{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T11:18:25Z","timestamp":1791631105785,"version":"4.3.4"},"reference-count":32,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000069","name":"National Institute of Arthritis and Musculoskeletal and Skin Diseases","doi-asserted-by":"publisher","award":["R21\u2010AR\u201007663"],"award-info":[{"award-number":["R21\u2010AR\u201007663"]}],"id":[{"id":"10.13039\/100000069","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000968","name":"American Heart Association","doi-asserted-by":"publisher","award":["23CDA1051777"],"award-info":[{"award-number":["23CDA1051777"]}],"id":[{"id":"10.13039\/100000968","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K23\u2010AG080066"],"award-info":[{"award-number":["K23\u2010AG080066"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["P30\u2010AG\u2010028716"],"award-info":[{"award-number":["P30\u2010AG\u2010028716"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ACR Open Rheumatology"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the long\u2010term impacts of a 16\u2010week remotely supervised exercise and weight loss intervention for rheumatoid arthritis (Supervised Weight Loss and Exercise Training in Rheumatoid Arthritis [SWET\u2010RA]).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In total, 21 older adults with RA completed the SWET\u2010RA parent trial; 17 of 21 completed an exit survey. Approximately two years after study completion, 14 of 19 eligible participants (mean age 68.9 years) returned for the SWET\u2010RA Reunion. Reunion participants completed surveys on sustained health behaviors and barriers to maintenance. Clinical assessments were evaluated relative to pre\u2010intervention values and included anthropometrics, RA disease activity (Disease Activity Score in 28 joints [DAS\u201028]), blood biomarkers, and patient\u2010reported outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At study completion, most participants reported improvements in RA (n = 15) and intended to maintain health behaviors (n = 17). At the two\u2010year Reunion, 50% engaged in aerobic activity regularly, whereas resistance training (21.4%) and dietary self\u2010monitoring (14.3%) were less maintained. Barriers included lack of self\u2010motivation and illness. In total, 10 of 14 participants experienced sustained improvements in RA disease activity without increasing medication. Among the 12 not increasing RA medication, DAS\u201028 C\u2010reactive protein significantly improved (\u0394 = \u22121.0 \u00b1 SD 0.9,\u00a0\n                      <jats:italic>P<\/jats:italic>\n                      \u2009= 0.002). Cardiometabolic risk, assessed via metabolic syndrome Z score, improved significantly for participants not increasing related medications (\u0394 = \u22121.6 \u00b1 SD 2.4,\u00a0\n                      <jats:italic>P<\/jats:italic>\n                      \u2009= 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Two years post\u2010intervention, only half of the older adults with RA maintained aerobic exercise, with fewer sustaining resistance exercise and self\u2010monitoring dietary intake. Nonetheless, compared to pre\u2010intervention, long\u2010term improvements in RA disease activity and cardiometabolic risk were present. These findings support the inclusion of lifestyle programs in comprehensive RA management.<\/jats:p>\n                    <jats:p>\n                      <jats:boxed-text content-type=\"graphic\" position=\"anchor\">\n                        <jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" mimetype=\"image\/png\" position=\"anchor\" specific-use=\"enlarged-web-image\" xlink:href=\"graphic\/acr270148-gra-0001-m.png\">\n                          <jats:alt-text>image<\/jats:alt-text>\n                        <\/jats:graphic>\n                      <\/jats:boxed-text>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/acr2.70148","type":"journal-article","created":{"date-parts":[[2025,12,20]],"date-time":"2025-12-20T05:24:41Z","timestamp":1766208281000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["From Intention to Maintenance: A Two\u2010Year Examination of Clinical and Lifestyle Changes in Rheumatoid Arthritis"],"prefix":"10.1002","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9712-8980","authenticated-orcid":false,"given":"Katherine A.","family":"Collins\u2010Bennett","sequence":"first","affiliation":[{"name":"Duke Molecular Physiology Institute, Duke University School of Medicine  Durham North Carolina"},{"name":"Department of Population Health Sciences Duke University School of Medicine  Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leanna M.","family":"Ross","sequence":"additional","affiliation":[{"name":"Duke Molecular Physiology Institute, Duke University School of Medicine  Durham North Carolina"},{"name":"Division of Cardiology, Department of Medicine Duke University School of Medicine  Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyssa M.","family":"Sudnick","sequence":"additional","affiliation":[{"name":"Duke Molecular Physiology Institute, Duke University School of Medicine  Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanna L.