Inclusion Criteria:  Diagnosed with Axial Spondyloarthritis by an experienced rheumatologist. To be between the ages of 45-75  Exclusion Criteria:  Having a rheumatological disease other than Axial Spondyloarthritis , Being diagnosed with newly defined or recurrent cancer, To have been treated for acute inflammation in the last 3 months, Not having enough cognitive skills to answer the questions, Having neurological and endocrinological problems.