Diet, Physical Activity, and Stress Among Wheelchair Users With Multiple Sclerosis: Examining Individual and Co-Occurring Behavioral Risk Factors.
Health behaviors
Multiple sclerosis
Quality of life
Rehabilitation
Risk factors
Wheelchairs
Journal
Archives of physical medicine and rehabilitation
ISSN: 1532-821X
Titre abrégé: Arch Phys Med Rehabil
Pays: United States
ID NLM: 2985158R
Informations de publication
Date de publication:
04 2023
04 2023
Historique:
received:
16
09
2022
revised:
07
11
2022
accepted:
18
12
2022
pmc-release:
01
04
2024
medline:
4
4
2023
pubmed:
18
1
2023
entrez:
17
1
2023
Statut:
ppublish
Résumé
This study examined individual and co-occurring behavioral risk factors (diet, exercise, and stress) in wheelchair users with multiple sclerosis (MS) and potential association with MS symptoms (ie, fatigue, depression, anxiety, pain, sleep, and health-related quality of life [HRQOL]). Survey. General Community. One hundred twenty-three wheelchair users with MS completed this study (N=123). Not applicable. Participants were mailed instructions for accessing online questionnaires (demographic and clinical characteristics, Godin Leisure-Time Exercise Questionnaire, Perceived Stress Scale, Automated Self-Administered 24-Hour Dietary Assessment Tool, and MS symptoms). Standard cut-points were used to categorize behavioral risk factors and then identify the extent and distribution of these behaviors both individually and co-occurring. We then analyzed the associations between behavioral risk factors and MS symptoms using bivariate correlation analyses and Mann-Whitney U tests. The mean age of participants was 60.6±10.0 years, 76% identified as women, 82% had a progressive disease course, and the mean MS duration was 23.0±9.7 years. Seven participants were classified as having 0 negative health behaviors, 41 participants had 1 negative health behavior, 49 participants had 2 negative health behaviors, and 26 participants had 3 negative health behaviors. The number of negative health behaviors was significantly correlated with HRQOL (physical, r=.30; psychological, r=.47), sleep (r=.25), depressive symptoms (r=.36), and anxiety (r=.43). Mann-Whitney U tests indicated greater fatigue, depression, and anxiety as well as lower sleep quality and HRQOL among participants who reported 2 or 3 behavioral risk factors compared with 0 or 1 behavioral risk factor. Future research should examine the design and implementation of multiple health behavior change interventions targeting co-occurring behavioral risk factors among wheelchair users with MS.
Identifiants
pubmed: 36649911
pii: S0003-9993(23)00034-5
doi: 10.1016/j.apmr.2022.12.194
pmc: PMC10073284
mid: NIHMS1865520
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
590-596.e1Subventions
Organisme : NICHD NIH HHS
ID : F32 HD101214
Pays : United States
Organisme : NICHD NIH HHS
ID : F31 HD101281
Pays : United States
Informations de copyright
Copyright © 2023 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
Références
Mult Scler Relat Disord. 2018 Feb;20:9-15
pubmed: 29274564
Brain. 2001 May;124(Pt 5):962-73
pubmed: 11335698
Pain. 1987 Aug;30(2):191-197
pubmed: 3670870
J Neurol Sci. 2013 Aug 15;331(1-2):102-7
pubmed: 23791482
Am J Health Behav. 2017 Jan;41(1):76-83
pubmed: 27935793
Mult Scler J Exp Transl Clin. 2022 May 25;8(2):20552173221097580
pubmed: 35634012
Mult Scler. 2020 Oct;26(12):1459-1469
pubmed: 32323606
Mult Scler J Exp Transl Clin. 2021 Jul 31;7(3):20552173211035399
pubmed: 34377527
Mult Scler Relat Disord. 2019 Nov;36:101403
pubmed: 31610401
Int J Behav Nutr Phys Act. 2008 Nov 06;5:56
pubmed: 18990237
J Neurol Neurosurg Psychiatry. 2004 Feb;75(2):266-9
pubmed: 14742602
J Med Internet Res. 2021 Dec 21;23(12):e23513
pubmed: 34931990
Mult Scler. 2018 Mar;24(3):262-267
pubmed: 28080254
Arch Neurol. 1989 Oct;46(10):1121-3
pubmed: 2803071
J Clin Med. 2022 Apr 05;11(7):
pubmed: 35407644
Int J Neurosci. 2021 Jul;131(7):657-665
pubmed: 32249637
Eur J Clin Nutr. 2013 Oct;67(10):1066-71
pubmed: 23942177
Curr Neurol Neurosci Rep. 2015 Sep;15(9):62
pubmed: 26223831
Disabil Rehabil. 2019 Jun;41(11):1243-1267
pubmed: 29343122
Nutrients. 2021 Dec 03;13(12):
pubmed: 34959904
Disabil Rehabil. 2021 Jun;43(13):1838-1848
pubmed: 31615284
Int J MS Care. 2016 Nov-Dec;18(6):298-304
pubmed: 27999524
J Psychosom Res. 1998 Jul;45(1):5-13
pubmed: 9720850
J Health Psychol. 2020 Feb;25(2):266-279
pubmed: 31298582
Mult Scler. 2009 Dec;15(12):1518-24
pubmed: 19965520
Prev Med. 2016 Aug;89:211-223
pubmed: 27311332
Rehabil Psychol. 2018 Feb;63(1):77-82
pubmed: 28758772
BMC Neurol. 2013 Apr 25;13:37
pubmed: 23617555
J Acad Nutr Diet. 2012 Aug;112(8):1134-7
pubmed: 22704899
Mult Scler. 2014 Apr;20(5):594-601
pubmed: 24009162
J Pain Symptom Manage. 2010 Jun;39(6):1025-32
pubmed: 20434872