[Sub-maximal aerobic capacity and quality of life of patients with rheumatoid arthritis]

Rev Mal Respir. 2017 Jan;34(1):74-85. doi: 10.1016/j.rmr.2016.08.001. Epub 2016 Sep 14.
[Article in French]

Abstract

Background: Studies about sub-maximal aerobic capacity of patients with rheumatoid arthritis are scarce.

Aims: To assess the sub-maximal aerobic capacity of these patients through the 6-min walk test, estimated age of the "muscular and cardiorespiratory" chain.

Methods: Thirty-seven consecutive patients (aged 20 to 60 years) with newly diagnosed rheumatoid arthritis will be included. Non-inclusion criteria will be: use of drugs (e.g.; methotrexate, beta-blockers), orthopaedic or rheumatologic conditions (other than rheumatoid arthritis) that may alter walking ability and recent infections. Exclusion criteria will be: 6-min walking test contra-indications and imperfect performance of the required lung function and walking maneuvers. Signs of walking intolerance will be: test interruption, distance ≤lower limit of normal, dyspnea score ≥5/10 (visual analogue scale) at the end of the test, haemoglobin oxygen saturation (SpO2) drop ≥5%, cardiac frequency at the end of the test ≤60% of maximum predicted. An estimated "muscular and cardiorespiratory chain" age higher than the chronological one will be considered as a sign of accelerated ageing.

Expected results: A high percentage of patients suffering from rheumatoid arthritis would show evidences of walking limitation and accelerated "muscular and cardiorespiratory chain" ageing. There would be a significant correlation between the walking test and clinical, biological, radiological and pulmonary function data and the patients' quality-of-life status.

Keywords: Deficiency; Déficience; Exercice; Exercise; Exercise limitation; Incapacité à l’effort; Polyarthrite rhumatoïde; Pulmonary function test; Rheumatoid arthritis; Épreuve fonctionnelle respiratoire.

MeSH terms

  • Adult
  • Arthritis, Rheumatoid / complications
  • Arthritis, Rheumatoid / metabolism
  • Arthritis, Rheumatoid / physiopathology*
  • Cross-Sectional Studies
  • Dyspnea / diagnosis
  • Dyspnea / etiology
  • Exercise Test
  • Exercise Tolerance / physiology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Quality of Life*
  • Respiration
  • Walking / physiology*
  • Young Adult