Independent and combined association of overall physical fitness and subjective well-being with fibromyalgia severity: the al-Ándalus project
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The present study aimed: (1) to test the associations of overall physical fitness and subjective well-being with fibromyalgia severity and (2) to determine whether the combination of overall physical fitness and subjective well-being is associated with fibromyalgia severity among adult women patients.
This cross-sectional study included 424 participants from Andalusia, southern Spain. Overall physical fitness and the components of subjective well-being (positive affect, negative affect and cognitive well-being), and fibromyalgia severity were assessed using the Functional Senior Physical Fitness Test Battery, the Positive and Negative Affect Schedule, the Satisfaction With Life Scale, and the Fibromyalgia Impact Questionnaire, respectively.
Overall physical fitness (β = −.23), positive affect (β = −.18), negative affect (β = .26), and cognitive well-being (β = −.18) were all associated with fibromyalgia severity. The patients with the highest overall physical fitness and increased subjective well-being reported ~15 % lower fibromyalgia severity than those with the lowest fitness and poorest subjective well-being (Cohen’s d > 1.0).
Our results suggest that higher levels of overall physical fitness and subjective well-being are independently associated with lower fibromyalgia severity. Moreover, patients with higher overall physical fitness and increased subjective well-being (high positive affect, low negative affect, or high cognitive well-being) reported lower fibromyalgia severity than those with low levels of overall physical fitness and subjective well-being.
KeywordsChronic pain Functional capacity Physical fitness Psychology Quality of life Resilience (psychological)
The authors gratefully acknowledge all participants for their collaboration. We would like to thank collaborators in the al-Ándalus project and Prof. Sally Wyke (Institute of Health and Wellbeing, University of Glasgow) for helpful comments on preliminary versions of this manuscript, and Dr. Philip Mason (University of Glasgow) and Dr. Pedro Femia Marzo (University of Granada) for statistical advice. This study was funded by the Spanish Ministry of Economy and Competitiveness [I+D+I DEP2010-15639], the Consejeria de Turismo, Comercio y Deporte (CTCD-201000019242-TRA), the Andalusia Institute of Sport, the Center of Initiatives and Cooperation to the Development (CICODE, University of Granada), and the Andalusian Federation of people with fibromyalgia, chronic fatigue, and multiple chemical sensitivity (Alba Andalucía). FEL [BES-2014-067612] and IAG [BES-2011-047133] were supported by grants from the Spanish Ministry of Economy and Competitiveness. VSJ [AP2010-0963] and ASM [FPU12/00963] were supported by the grants from the Spanish Ministry of Education.
Conflict of interest
The authors have no competing interests to report.
- 4.Albrecht, P. J., Hou, Q., Argoff, C. E., Storey, J. R., Wymer, J. P., & Rice, F. L. (2013). Excessive peptidergic sensory innervation of cutaneous arteriole–venule shunts (AVS) in the palmar glabrous skin of fibromyalgia patients: Implications for widespread deep tissue pain and fatigue. Pain Medicine, 14(6), 895–915.PubMedCrossRefGoogle Scholar
- 6.Aparicio, V. A., Carbonell-Baeza, A., Ruiz, J. R., Aranda, P., Tercedor, P., Delgado-Fernandez, M., & Ortega, F. B. (2013). Fitness testing as a discriminative tool for the diagnosis and monitoring of fibromyalgia. Scandinavian Journal of Medicine and Science in Sports, 23(4), 415–423.PubMedCrossRefGoogle Scholar
