Symptoms and physical activity behavior in individuals with multiple sclerosis

Res Nurs Health. 2008 Oct;31(5):466-75. doi: 10.1002/nur.20274.

Abstract

We examined overall and specific symptoms as correlates of physical activity in individuals with multiple sclerosis (MS). Participants (N = 133) completed questionnaires that measured overall symptoms; and specific symptoms of depression, pain, and fatigue; difficulty walking; and physical activity. Initial analyses indicated that higher levels of overall symptoms (r = -.50), fatigue (r = -.26), and difficulty walking (r = -.46) were associated with lower levels of physical activity. Path analysis demonstrated that higher levels of overall symptoms were directly and indirectly associated with lower levels of physical activity; the indirect pathway involved difficulty walking (gamma beta = -.17). Such findings indicate that walking difficulty may partially explain the negative relationship between overall symptoms and physical activity behavior in MS.

MeSH terms

  • Activities of Daily Living / psychology
  • Attitude to Health
  • Depression / diagnosis
  • Depression / etiology*
  • Exercise* / physiology
  • Exercise* / psychology
  • Fatigue / diagnosis
  • Fatigue / etiology*
  • Female
  • Health Promotion
  • Health Services Needs and Demand
  • Humans
  • Male
  • Middle Aged
  • Midwestern United States
  • Multiple Sclerosis / complications*
  • Multiple Sclerosis / prevention & control*
  • Multiple Sclerosis / psychology
  • Multivariate Analysis
  • Nursing Methodology Research
  • Pain / diagnosis
  • Pain / etiology*
  • Regression Analysis
  • Risk Factors
  • Self-Help Groups
  • Severity of Illness Index
  • Sickness Impact Profile
  • Surveys and Questionnaires
  • Walking / psychology