Aerobic exercise training for adults with fibromyalgia

Bidonde, Julia; Busch, Angela J; Schachter, Candice L.; Overend, Tom J.; Kim, Soo Y.; Góes, Suelen Meira; Boden, Catherine; Foulds, Heather J.A.

doi:10.1002/14651858.cd012700

Cited by 155 publications

(173 citation statements)

References 223 publications

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“…30 In this way, regular practice of physical exercise presents as an effective but less costly treatment that is easy to implement, besides improving the general health of patients. 32,33 Our results demonstrated that 4 weeks of RT improved the quality of life in patients with FM; similar results were found in other studies, but only with a longer intervention period. Bircan et al 11 ; the FIQ analysis showed a significant improvement in quality of life after the intervention, in comparison with a CG.…”

Section: Discussionsupporting

confidence: 90%

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Resistance Training Improves Quality of Life and Associated Factors in Patients With Fibromyalgia Syndrome

Andrade

Vilarino

2019

PM&R

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Background Patients with primary symptoms of fibromyalgia (FM) have a lower quality of life than healthy people of the same age. The current treatment for FM is palliative, as there is no cure. Therefore, among strategies used to alleviate the symptoms, physical exercise has been recommended. Objective To investigate the effects of a resistance training (RT) program on quality of life and associated factors in patients with FM. Design Nonrandomized clinical trial. Brazilian Clinical Trials: http://www.ensaiosclinicos.gov.br/ (no. RBR‐74pcmw). Participants Forty‐nine women with FM (mean age ± SD: 51.35 ± 9.34 years) allocated to an RT group (n = 26) or control group (CG; n = 23). Intervention The intervention consisted of 4 weeks of a supervised RT program. Three, 60‐minute, training sessions per week were conducted. Participants were evaluated before and after 4 weeks of exercise intervention. Main Outcome Measurements The Fibromyalgia Impact Questionnaire was used to assess quality of life, and secondary outcomes were assessed with the Pittsburgh Sleep Quality Inventory, Beck Depression Inventory, and Beck Anxiety Inventory. The Wilcoxon test was used to verify the differences after 4 weeks of intervention (12 sessions) and the Mann‐Whitney U test was used to compare the results for the RT group and CG. Results The results demonstrated that 4 weeks of RT reduces the impact of FM on quality of life, depression, and anxiety (P < .05). Higher depression and anxiety scores were related to worsening quality of life. The CG did not show significant changes. Conclusions RT reduces the impact of FM on the quality of life, and alleviates symptoms in women with FM. Level of Evidence II [Correction added on June 21, 2019, after first online publication: Level of Evidence changed from I to II.]

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Section: Discussionsupporting

confidence: 90%

“…However, medical expenses for this type of treatment are high for patients and the public health system, in addition to being associated with side effects . In this way, regular practice of physical exercise presents as an effective but less costly treatment that is easy to implement, besides improving the general health of patients …”

Section: Discussionmentioning

confidence: 99%

Resistance Training Improves Quality of Life and Associated Factors in Patients With Fibromyalgia Syndrome

Andrade

Vilarino

2019

PM&R

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“…Physical activity and sedentarity levels are major modifiable factors that influence fibromyalgia because they are independently associated with less severe symptoms [4,5], better sleep quality [6] and higher quality of life [4]. A recent Cochrane review suggested that exercise interventions improve health related quality of life and physical functions at short term.…”

Section: Introductionmentioning

confidence: 99%

“…A recent Cochrane review suggested that exercise interventions improve health related quality of life and physical functions at short term. However, authors recommended further trials to draw solid conclusions [7].…”

Section: Introductionmentioning

confidence: 99%

Differences in daily objective physical activity and sedentary time between women with self-reported fibromyalgia and controls: results from the Canadian health measures survey

et al. 2018

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Physical activity and sedentary behaviors are important modifiable factors that influence health and quality of life in women with fibromyalgia. The purpose of this study was to compare objectively assessed physical activity and sedentary time in women self-reporting fibromyalgia with a control group. Data were drawn from the Canadian Health Measures Survey cycles 1, 2, and 3 conducted by Statistics Canada. We included women aged 18 to 79 years with complete accelerometer data. We performed one-way analyses of covariance (adjusted-for socio-demographic and health factors) to determine mean differences in physical activity and sedentary variables (minutes per day of moderate and vigorous physical activity, light physical activity, sedentary and daily steps) between women with and without fibromyalgia. In total, 4132 participants were included. A cross-sectional weighted analysis indicated that 3.1% of participants self-reported a diagnosis of fibromyalgia. Participants with fibromyalgia spent less time than controls engaged in moderate and vigorous physical activity (M = 19.2 min/day (SE = 0.7) versus M = 9.1 min/day (SE = 1.2), p = 0.03, η = 0.01). No significant differences were found for daily time spent in light physical activity, sedentary activities, and number of steps. Women participants with self-reported fibromyalgia spent significantly less time in moderate and vigorous physical activity than control. Physical activity promotion interventions for women with self-reported fibromyalgia should, as a priority, target physical activities with moderate to vigorous intensity.

