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    Self-Reported Physical Activity Is Associated with Lupus Nephritis in Systemic Lupus Erythematosus: Data from KORean Lupus Network (KORNET) Registry

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    https://www.riss.kr/link?id=A105913990

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    다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

    Purpose: The aim of this study was to identify the associations among physical activity, disease activity, and organ damage in patientswith systemic lupus erythematosus (SLE).
    Materials and Methods: A total of 415 patients with SLE were consecutively enrolled from the KORean lupus Network (KORNET)registry. This registry assessed clinical features, disease activity [Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K)], and organ damage [Systemic Lupus International Collaborating Clinics/American College of Rheumatology (SLICC/ACR) Damage Index (SDI)] upon enrollment in the study. Self-reported physical activity was measured by the International PhysicalActivity Questionnaire. Statistical analyses were conducted using the Mann-Whitney U test and multivariate logistic regressionanalysis.
    Results: A significant difference in vigorous activity was noted between patients with lupus nephritis (LN) (n=93) and those withoutLN (n=322) (p=0.012), but not in moderate and walking activities. In contrast, no differences in physical activity, walking,moderate, and vigorous intensity, according to SLEDAI-2K and SDI were found. In addition to younger age (p=0.032), high physicalcomponent summary of SF-36 (p=0.004) and SLEDAI-2K (p=0.038), and less vigorous physical activity were associated withLN (p=0.024). However, cardiovascular disease was not associated with physical activity in SLE patients.
    Conclusion: This study showed that patients with LN had less vigorous physical activity than patients without LN. The results suggestthat lupus nephritis might be associated with physical activity.
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    Purpose: The aim of this study was to identify the associations among physical activity, disease activity, and organ damage in patientswith systemic lupus erythematosus (SLE). Materials and Methods: A total of 415 patients with SLE were consecutively...

    Purpose: The aim of this study was to identify the associations among physical activity, disease activity, and organ damage in patientswith systemic lupus erythematosus (SLE).
    Materials and Methods: A total of 415 patients with SLE were consecutively enrolled from the KORean lupus Network (KORNET)registry. This registry assessed clinical features, disease activity [Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K)], and organ damage [Systemic Lupus International Collaborating Clinics/American College of Rheumatology (SLICC/ACR) Damage Index (SDI)] upon enrollment in the study. Self-reported physical activity was measured by the International PhysicalActivity Questionnaire. Statistical analyses were conducted using the Mann-Whitney U test and multivariate logistic regressionanalysis.
    Results: A significant difference in vigorous activity was noted between patients with lupus nephritis (LN) (n=93) and those withoutLN (n=322) (p=0.012), but not in moderate and walking activities. In contrast, no differences in physical activity, walking,moderate, and vigorous intensity, according to SLEDAI-2K and SDI were found. In addition to younger age (p=0.032), high physicalcomponent summary of SF-36 (p=0.004) and SLEDAI-2K (p=0.038), and less vigorous physical activity were associated withLN (p=0.024). However, cardiovascular disease was not associated with physical activity in SLE patients.
    Conclusion: This study showed that patients with LN had less vigorous physical activity than patients without LN. The results suggestthat lupus nephritis might be associated with physical activity.

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    참고문헌 (Reference)

    1 전민영, "Validity and Reliability of Korean Version of International Physical Activity Questionnaire Short Form in the Elderly" 대한가정의학회 33 (33): 144-151, 2012

    2 Miossi R, "Using exercise training to counterbalance chronotropic incompetence and delayed heart rate recovery in systemic lupus erythematosus: a randomized trial" 64 : 1159-1166, 2012

    3 Hochberg MC, "Updating the American College of Rheumatology revised criteria for the classification of systemic lupus erythematosus" 40 : 1725-, 1997

    4 Lewandowski LB, "Update on cardiovascular disease in lupus" 28 : 468-476, 2016

    5 Ware JE Jr, "The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection" 30 : 473-483, 1992

    6 Tan EM, "The 1982 revised criteria for the classification of systemic lupus erythematosus" 25 : 1271-1277, 1982

    7 Gladman D, "Systemic lupus international collaborative clinics: development of a damage index in systemic lupus erythematosus" 19 : 1820-1821, 1992

    8 Alarcon GS, "Systemic lupus erythematosus in three ethnic groups. IX. Differences in damage accrual" 44 : 2797-2806, 2001

    9 Tsokos GC, "Systemic lupus erythematosus" 365 : 2110-2121, 2011

    10 Ahn GE, "Self-reported and objectively measured physical activity in adults with systemic lupus erythematosus" 67 : 701-707, 2015

    1 전민영, "Validity and Reliability of Korean Version of International Physical Activity Questionnaire Short Form in the Elderly" 대한가정의학회 33 (33): 144-151, 2012

