Supervised intensive Exercise strengthen Exercise Health Beliefs in Patients with Axial Spondyloarthritis: A Multicentre Randomized Controlled Trial
January 10, 2021
Citation: Arthritis Care Res (Hoboken). 2021 Jan 10 [Epub ahead of print]

OBJECTIVE To evaluate the effect of a three-month supervised high-intensity exercise program, on exercise health beliefs in patients with Axial Spondyloarthritis.
METHODS This was secondary analysis of a randomized controlled trial. Participants (ages 23-69 years), were randomized to an exercise group (n=50) or a control group (n=50). The intervention was an individually guided cardiorespiratory and strength exercise program performed two times per week, plus an additional individual exercise session of personal choice. The control group received standard care and instructions to maintain their physical activity level. Exercise health beliefs using the Exercise health beliefs questionnaire (ranges 20-100, 100= best) i.e. barriers, benefits, self-efficacy and exercise impact on arthritis and physical activity were assessed with self-reported questionnaires at baseline, three months and 12 months after inclusion.
RESULTS The majority, (76%) of the participants in the exercise group followed ≥ 80% of the prescribed exercise protocol. There was a significant effect of the intervention on exercise health beliefs at 3 months (estimated mean group differences 4.0 [95%CI 1.4, 6.6], p=0.003) and the effect persisted at 12 months follow-up (estimated mean group differences 3.8 [95%CI 1.0, 6.6], p=0.008). Participants with higher exercise health beliefs had a higher odds ratio (1.1 [95%CI 1.0, 1.20], p=0.003) for being physically active at 12 months follow-up.
CONCLUSIONS A supervised high intensity exercise program had beneficial short- and long-term effects on participants' exercise health beliefs. Stronger exercise health beliefs were positively associated with a higher chance to be physically active on a health enhancing level at 12-months follow-up.