Evaluating the Impact of High Intensity Interval Training on Axial Psoriatic Arthritis Based on MR Images

Chronaiou, Ioanna; Giskeødegård, Guro F.; Neubert, Aleš; Hoffmann-Skjøstad, Tamara Viola; Thomsen, Ruth Stoklund; Bathen, Tone Frost; Sitter, Beathe

doi:10.3390/diagnostics12061420

Cited by 3 publications

(1 citation statement)

References 47 publications

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“…In a later study, the same research group found no evidence of inflammation in peripheral joints and entheses in patients with PsA after completing structured HIIT for 11 weeks [48]. And even more pieces of evidence are available when reviewing the literature suggesting that HIIT is safe for patients with PsA [49].…”

Section: Discussionmentioning

confidence: 97%

Regular Exercise Improved Fatigue and Musculoskeletal Pain in Young Adult Psoriatic Patients without Psoriatic Arthritis

Diaz,

Rosety,

Armario

et al. 2023

Nutrients

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Fatigue and musculoskeletal pain are also frequent in patients with psoriasis (PsO) without arthritis (PsA). The current study aimed to assess the impact of an intervention program based on aerobic training to reduce fatigue and musculoskeletal pain in patients with PsO without PsA. A total of 118 male patients with PsO volunteered in the current interventional study and were randomly allocated to the experimental (n = 59) or control group (n = 59). The intervention consisted of a 16-week aerobic training program on a treadmill, three sessions per week, consisting of a warm-up, 35–50 min treadmill exercise (increasing 5 min/4 weeks) at a work intensity of 50–65% of peak heart-rate (increasing 5%/4 weeks), and cooling-down. The functional assessment of chronic illness therapy fatigue scale (FACIT-Fatigue), health assessment questionnaire disability index (HAQ-DI), and visual analog scale (VAS) were compared pre and post intervention. Nutritional intake, maximal aerobic power, lipid profile, serum markers of muscle damage, and body composition were also assessed. When compared to baseline, FACIT-Fatigue, HAQ-DI, and VAS scores were significantly improved without increasing markers of muscle damage. Fat mass percentage, lipid profile, and maximal oxygen consumption were also improved. In conclusion, a 16-week aerobic training program at moderate intensity was safe, well tolerated, and effective in psoriatic patients without PsA. Long-term follow-up studies are required to examine whether these promising results may improve clinical outcomes.

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Section: Discussionmentioning

confidence: 97%

Regular Exercise Improved Fatigue and Musculoskeletal Pain in Young Adult Psoriatic Patients without Psoriatic Arthritis

Diaz,

Rosety,

Armario

et al. 2023

Nutrients

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Rééducation dans les formes axiales et périphériques de rhumatismes inflammatoires

Verhoeven

Chouk

Prati

et al. 2023

Revue du Rhumatisme

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Changes of inflammation in patients with psoriatic arthritis after high intensity interval training assessed by ultrasound and MRI, a randomized controlled trial

Thomsen,

Nilsen,

Haugeberg

et al. 2023

BMC Musculoskelet Disord

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Background In psoriatic arthritis (PsA) there is a theoretical risk of increased disease activity related to strenuous physical activity, including exercise. We evaluated the effect of high intensity interval training (HIIT) on objective measures of inflammation in PsA assessed by ultrasound (US) of peripheral joints and entheses, and by bone marrow edema (BME) on MRI of the sacroiliac joints (SIJ) and spine. Methods We randomly assigned 67 PsA patients to an intervention group that performed structured HIIT for 11 weeks, or to a control group instructed not to change their physical exercise habits. Outcome measures included US evaluation of the total cohort and MRI in a subgroup of 41; both assessed at 3 months. We calculated the proportions with an increased US B-mode and power-doppler (PD) signal of joints and entheses and Spondyloarthritis-Research-Consortium-of-Canada (SPARCC)-BME score of the SIJ and spine for both groups. Results Proportions with an increased US B-mode score of the joints were 32% and 28% in HIIT and control groups, respectively. Corresponding proportions of PD scores of the joints were 7% and 10% and PD scores of entheses were 32% and 31%. The proportions with increased MRI BME of the SIJ were 6% in the HIIT group and 10% in the control group. Corresponding proportions were 6% and 5% for the MRI BME of the spine. Conclusion In PsA patients with a low to moderate disease activity, there was no clear evidence of objectively measured increased inflammation after HIIT, as evaluated by US and MRI. Trial registration ClinicalTrials.gov NCT02995460 (16/12/2016).

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Evaluating the Impact of High Intensity Interval Training on Axial Psoriatic Arthritis Based on MR Images

Cited by 3 publications

References 47 publications

Regular Exercise Improved Fatigue and Musculoskeletal Pain in Young Adult Psoriatic Patients without Psoriatic Arthritis

Regular Exercise Improved Fatigue and Musculoskeletal Pain in Young Adult Psoriatic Patients without Psoriatic Arthritis

Rééducation dans les formes axiales et périphériques de rhumatismes inflammatoires

Changes of inflammation in patients with psoriatic arthritis after high intensity interval training assessed by ultrasound and MRI, a randomized controlled trial

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