@article{article_364155, title={Which Factors Affect the Functional Situation and Quality of Life in Patients with Ankylosing Spondylitis?}, journal={Ankara Medical Journal}, volume={17}, pages={235–244}, year={2017}, DOI={10.17098/amj.364155}, author={Gürer, Gülcan and Taşçı Bozbaş, Gülnur and İyiyapıcı Ünübol, Ayşe and Tuncer, Tiraje and Bütün, Bülent}, keywords={Ankilozan spondilit,Bath Ankilozan Spondilit Metroloji Indeksi,Bath Ankilozan Spondilit Fonksiyonel İndeks,Bath Ankilozan Spondilit Hastalık Aktivite İndeksi,Ankilozan Spondilit Yaşam Kalitesi Anketi}, abstract={<p class="MsoNormal" style="background:#D9D9D9;"> <span class="T19"> <b> <span lang="en-us" style="font-size:10pt;font-family:Constantia, serif;" xml:lang="en-us">Objectives: </span> </b> </span> <span lang="en-us" style="font-size:10pt;font-family:Constantia, serif;" xml:lang="en-us"> </span> <span class="T19"> <span lang="en-us" style="font-size:10pt;font-family:Constantia, serif;" xml:lang="en-us">This study was performed to determine the </span> </span> <span style="font-size:10pt;font-family:Constantia, serif;">possible predictive factors affecting the functional situation and quality of life in patients with ankylosing spondylitis </span> <span lang="en-us" style="font-size:10pt;font-family:Constantia, serif;" xml:lang="en-us"> (AS) <span class="T19">. </span> </span> </p> <p class="MsoNormal" style="background:#D9D9D9;"> <b> <span lang="en-us" style="font-size:10pt;font-family:Constantia, serif;" xml:lang="en-us">Materials and Methods: </span> </b> <span lang="en-us" style="font-size:10pt;font-family:Constantia, serif;" xml:lang="en-us"> A total of 88 volunteer Turkish patients with AS were included in the study. We evaluated the Bath AS Functional Index (BASFI), Bath AS Disease Activity Index (BASDAI), Bath AS Metrology Index (BASMI) and AS </span> <span lang="en-us" style="font-size:10pt;font-family:Constantia, serif;" xml:lang="en-us"> </span> <span lang="en-us" style="font-size:10pt;font-family:Constantia, serif;" xml:lang="en-us">Quality of Life Questionnaire (ASQoL) in patients. The ages, genders, levels of education, morning stiffness duration, smoking statuses, statues of doing the home exercises instructed were interrogated and mobility measurements of patients were performed and all of these values were recorded. <b> </b> </span> </p> <p class="MsoNormal" style="background:#D9D9D9;"> <b> <span lang="en-us" style="font-size:10pt;font-family:Constantia, serif;" xml:lang="en-us">Results: </span> </b> <span lang="en-us" style="font-size:10pt;font-family:Constantia, serif;" xml:lang="en-us"> BASFI was found to be correlated with smoking (p=0.019), morning stiffness (p=0.001), BMI (p=0.020), exercise (p=0.002), BASMI (p </span> <span lang="en-us" style="font-size:10pt;font-family:Symbol;" xml:lang="en-us">< </span> <span lang="en-us" style="font-size:10pt;font-family:Constantia, serif;" xml:lang="en-us">0.001) and BASDAI (p </span> <span lang="en-us" style="font-size:10pt;font-family:Symbol;" xml:lang="en-us">< </span> <span lang="en-us" style="font-size:10pt;font-family:Constantia, serif;" xml:lang="en-us">0.001). According to the categorical regression, </span> <span style="font-size:10pt;font-family:Constantia, serif;">BASDAI ( </span> <span lang="en-us" style="font-size:10pt;font-family:Constantia, serif;" xml:lang="en-us">Beta=0.574, p </span> <span lang="en-us" style="font-size:10pt;font-family:Symbol;" xml:lang="en-us">< </span> <span lang="en-us" style="font-size:10pt;font-family:Constantia, serif;" xml:lang="en-us">0.001) was independently associated with the BASFI score.  ASQoL was found to have correlation with the level of education (p=0.030), smoking (p=0.049), morning stiffness (p=0.004) and exercise (p=0.007), BASDAI (p </span> <span lang="en-us" style="font-size:10pt;font-family:Symbol;" xml:lang="en-us">< </span> <span lang="en-us" style="font-size:10pt;font-family:Constantia, serif;" xml:lang="en-us">0.001) and BASFI (p </span> <span lang="en-us" style="font-size:10pt;font-family:Symbol;" xml:lang="en-us">< </span> <span lang="en-us" style="font-size:10pt;font-family:Constantia, serif;" xml:lang="en-us">0.001). </span> <span style="font-size:10pt;font-family:Constantia, serif;">It was found that the effect of BASFI was significant on the ASQoL(p=0.007). </span> <span lang="en-us" style="font-size:10pt;font-family:Constantia, serif;" xml:lang="en-us"> </span> </p> <p class="MsoNormal" style="background:#D9D9D9;"> <b> <span lang="en-us" style="font-size:10pt;font-family:Constantia, serif;" xml:lang="en-us">Conclusion: </span> </b> <span lang="en-us" style="font-size:10pt;font-family:Constantia, serif;" xml:lang="en-us">  Even though the duration of the disease appears to be an unchangeable factor, smoking, duration of morning stiffness, the compliance with home-based exercise program and mobility measurements appear to be relatively changeable factors. Therefore, we believe that specialists who follow patients with AS can influence quality of life and functions of the patients by educating and inspiring them at every visit </span> <span lang="en-us" style="font-size:10pt;font-family:Constantia, serif;" xml:lang="en-us">.     </span> </p>}, number={4}, publisher={Ankara Yıldırım Beyazıt Üniversitesi}