THU0706-HPR THERE IS ASSOCIATION BETWEEN THE LEVEL OF PHYSICAL ACTIVITY AND QUALITY OF LIFE OF WOMEN WITH FIBROMYALGIA?
Authors: Mateus Antunes, Angélica Ferreira, Daniel Oliveira, José Nascimento Júnior, Sonia Bertolini, Amelia Pasqual Marques
Journal: Annals of the Rheumatic Diseases (2019)

<h3>Background</h3> Patients with fibromyalgia frequently present physical and mental symptoms associated with typical pain such as generalized fatigue, sleep disturbances, anxiety, depression and cognitive impairment. Moderate physical exercise is an alternative to promote health benefits of fibromyalgia patients, through the obstacles imposed by the symptomatology of this pathology. <h3>Objectives</h3> This study aimed to verify the association between the level of physical activity and quality of life of women with fibromyalgia. <h3>Methods</h3> It is a cross-sectional study with 177 women (42.1 ± 8.6 years) diagnosed with fibromyalgia registered in the Unified Health System (SUS) in the city of Maringá, PR, Brazil. The instruments used were: International Physical Activity Questionnaire (IPAQ) to assess the level of physical activity; Fibromyalgia Impact Questionnaire (FIQ) to assess the impact of fibromyalgia on quality of life; WHOQOL-Bref to assess overall quality of life in four domains. Data analysis was conducted through Mann-Whitney test, Spearman correlation and Structural Equation Analysis (p&lt;0.05). <h3>Results</h3> The sample consisted of a greater proportion of women aged between 40 and 49 years (37.9%). There was a higher proportion of women with active/very active level of activity (62.1%), 20.4% with sedentary status and 17.5% with irregular activity. Fibromyalgia had a moderate impact on the quality of life of women with fibromyalgia (76.5) evaluated by FIQ. The results showed positive associations between the level of physical activity and the quality of life domain in WHOQOL-Bref, with a significant difference in all domains of quality of life: physical (p=0.007), psychological (p=0.007), social relations (p=0.012) and environment (p=0.012), with higher scores among the very active/active. <h3>Conclusion</h3> This study shows that the level of active/active activity is a positive factor in all areas of quality of life in women with fibromyalgia and the impact of this disease on the quality of life is moderate. There is evidence of the need to maintain an active lifestyle independent of symptomatology and incapacitating conditions in these cases. Above all, this information can help professionals who care for fibromyalgic patients about measures of maintenance of health and well-being. <h3>References</h3> [1] Matsudo S, Araújo T, Matsudo V, Andrade D, Andrade E, Oliveira LC, et al. International Questionnaire on Physical Activity (Ipaq): Study of Validity and Reproducibility in Brazil. Revista Brasileira de Atividade Física &amp; Saúde, 2001;6(2):5-18. [2] Marques AP, Santos AMB, Assumpção A, Matsutani LA, Lage LV, Pereira CAB. Validation of the Brazilian version of the Fibromyalgia Impact Questionnaire (FIQ). Revista Brasileira de Reumatologia, 2006; 46(1):24-31. [3] Almeida Fleck MP. The World Health Organization quality of life assessment tool (WHOQOL-100): characteristics and perspectives. Ciência &amp; Saúde Coletiva, 2000;5(1):33-38. [4] Fleck MP, Louzada S, Xavier M, Chachamovich E, Vieira G, Santos L, et al. Application of the Portuguese version of the abbreviated quality-of-life assessment instrument "WHOQOL-bref". Revista de Saúde Pública. 2000;34(2):178-183. [5] Chachamovich E, Fleck MP, Trentini C, Power M. Brazilian WHOQOL-OLD Module version: a Rasch analysis of a new instrument. Revista de Saúde Pública, 2008;42(2):308-316. <h3>Disclosure of Interests</h3> None declared