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“…Management of FMS is difficult and the most important component is regular exercise. 1 In this syndrome, patients generally have compliance and motivation problems in maintenance of exercises. In recent years, exercises, with fun and game components, have been prescribed to increase patient compliance.…”

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confidence: 99%

Thu0470 association of Sedentary Time and Physical Activity With Physical Fitness in Women With Fibromialgia: An Isotemporal Substitution Approach

Cascales

Carrera

Manzano

et al. 2019

Poster Presentations

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BackgroundBehaviours of people with fibromyalgia may impact their levels of physical fitness, which is a marker of physical and psychological health1,2,3. However, scarce research has studied the association of sedentary time (ST) and physical activity (PA) with physical fitness. Interestingly, increasing time in one behaviour requires decreasing time in another. Thus, it is also of interest to understand what is the theoretical impact of replacing sedentary time (ST, e.g., sitting) by light or moderate PA (LPA and MPA, respectively) as well as replacing LPA by MPA on physical fitness in fibromyalgia.ObjectivesTo assess the association of replacing ST for different physical activity levels (i.e., ST by LPA or MPA) as well as of LPA by MPA with physical fitness in women with fibromyalgia.MethodsA total of 407 women with fibromyalgia (51.87 ± 8.01 years old) participated in this cross-sectional study. ST, LPA and MPA were objectively measured with triaxial accelerometer for 7 consecutive days. Vigorous physical activity was not analysed as this is a very uncommon behaviour in the population. Physical fitness was assessed through the Senior Fitness Test Battery plus the handgrip strength test. The associations between the replacement of 30 min/day of ST with an equivalent time of LPA or MPA were tested by isotemporal substitution analyses. Body mass index and age were included as covariates.ResultsReplacing 30 minutes of ST with LPA was associated with better strength in upper limb (B=0.19), handgrip strength (B=0.02) and aerobic fitness (B=2.29); all p<0.03 Replacing 30 minutes of ST with MPA was related to better strength and flexibility in lower and upper limb (B ranging from 0.43 to 1.97; all p<0.02). Finally, replacing 30 minutes of LPA with MPA was associated with better strength and flexibility in lower and upper limb, aerobic fitness and balance (B ranging from 0.15 to 8.54; all p<0.04).ConclusionReplacing short time periods (30 min) of ST by PA (especially of moderate intensity) was related to better physical fitness. Moreover, to replace 30 min of LPA by MPA was related to better physical fitness. Our findings support the implementation of experimental research to better understand the extent to which replacing sedentary time (by LPA or MPA) or replacing LPA (by MPA) might enhance increase different components of physical fitness in fibromyalgia. Such findings would have direct clinical implications.References[1] Estévez-López, et al. Disabil Rehabil. 2018 Feb;40(3):329-337. DOI: 10.1080/09638288.2016[2] Gavilán-Carrera B., et al. Arthritis Care Res. 2018 Jul. DOI: 10.1002/acr.23717[3] Estévez-López, et al. Rheumatology (Oxford). 2017 Nov 1;56(11):2015-2024. DOI: 10.1093/rheumatology/kex302AcknowledgementThis study was supported by the Universidad Politécnica de Madrid and the Spanish Ministry of Economy and Competitiveness (I+D+i DEP2010-15639; I+D+I DEP2013-40908-R, BES-2011-047133; BES-2014 067612) and of Education (FPU 15/00002, FPU 15/00002).Disclosure of InterestsNone declared

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Aerobic exercise training for adults with fibromyalgia

Cited by 155 publications

References 223 publications

Resistance Training Improves Quality of Life and Associated Factors in Patients With Fibromyalgia Syndrome

Resistance Training Improves Quality of Life and Associated Factors in Patients With Fibromyalgia Syndrome

Differences in daily objective physical activity and sedentary time between women with self-reported fibromyalgia and controls: results from the Canadian health measures survey

Thu0470 association of Sedentary Time and Physical Activity With Physical Fitness in Women With Fibromialgia: An Isotemporal Substitution Approach

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