Abstract
Purpose: To find modifiable factors that are related to subjective well-being would be valuable for improving interventions in fibromyalgia. Physical activity, sedentary behaviour, and physical fitness may represent potential areas to optimize treatment regimens. In fibromyalgia, there is a discordance between clinical observations and patient-reported outcomes (objective and subjective assessments). Therefore, the present study aims at analyzing the associations of objective and subjective evaluations of physical activity, sedentary behaviour, and physical fitness with subjective well-being and determine if and how objective and subjective associations differ.
Methods: In this population-based cross-sectional study participated 375 women with fibromyalgia from the al-Ándalus project (Spain). Physical activity, sedentary behaviour, and physical fitness were objectively (accelerometers and performance testing) and subjectively (questionnaires) measured. Participants self-reported their levels of positive affect, negative affect, and life satisfaction.
Results: In the most conservative multivariate analysis, we found independent associations of the objective measures of physical activity with positive affect and life satisfaction and sedentary behaviour with positive affect. No such relationship was seen with subjective measures of the same behaviours. Moreover, we observed that objective and subjective physical fitness evaluations were independent of each other related to subjective well-being.
Conclusions: Independent associations of the objective measures (but not the subjective assessments) of physical activity with positive affect and life satisfaction, and of sedentary behaviour with positive affect were observed. However, objective measures and subjective appraisals of physical fitness appear to be independently related to well-being, which should be considered when developing physical exercise interventions for fibromyalgia.
Implications for rehabilitation
The analysis of concurrent associations of objective and subjective evaluations of physical functioning with subjective well-being offers indications for modifiable targets in rehabilitation that can improve well-being in fibromyalgia.
Exercise-based rehabilitation may help women with fibromyalgia to improve subjective well-being, particularly positive affect.
Rehabilitation should focus on both the objective physical performance of women with fibromyalgia and on their perceptions of what they can do physically.
When rehabilitation aims at enhancing positive affect or life satisfaction by changing the lifestyle of women with fibromyalgia, physical activity and sedentary behaviour should be objectively monitored.
Methods: In this population-based cross-sectional study participated 375 women with fibromyalgia from the al-Ándalus project (Spain). Physical activity, sedentary behaviour, and physical fitness were objectively (accelerometers and performance testing) and subjectively (questionnaires) measured. Participants self-reported their levels of positive affect, negative affect, and life satisfaction.
Results: In the most conservative multivariate analysis, we found independent associations of the objective measures of physical activity with positive affect and life satisfaction and sedentary behaviour with positive affect. No such relationship was seen with subjective measures of the same behaviours. Moreover, we observed that objective and subjective physical fitness evaluations were independent of each other related to subjective well-being.
Conclusions: Independent associations of the objective measures (but not the subjective assessments) of physical activity with positive affect and life satisfaction, and of sedentary behaviour with positive affect were observed. However, objective measures and subjective appraisals of physical fitness appear to be independently related to well-being, which should be considered when developing physical exercise interventions for fibromyalgia.
Implications for rehabilitation
The analysis of concurrent associations of objective and subjective evaluations of physical functioning with subjective well-being offers indications for modifiable targets in rehabilitation that can improve well-being in fibromyalgia.
Exercise-based rehabilitation may help women with fibromyalgia to improve subjective well-being, particularly positive affect.
Rehabilitation should focus on both the objective physical performance of women with fibromyalgia and on their perceptions of what they can do physically.
When rehabilitation aims at enhancing positive affect or life satisfaction by changing the lifestyle of women with fibromyalgia, physical activity and sedentary behaviour should be objectively monitored.
Original language | English |
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Pages (from-to) | 1649-1656 |
Number of pages | 8 |
Journal | Disability and Rehabilitation |
Volume | 43 |
Issue number | 12 |
Early online date | 2020 |
DOIs | |
Publication status | Published - 2021 |
Bibliographical note
Funding Information:This work was supported by the Spanish Ministry of Economy and Competitiveness [I + D + i DEP2010-15639, I + D + I DEP2013-40908, and BES-2014?067612]; the Spanish Ministry of Education [FPU15/00002]. This study has been partially funded by the University of Granada, Plan Propio de Investigaci?n 2016, Excellence actions: Units of Excellence; Unit of Excellence on Exercise and Health (UCEES), and by the Junta de Andaluc?a, Consejer?a de Conocimiento, Investigaci?n y Universidades and European Regional Development Fund (ERDF), ref. SOMM17/6107/UGR. This research was supported (in part) by the Intramural Research program of the NIH, National Institute of Nursing Research. The funders of the present study did not have any role in the study design, data collection and analyses, decision to publish, or preparation of the manuscript. The authors gratefully acknowledge all the participants for their collaboration and enthusiasm. The authors would like to thank the assistant researchers involved in this study and to all the members of the Physical Activity for HEaLth Promotion (PA-HELP; CTS-1018) research group.
Publisher Copyright:
© 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
Keywords
- Leisure time and physical activity instruments
- Satisfaction With Life Scale
- Sedentary Behaviour Questionnaire
- Senior Fitness Test Battery
- physical activity at homework or workplace instrument
- positive and negative affect schedule