PMS86 QUALITY OF LIFE AND WORK PRODUCTIVITY BY PAIN SEVERITY AMONG INDIVIDUALS WITH OSTEOARTHRITIS IN THE UNITED STATES: ANALYSIS OF A CROSS-SECTIONAL SURVEY

Objective.To compare clinical manifestations and activity of Behçet syndrome (BS) in the United States versus Turkey using validated outcome measures.Methods.Consecutive patients with BS from the US National Institutes of Health (NIH), New York University, and the University of Istanbul were evaluated. Disease activity was measured using the Behçet’s Syndrome Activity Scale (BSAS) and the Behçet’s Disease Current Activity Form (BDCAF) with quality of life measured by the Behçet Disease Quality of Life (BDQOL) form. One-way ANOVA, t-tests, and multivariate regression analyses were performed.Results.Mean age did not differ between sites; however, more women were seen in the United States versus in Turkey (p < 0.001), and disease duration was longer in the United States (p = 0.02). Organ manifestations were similar for oral and genital ulcers, skin disease, arthralgia, eye disease, and thrombosis. However, more gastrointestinal (p < 0.001) and neurologic disease (p = 0.003) was seen in the United States. BSAS and BDCAF scores were worse in the United States compared to Turkey (p = 0.013 and < 0.001, respectively). Worse mean BDQOL scores were observed at the NIH compared to Istanbul (not significant). Multivariable regression models showed worse scores in ethnically atypical patients for BSAS and BDCAF (p = 0.04 and p = 0.001), American patients for BDCAF (p = 0.01), older age for BDCAF (p = 0.005), and women for BDQOL (p = 0.01).Conclusion.Demographic and clinical manifestations of BS differ between sites with higher disease activity in the United States compared to Turkey. Referral patterns, age, sex, ethnicity, and country of origin may be important in these differences. These observations raise the question of whether pathogenic mechanisms differ in Turkish and American patients.

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Physical activity in working mothers: Running low impacts quality of life

Women s Health ◽

10.1177/1745506520929165 ◽

2020 ◽

Vol 16 ◽

pp. 174550652092916

Author(s):

Christine A Limbers ◽

Christina McCollum ◽

Kelly R Ylitalo ◽

Mikki Hebl

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

United States ◽

Working Mothers ◽

Work Productivity ◽

The United States ◽

World Health ◽

The Past ◽

Recommended Guidelines

Objectives: The transition to motherhood is associated with declines in physical activity in women. Working mothers may be particularly at-risk for low levels of physical activity, since they have to balance the competing interests of work and family life, and exercise often takes a backseat to more seemingly pressing concerns. The potential benefits working mothers can experience from physical activity are numerous. The objectives of this study were to evaluate the percentage of working mothers from the United States who met the World Health Organization’s and the American College of Sports Medicine’s recommended guidelines for weekly physical activity and investigate the associations between physical activity, quality of life, and self-rated work productivity in this sample of working mothers. Methods: Participants were 334 working mothers from the United States (mean age = 35.00 years; standard deviation (SD) = 5.85; 77.8% White) recruited from a Qualtrics research panel. To be eligible to participate in the study, a woman had to be 18 years or older with at least one child aged 5 years or younger, work at least 30 h per week at a job, live with her child(ren) at least 50% of the time, and have a minimum of a bachelor’s degree. Participants completed the Godin leisure time exercise questionnaire, the World Health Organization—five well-being index, a single-item indicator of self-rated work productivity, and a demographic questionnaire. Results: Of the working mothers in the sample, 45.5% met the recommended guidelines of at least 150 min of moderate exercise in the past week. Approximately 39% of working mothers reported engaging in no 30-min bouts of strenuous exercise in the past week. Non-white working mothers, working mothers with a higher singular annual income, and working mothers who obtained a higher educational level were more likely to meet the recommended guidelines for physical activity in the past week. Meeting the recommended physical activity guidelines in the past week was associated with better quality of life ( r = 0.39; p < 0.001) and self-rated work productivity ( r = 0.13; p < 0.05). Only the association between physical activity and quality of life remained significant in a multivariate analysis (standardized beta coefficient = 0.33; p < 0.001) after controlling for race/ethnicity, maternal singular annual income, and maternal highest level of education. Conclusion: Our findings highlight that working mothers in the United States are a group at risk for low levels of physical activity. Given the great benefits that these women do experience as a function of getting exercise, it is critically important we pay more attention to how individual, organizational, and societal-level interventions might assist them in attaining target levels of physical activity.

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