- 7.Aparicio, V. A., Ortega, F. B., Heredia, J. M., Carbonell-Baeza, A., Sjostrom, M., & Delgado-Fernandez, M. (2011). Handgrip strength test as a complementary tool in the assessment of fibromyalgia severity in women. Archives of Physical Medicine and Rehabilitation, 92(1), 83–88.PubMedCrossRefGoogle Scholar
- 9.Carbonell-Baeza, A., Ruiz, J. R., Aparicio, V. A., Ortega, F. B., & Delgado-Fernández, M. (2013). The 6-minute walk test in female fibromyalgia patients: Relationship with tenderness, symptomatology, quality of life, and coping strategies. Pain Management Nursing, 14(4), 193–199.PubMedCrossRefGoogle Scholar
- 10.Henriksen, M., Lund, H., Christensen, R., Jespersen, A., Dreyer, L., Bennett, R. M., et al. (2009). Relationships between the fibromyalgia impact questionnaire, tender point count, and muscle strength in female patients with fibromyalgia: A cohort study. Arthritis and Rheumatism, 61(6), 732–739.PubMedCrossRefGoogle Scholar
- 25.Roysamb, E., Tambs, K., Reichborn-Kjennerud, T., Neale, M. C., & Harris, J. R. (2003). Happiness and health: environmental and genetic contributions to the relationship between subjective well-being, perceived health, and somatic illness. Journal of Personality and Social Psychology, 85(6), 1136–1146.PubMedCrossRefGoogle Scholar
- 26.Segura-Jimenez, V., Alvarez-Gallardo, I. C., Carbonell-Baeza, A., Aparicio, V. A., Ortega, F. B., Casimiro, A. J., & Delgado-Fernandez, M. (2014). Fibromyalgia has a larger impact on physical health than on psychological health, yet both are markedly affected: The al-Andalus project. Seminars in Arthritis and Rheumatism.Google Scholar
- 29.Rikli, R. E., & Jones, C. J. (1999). Development and validation of a functional fitness test for community-residing older adults. Journal of Aging and Physical Activity, 7, 129–161.Google Scholar
- 30.Carbonell-Baeza, A., Alvarez-Gallardo, I. C., Segura-Jimenez, V., Castro-Pinero, J., Ruiz, J. R., Delgado-Fernandez, M., & Aparicio, V. A. (2014). Reliability and feasibility of physical fitness tests in female fibromyalgia patients. International Journal of Sports Medicine. doi:10.1055/s-0034-1390497.
- 31.Sandin, B., Chorot, P., Lostao, L., Joiner, T. E., Santed, M. A., & Valiente, R. M. (1999). The PANAS Scales of positive and negative affect: Factor analytic validation and cross-cultural convergence. Psicothema, 11(1), 37–51.Google Scholar
- 32.Atienza, F. L., Pons, D., Balaguer, I., & García-Merita, M. (2000). Psychometric properties of the satisfaction with life scale in adolescents. Psicothema, 12(2), 314–319.Google Scholar
- 35.Pernambuco, A. P., Schetino, L. P., Viana, R. S., Carvalho, L. S., & d’Avila Reis, D. (2014). The involvement of melatonin in the clinical status of patients with fibromyalgia syndrome. Clinical and Experimental Rheumatology.Google Scholar
- 41.Calandre, E. P., Garcia-Carrillo, J., Garcia-Leiva, J. M., Rico-Villademoros, F., Molina-Barea, R., & Rodriguez-Lopez, C. M. (2011). Subgrouping patients with fibromyalgia according to the results of the Fibromyalgia Impact Questionnaire: A replication study. Rheumatology International, 31(12), 1555–1559.PubMedCrossRefGoogle Scholar
- 43.van Koulil, S., Effting, M., Kraaimaat, F. W., van Lankveld, W., van Helmond, T., Cats, H., et al. (2007). Cognitive–behavioural therapies and exercise programmes for patients with fibromyalgia: State of the art and future directions. Annals of the Rheumatic Diseases, 66(5), 571–581.PubMedCentralPubMedCrossRefGoogle Scholar
- 44.van Koulil, S., van Lankveld, W., Kraaimaat, F. W., van Helmond, T., Vedder, A., van Hoorn, H., et al. (2011). Tailored cognitive–behavioural therapy and exercise training improves the physical fitness of patients with fibromyalgia. Annals of the Rheumatic Diseases, 70(12), 2131–2133.PubMedCrossRefGoogle Scholar