{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T18:08:42Z","timestamp":1779300522072,"version":"3.51.4"},"reference-count":42,"publisher":"Public Library of Science (PLoS)","issue":"5","license":[{"start":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T00:00:00Z","timestamp":1779235200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:p>Adapted physical activity is recommended as a non-pharmacological strategy for the management of chronic inflammatory arthritis. However, the long-term adherence of patients to physical activity programs remains a major challenge in clinical practice. The present study aimed to assess adherence to World Health Organization (WHO) physical activity recommendations and to identify factors associated with long-term adherence in patients with chronic inflammatory arthritis (CIA).<\/jats:p>\n                  <jats:p>This longitudinal observational study included patients with spondyloarthritis, psoriatic arthritis, or rheumatoid arthritis who were referred to a specialized center for adapted physical activity between 2019 and 2021. Baseline demographic, clinical, and treatment-related variables were collected during the initial medical consultation. In August 2023, participants were contacted by telephone to assess their level of physical activity using a standardized questionnaire. Adherence was defined as meeting the WHO recommendations of at least 150 minutes of moderate-intensity physical activity or 75 minutes of vigorous physical activity per week.<\/jats:p>\n                  <jats:p>Among the 78 patients initially included, 61 responded to the follow-up assessment. Of these, 41 participants (67.2%) met the WHO physical activity recommendations. In univariate analyses, no clinical or treatment-related variables were significantly associated with long-term adherence. Male sex was the only factor significantly associated with adherence, with men showing a higher likelihood of meeting the WHO recommendations after adjustment for underlying pathology (OR 7.85, 95% CI 1.60\u201338.42).<\/jats:p>\n                  <jats:p>In this real-world cohort of patients with chronic inflammatory arthritis, approximately two-thirds of respondents maintained a level of physical activity consistent with WHO recommendations more than one year after the initial consultation. Clinical disease characteristics were not associated with adherence, while sex appeared to influence long-term engagement in physical activity. These findings highlight the need for further studies to better understand determinants of long-term adherence to adapted physical activity in this population.<\/jats:p>","DOI":"10.1371\/journal.pone.0349043","type":"journal-article","created":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T17:32:56Z","timestamp":1779298376000},"page":"e0349043","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Long-term adherence to adapted physical activity in patients with chronic inflammatory arthritis: Insights from a longitudinal observational study"],"prefix":"10.1371","volume":"21","author":[{"given":"Hugo","family":"Gondouin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathias","family":"Poussel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eliane","family":"Albuisson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaux","family":"Temperelli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oriane","family":"Hily","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony","family":"Moussu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabelle","family":"Chary-Valckenaere","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Damien","family":"Loeuille","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruno","family":"Chenuel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1760-6979","authenticated-orcid":true,"given":"Edem","family":"Allado","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2026,5,20]]},"reference":[{"issue":"2","key":"pone.0349043.ref001","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1016\/j.berh.2018.10.005","article-title":"Update 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