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Open Access 01-12-2012 | Study protocol

Long-term health-enhancing physical activity in rheumatoid arthritis - the PARA 2010 study

Authors: Birgitta Nordgren, Cecilia Fridén, Ingrid Demmelmaier, Gunnar Bergström, Christina H Opava

Published in: BMC Public Health | Issue 1/2012

Abstract

Background

People with rheumatoid arthritis (RA) suffer increased risk of disability andpremature mortality. Health-enhancing physical activity (HEPA) could be one importantfactor to reduce this risk. Rising health care costs call for the development and evaluation ofnew modes of rehabilitation, including physical activity in settings outside the health caresystem.

Methods/Design

This cohort study targets 450 patients with RA that do not currently meet HEPA recommendations, recruited from six hospitals reporting to the Swedish Rheumatology Quality Registers (SRQ). We have developed a two-year real-life intervention program including a minimum of twice-weekly circuit training, moderately intense physical activity the remaining days of the week and group meetings to support behavior change every other week. Our hypothesis is that increased physical activity and exercise will improve perceived health, reduce pain and fatigue, increase muscle function and aerobic capacity, impact psychosocial factors and prevent future cardiovascular events. Research questions regard outcomes, retention rates, dose–response matters and the exploration of responder characteristics. This protocol outlines recruitment procedure, design, assessment methods and the intervention program of the study.

Discussion

The PARA 2010 project is designed to expand the knowledge on HEPA in RA by a progressive approach regarding population, setting, intervention, time frames and outcome measures. To our knowledge this is the first long-term HEPA program based on Social Cognitive Theory, and performed in a real life environment to demonstrate if this new setting can promote increased and maintained physical activity in people with RA.

Trial registration number

ISRCTN25539102

Available only for authorised users

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The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2458/12/397/prepub

Title: Long-term health-enhancing physical activity in rheumatoid arthritis - the PARA 2010 study
Authors: Birgitta Nordgren
Cecilia Fridén
Ingrid Demmelmaier
Gunnar Bergström
Christina H Opava
Publication date: 01-12-2012
Publisher: BioMed Central
Published in: BMC Public Health / Issue 1/2012
Electronic ISSN: 1471-2458
DOI: https://doi.org/10.1186/1471-2458-12-397

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Long-term health-enhancing physical activity in rheumatoid arthritis - the PARA 2010 study

Abstract

Background

Methods/Design

Discussion

Trial registration number

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods/Design

Discussion

Trial registration number

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