Original Article

Rheumatology International

, Volume 27, Issue 9, pp 847-852

Assessment of fatigue in patients with ankylosing spondylitis

  • Yasemin TuranAffiliated withDepartment of Physical Medicine and Rehabilitation, Atatürk Research and Education Hospital Email author 
  • , Mehmet Tuncay DuruözAffiliated withDepartment of Physical Medicine and Rehabilitation, Celal Bayar University School of Medicine
  • , Serpil BalAffiliated withDepartment of Physical Medicine and Rehabilitation, Atatürk Research and Education Hospital
  • , Anıl GuvencAffiliated withDepartment of Physical Medicine and Rehabilitation, Atatürk Research and Education Hospital
  • , Lale CerrahogluAffiliated withDepartment of Physical Medicine and Rehabilitation, Celal Bayar University School of Medicine
  • , Alev GurganAffiliated withDepartment of Physical Medicine and Rehabilitation, Atatürk Research and Education Hospital

Rent the article at a discount

Rent now

* Final gross prices may vary according to local VAT.

Get Access

Abstract

In this study, we evaluated fatigue by using the multidimensional assessment of fatigue (MAF) index in 68 ankylosing spondylitis (AS) patients. To determine the disease activity, functional status and quality of life, bath ankylosing spondylitis disease activity index (BASDAI), bath ankylosing spondylitis functional index (BASFI) and Short Form 36 (SF36) were used respectively. Mander enthesis index (MEI) was used for evaluation of enthesitis. The mean age of the patients was 37.7 (11.1) years. The prevalence of fatigue was 76.5%. There were significant correlations between MAF and BASDAI (P < 0.001), BASFI (P < 0.001), MEI (P = 0.048), pain (P = 0.001), hemoglobin (P = 0.001), ESR (P = 0.035), dorsal Schober’s (P = 0.009), occiput–wall distance (P = 0.048). Also MAF was correlated with all dimensions of SF36 except for social function and emotional role. BASFI was found to be the most significant correlated (P = 0.002) parameter with MAF. This study suggests that fatigue is an important symptom in AS and it seemed to occur in severe AS patients. It should appropriately be measured with respect to its intensity with appropriate measures, such as MAF. Moreover, fatigue may increase functional disability, which is already present as a feature of the disease.

Keywords

Ankylosing spondylitis Fatigue Disease severity Health-related quality of life