THU0460 PHYSICAL FITNESS AND QUALITY OF LIFE IN WOMEN WITH FIBROMYALGIA: LONGITUDINAL ANALYSES FROM THE AL-ÁNDALUS PROJECT
Authors: B. Gavilán Carrera, I. C. Alvarez-Gallardo, M. Borges Cosic, A. Soriano Maldonado, M. Delgado-Fernández, V. Segura-Jiménez
Journal: Annals of the Rheumatic Diseases (2020)

Background: Optimizing the highly deteriorated quality of life (QoL) of patients with fibromyalgia is one of the main goals in the management of the disease 1 . Physical fitness has been identified as a powerful marker of health that is positively related to QoL in this population 2 , although previous evidence is mainly based on cross-sectional data. Objectives: This study aimed to examine the longitudinal associations (2- and 5-year follow-up) between physical fitness and QoL in women with fibromyalgia. Methods: In this prospective cohort study, women diagnosed with fibromyalgia (age: 51.3±7.6 years) with completed data were included at baseline ( n =441), at 2-year follow-up ( n =220) and at 5-year follow-up ( n =227). The Senior Fitness Tests battery was used to assess physical fitness components and a standardized global fitness index was calculated. The eight dimensions plus the two physical and mental component summaries of the Short-Form health survey-36 questionnaire were used to assess QoL. To examine whether changes in fitness predicted QoL at follow-up, multiple linear regression models were built. The bidirectionallity of the associations (whether changes in QoL predicted fitness at follow-up) was also tested. Outcome values at baseline and age, fat percentage, analgesic consumption, educational level, and occupational status at follow-up were entered as potential confounders in all analyses. Results: Changes in fitness were associated with physical function (β=0.160), physical role (β=0.275), bodily pain (β=0.271), general health (β=0.144), and physical component summary (β=0.276) at 2-year follow-up (all, P &lt;0.05) and with changes in physical role (β=0.215) and physical component summary (β=0.135) at 5-year follow-up (all, P &lt;0.05). Changes in physical function (β=0.165), physical role (β=0.230), bodily pain (β=0.230), general health (β=0.130) and physical summary component (β=0.251) were associated with fitness at 2-year follow-up (all, P &lt;0.05). Changes in all dimensions of QoL (β rating from 0.113 to 0.198), as well as the physical (β=0.174) and mental (β=0.164) summary components were associated with fitness at 5-year follow-up (all, P &lt;0.05). Conclusion: Increasing levels of physical fitness over time predicts future QoL in women with fibromyalgia, especially for physical domains at 2-year follow-up. In addition, increasing QoL across all domains over time predicts future global fitness at 2- and, specially, 5-year follow-up. Future research is warranted to determine the clinical relevance of the bidirectional association between physical fitness and QoL in fibromyalgia. References: [1]Macfarlane GJ, et al. Ann Rheum Dis, 2018; 76(2), 318-328. [2]Álvarez-Gallardo IC, et al. 2019;99:1481–1494. Acknowledgments: This study was supported by the Spanish Ministry of Economy and Competitiveness (I+D+i DEP2010-15639; I+D+I DEP2013-40908-R; BES-2014-067612) and the Spanish Ministry of Education (FPU14/FPU 15/00002) Disclosure of Interests: : None declared