Physical activity correlates in people with fibromyalgia: a systematic review

Abstract

Purpose: Understanding the enablers of and barriers to physical activity (PA) participation in people with fibromyalgia (PwF) is an essential first step to developing effective PA interventions. This systematic review examined correlates of PA across the socio-ecological model (i.e., intra-personal, inter-personal, environmental, and policy level) in PwF. Materials and methods: PubMed, Embase, and CINAHL were searched from inception until 12 July 2022. Keywords included "physical activity" or "exercise" and "fibromyalgia" or "fibrositis." Summary coding was used to quantify the PA correlates. Results: Out of 74 PA correlates retrieved from 39 articles (n ¼ 9426), co-morbid depression and higher pain intensity were found to be consistent (i.e., reported in four or more articles) barriers to PA in PwF, while higher self-efficacy and better endurance were found to be consistent enablers to PA. Despite the abundance of evidence for the PA benefits for PwF, we only found consistent evidence for PA correlates at the intrapersonal level. Conclusions: Health professionals should consider mental and physical health barriers when promoting PA in PwF. There remains a need to better understand social, environmental, and policy-related factors associated with PA participation in PwF � IMPLICATIONS FOR REHABILITATION � Co-morbid depression is a notable barrier to physical activity participation in people with fibromyalgia. � Experienced pain intensity should be considered as a barrier when promoting physical activity for people with fibromyalgia. � Rehabilitation professionals should facilitate self-efficacy in physical activity interventions for people with fibromyalgia. � Rehabilitation professionals should promote endurance when motivating people with fibromyalgia towards an active lifestyle.

Functional neurological disorder, physical activity and exercise: What we know and what we can learn from comorbid disorders

“…FBM is one of the main FND-comorbid disorders in which physical activity and exercise has been rigorously and extensively studied. Despite this, patients with FBM report significantly less recreational, transportation-related, and total physical activity compared to healthy controls [29] , [30] . As a needs-assessment, Sieczkowska and colleagues looked at exercise practices of patients with FBM, and found that most patients did not exercise regularly, with 65.7 % of 304 patients stating they did not exercise at all; notably, patients who did exercise reported overall superior quality of life [27] .…”

Proof of concept of prehabilitation: a combination of education and behavioural change, to promote physical activity in people with fibromyalgia

“…22 23 Behavioural barriers such as fear of movement, catastrophising, depression or low self-efficacy have been shown to reduce physical activity in people with FM. [24][25][26] As a result, avoidance of physical activity may then lead to physical and mental deconditioning 27 and can trigger a vicious circle of inactivity as a result of increasing pain and fear. 28 Promisingly, educational interventions tackling fear of movement and avoidance behaviour towards physical activity seem effective in increasing physical functioning in people with FM.…”

“…Although the level of evidence for the effectiveness of physical exercise in this disease was appraised as ‘strong for’ by the European League Against Rheumatism,20 adherence to exercise programmes is often challenging21 and rather low 22 23. Behavioural barriers such as fear of movement, catastrophising, depression or low self-efficacy have been shown to reduce physical activity in people with FM 24–26. As a result, avoidance of physical activity may then lead to physical and mental deconditioning27 and can trigger a vicious circle of inactivity as a result of increasing pain and fear 28.…”

Predictive models based on machine learning for early recurrence and metastasis in postoperative patients with colorectal cancer

“…It can be divided into 5 layers: personal traits, behavior and/or lifestyle, interpersonal networks, socioeconomic status, and macro-environment. HEM has become widespread in the field of chronic disease research and the development of predictive models [15][16][17] .…”