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Abstract
Background: Rheumatoid arthritis (RA) is a chronic inflammatory disease associated with pain, functional limitations, and increased comorbidities. Regular physical activity is a key non-pharmacological strategy for managing RA; however, many patients remain physically inactive. Understanding barriers and factors influencing physical activity is essential for designing effective interventions.
Materials and Methods: A descriptive cross-sectional study was conducted among 240 patients with RA attending the outpatient department of Services Hospital, Lahore. Physical activity levels were assessed using the short form of the International Physical Activity Questionnaire (IPAQ), and perceived barriers were measured using the 18-item Barriers to Health Activities Scale (BHAS). Logistic regression analysis was performed to identify factors associated with physical activity engagement.
Results: Participants had a mean age of 44.61 ± 6.76 years, and most were female (60.4%). High-ranking barriers included lack of interest, insufficient social support, lack of information, financial constraints, and embarrassment about appearance. Logistic regression showed that lack of convenient facilities, absence of assistance, lack of information, and difficulty with communication were significant predictors of reduced physical activity, while fatigue and transportation were not significant.
Conclusion: Physical activity among patients with RA is strongly influenced by social, informational, environmental, and psychological barriers rather than physical limitations alone. Interventions focusing on education, social support, and improved access to facilities are crucial to promote active lifestyles in this population.