The relationship between physical activity and pain, interoceptive awareness, and personal well-being in women with fibromyalgia: A cross-sectional study

Yıl 2023, Cilt: 28 Sayı: 3, 364 - 371, 28.09.2023

Tuğçe Pasin , Bilinc Dogruoz Karatekin

https://doi.org/10.21673/anadoluklin.1346436

Cited By: 1

Öz

Aim: In this study, the effect of physical activity level on pain, interoceptive awareness, and personal well-being in women with fibromyalgia was investigated.

Methods: Fifty female patients diagnosed with fibromyalgia syndrome who applied to the physical medicine and rehabilitation outpatient clinic were evaluated as follows: Demographics (age, occupational status, and body mass index (BMI)) were recorded, pain levels were evaluated with visual analog scale (VAS), physical activity levels were evaluated with the international physical activity questionnaire (IPAQ), personal well-being were evaluated with the personal well-being index adult form (PWI-A) and interoceptive awareness were evaluated with multidimensional assessment of interoceptive awareness (MAIA).

Results: The mean age of the participants was 50.96±8.35, and the mean BMI was 27.74±4.01. Fifty-four % of the participants had low physical activity levels and 46% had moderate physical activity levels. The mean MAIA total score was 19.44±3.73 and the mean VAS was 6.32±1.69. In correlation analysis, a large negative statistically significant relationship between VAS and PWI-A (p<0.001, r=-0.780), VAS and all subscores and total scores of MAIA (p<0.001) except no relationship with not distracting (p>0.05) and moderate positive relationship with noticing scores (p<0.01, r=0.380) was found. Large positive statistically significant relationship between IPAQ and PWI-A (p<0.001, r=0.755), IPAQ and all subscores and total scores of MAIA (p<0.001) except no relationship with not distracting (p>0.05) and moderate negative relationship with noticing scores (p<0.001, r=-0.489) and large negative relationship between IPAQ and VAS (p<0.001, r=-0.796) was found.

Conclusion: Interoceptive awareness is impaired in women with fibromyalgia. Decreased interoceptive awareness and well-being are closely associated with physical activity levels. Regular exercise and optimal physical activity may increase interoceptive awareness and improve the quality of life in fibromyalgia.

Anahtar Kelimeler

Fibromyalgia, interoceptive, psychological well-being

Fibromiyaljili kadınlarda fiziksel aktivite ile ağrı, interoseptif farkındalık ve kişisel iyi oluş arasındaki ilişki: Kesitsel çalışma

Öz

Amaç: Bu çalışmada, fibromiyaljili kadınlarda fiziksel aktivite düzeyinin ağrı, interoseptif farkındalık ve kişisel iyilik hali üzerindeki etkisi araştırıldı.

Yöntemler: Fiziksel Tıp ve Rehabilitasyon polikliniğine başvuran fibromiyalji sendromu tanılı 50 kadın hasta şu şekilde değerlendirildi: Demografik veriler (yaş, mesleki durum ve vücut kitle indeksi (VKİ)) kaydedildi, ağrı vizüel analog skala (VAS) ile değerlendirildi, fiziksel aktivite düzeyleri uluslararası fiziksel aktivite anketi (IPAQ) ile, kişisel iyi oluş kişisel iyi oluş indeksi yetişkin formu (PWI-A) ile ve interoseptif farkındalık çok boyutlu bedensel farkındalık değerlendirmesi (MAIA) ile değerlendirildi.

Bulgular: Katılımcıların ortalama yaşı 50.96±8.35, ortalama BMI 27.74±4.01 idi. Katılımcıların %54ü düşük fiziksel aktivite düzeyine, %46’sı orta fiziksel aktivite düzeyine sahipti. MAIA total skor ortalaması 19.44±3.73, ortalama VAS 6.32±1.69du. Korelasyon analizinde, VAS ile PWI-A (p<0.001, r=-0.780), VAS ve MAIA’nın not distracting (p>0.05) ile anlamlı ilişki olmaması ve noticing puanları ile orta düzeyde pozitif ilişki (p<0.01, r=0.380) haricindeki tüm alt skorları ve toplam skor arasında (p<0.001) büyük negatif istatistiksel olarak anlamlı ilişki bulundu bulundu. IPAQ ile PWI-A (p<0.001, r=0.755), IPAQ ve MAIA’nın not distracting ile anlamlı ilişki olmaması (p>0.05) ve noticing skoru ile orta düzeyde negatif ilişki (p<0.001, r=-0.489) dışında, tüm alt skorları ve toplam skor (p<0.001) arasında, büyük pozitif istatistiksel olarak anlamlı ilişki ve IPAQ ile VAS arasında büyük negatif ilişki (p<0.001, r=-0.796) saptandı.

Sonuç: Fibromiyaljili kadınlarda interoseptif farkındalık bozulmuştur. Azalmış interoseptif farkındalık ve kişisel iyi oluş, fiziksel aktivite düzeyi ile yakından ilişkilidir. Düzenli egzersiz ve optimal fiziksel aktivite, interoseptif farkındalığı artırabilir ve fibromiyaljide yaşam kalitesini iyileştirebilir.

Anahtar Kelimeler

Ağrı, fibromiyalji, farkındalık, sosyal refah

Kaynakça

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