RA. The extent to which associations were independent of moderate-to-vigorous physical activity (MVPA) engagement was also examined.

methodsBaseline data from a subsample of participants recruited to the Physical Activity in Rheumatoid Arthritis (PARA) study were used to answer current research questions. Sixty-one patients with RA (mean age (± SD) = 54.92 ± 12.39 years) provided a fasted blood sample and underwent physical assessments to evaluate factors associated with their cardiovascular health. Sedentary behaviour patterns (sedentary time, sedentary bouts, sedentary breaks), LPA and MVPA were measured via 7-days of accelerometry. Ten-year CVD risk was computed (Q-risk-score2), and functional disability determined via questionnaire.

resultsRegressions revealed significant positive associations between sedentary time and the number of sedentary bouts per day ≥20 min with 10-year CVD risk, with the reverse true for LPA participation. Associations were independent of MVPA engagement.

conclusionsPromoting LPA participation and restricting sedentary bouts to <20 min may attenuate long-term CVD risk in RA, independent of MVPA engagement.

trial registrationISRCTN04121489 (retrospectively registered 19/10/2012).

Indexed as

Sedentary BehaviorAccelerometryAgedArthritis, RheumatoidCardiovascular DiseasesCross-Sectional StudiesExerciseFemaleHumansMaleMiddle AgedRisk FactorsTime FactorsAccelerometryCardiovascular riskInflammationPhysical activityPhysical FunctionRheumatoid ArthritisSedentary behaviour

Identifiers

PMID28356089
PMCPMC5404687

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.