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Duke Molecular Physiology Institute, Duke University School of Medicine  Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelsey B.","family":"Belski","sequence":"additional","affiliation":[{"name":"Duke Molecular Physiology Institute, Duke University School of Medicine  Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William C.","family":"Bennett","sequence":"additional","affiliation":[{"name":"Duke Molecular Physiology Institute, Duke University School of Medicine  Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margery A.","family":"Connelly","sequence":"additional","affiliation":[{"name":"Diagnostics R&amp;D  Labcorp Morrisville North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilene C.","family":"Siegler","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Duke University School of Medicine  Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William E.","family":"Kraus","sequence":"additional","affiliation":[{"name":"Duke Molecular Physiology Institute, Duke University School of Medicine  Durham North Carolina"},{"name":"Division of Cardiology, Department of Medicine Duke University School of Medicine  Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Connie W.","family":"Bales","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, Department of Medicine Duke University School of Medicine  Durham North Carolina"},{"name":"Geriatric Research, Education, and Clinical Center, Durham VA Health Care System  Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn N.","family":"Porter Starr","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, Department of Medicine Duke University School of Medicine  Durham North Carolina"},{"name":"Geriatric Research, Education, and Clinical Center, Durham VA Health Care System  Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim M.","family":"Huffman","sequence":"additional","affiliation":[{"name":"Duke Molecular Physiology Institute, Duke University School of Medicine  Durham North Carolina"},{"name":"Division of Rheumatology and Immunology, Department of Medicine Duke University School of Medicine  Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1847-0660","authenticated-orcid":false,"given":"Brian J.","family":"Andonian","sequence":"additional","affiliation":[{"name":"Duke Molecular Physiology Institute, Duke University School of Medicine  Durham North Carolina"},{"name":"Division of Rheumatology and Immunology, Department of Medicine Duke University School of Medicine  Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,19]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)32340-0"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.42089"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.39692"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2019.01.002"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2018.12.006"},{"key":"e_1_2_7_7_1","article-title":"Physical Activity Guidelines Advisory Committee Scientific Report","volume":"2018","author":"2018 Physical Activity Guidelines Advisory Committee","year":"2018","journal-title":"US Department of Health and Human Services"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.4172\/1758-4272.1000154"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s100670050125"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.22629"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.autrev.2017.05.001"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-13-202"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.3109\/03009742.2014.931456"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr2.11639"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kes279"},{"key":"e_1_2_7_16_1","volume-title":"WHO Guidelines on Physical Activity and Sedentary Behavior","author":"World Health Organization","year":"2020"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr2.11536"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2021.101261"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiochem.2014.07.015"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2012.10.006"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.285.19.2486"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12933-017-0647-y"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.25553"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20523"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/61.10.1059"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keu444"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph16142527"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-017211"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2013.781118"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/gln041"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03324706"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glx044"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12160-016-9863-z"}],"container-title":["ACR Open Rheumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/acrjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/acr2.70148","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T09:16:48Z","timestamp":1767345408000},"score":1,"resource":{"primary":{"URL":"https:\/\/acrjournals.onlinelibrary.wiley.com\/doi\/10.1002\/acr2.70148"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":32,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1002\/acr2.70148"],"URL":"https:\/\/doi.org\/10.1002\/acr2.70148","archive":["Portico"],"relation":{},"ISSN":["2578-5745","2578-5745"],"issn-type":[{"value":"2578-5745","type":"print"},{"value":"2578-5745","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12]]},"assertion":[{"value":"2025-08-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70148"}}