    2 Miossi R, "Using exercise training to counterbalance chronotropic incompetence and delayed heart rate recovery in systemic lupus erythematosus: a randomized trial" 64 : 1159-1166, 2012

    3 Hochberg MC, "Updating the American College of Rheumatology revised criteria for the classification of systemic lupus erythematosus" 40 : 1725-, 1997

    4 Lewandowski LB, "Update on cardiovascular disease in lupus" 28 : 468-476, 2016

    5 Ware JE Jr, "The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection" 30 : 473-483, 1992

    6 Tan EM, "The 1982 revised criteria for the classification of systemic lupus erythematosus" 25 : 1271-1277, 1982

    7 Gladman D, "Systemic lupus international collaborative clinics: development of a damage index in systemic lupus erythematosus" 19 : 1820-1821, 1992

    8 Alarcon GS, "Systemic lupus erythematosus in three ethnic groups. IX. Differences in damage accrual" 44 : 2797-2806, 2001

    9 Tsokos GC, "Systemic lupus erythematosus" 365 : 2110-2121, 2011

    10 Ahn GE, "Self-reported and objectively measured physical activity in adults with systemic lupus erythematosus" 67 : 701-707, 2015

    11 Svenungsson E, "Risk factors for cardiovascular disease in systemic lupus erythematosus" 104 : 1887-1893, 2001

    12 Voorhees JL, "Prolonged restraint stress increases IL-6, reduces IL-10, and causes persistent depressive-like behavior that is reversed by recombinant IL-10" 8 : e58488-, 2013

    13 Katz P, "Physical activity, obesity, and cognitive impairment among women with systemic lupus erythematosus" 64 : 502-510, 2012

    14 Eriksson K, "Physical activity in patients with systemic lupus erythematosus and matched controls" 41 : 290-297, 2012

    15 Legge A, "Physical activity and sedentary behavior in patients with systemic lupus erythematosus and rheumatoid arthritis" 9 : 191-200, 2017

    16 Pate RR, "Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine" 273 : 402-407, 1995

    17 Mancuso CA, "Perceptions and measurements of physical activity in patients with systemic lupus erythematosus" 20 : 231-242, 2011

    18 Richter P, "On the validity of the Beck Depression Inventory. A review" 31 : 160-168, 1998

    19 Kasawara KT, "Moderate exercise attenuates lipopolysaccharide-induced inflammation and associated maternal and fetal morbidities in pregnant rats" 11 : e0154405-, 2016

    20 Peutz-Kootstra CJ, "Lupus nephritis: lessons from experimental animal models" 137 : 244-260, 2001

    21 Volkmann ER, "Low physical activity is associated with proinflammatory high-density lipoprotein and increased subclinical atherosclerosis in women with systemic lupus erythematosus" 62 : 258-265, 2010

    22 Pettersson S, "Lifestyle habits and fatigue among people with systemic lupus erythematosus and matched population controls" 24 : 955-965, 2015

    23 Craig CL, "International physical activity questionnaire: 12-country reliability and validity" 35 : 1381-1395, 2003

    24 Hernandez-Hernandez V, "Influence of disease activity on the physical activity of rheumatoid arthritis patients" 53 : 722-731, 2014

    25 Rodriguez Huerta MD, "Healthy lifestyle habits for patients with systemic lupus erythematosus: a systemic review" 45 : 463-470, 2016

    26 O'Dwyer T, "Exercise and physical activity in systemic lupus erythematosus: a systematic review with metaanalyses" 47 : 204-215, 2017

    27 Franco OH, "Effects of physical activity on life expectancy with cardiovascular disease" 165 : 2355-2360, 2005

    28 Aqel SI, "Daily moderate exercise is beneficial and social stress is detrimental to disease pathology in murine lupus nephritis" 8 : 236-, 2017

    29 Petri M, "Coronary artery disease risk factors in the Johns Hopkins Lupus Cohort: prevalence, recognition by patients, and preventive practices" 71 : 291-302, 1992

    30 Abrahao MI, "Cardiovascular training vs. resistance training for improving quality of life and physical function in patients with systemic lupus erythematosus: a randomized controlled trial" 45 : 197-201, 2016

    31 Costenbader KH, "Cardiac risk factor awareness and management in patients with systemic lupus erythematosus" 51 : 983-988, 2004

    32 dos Santos Fde M, "Assessment of nutritional status and physical activity in systemic lupus erythematosus patients" 50 : 631-638, 2010

    33 Bostrom C, "Aerobic capacity correlates to self-assessed physical function but not to overall disease activity or organ damage in women with systemic lupus erythematosus with low-to-moderate disease activity and organ damage" 17 : 100-104, 2008

    34 Urowitz MB, "Accumulation of coronary artery disease risk factors over three years: data from an international inception cohort" 59 : 176-180, 2008

    35 Charlson ME, "A new method of classifying prognostic comorbidity in longitudinal studies: development and validation" 40 : 373-383, 1987

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