Physical activity interventions for fatigue in rheumatoid arthritis: a systematic review

Salmon, Victoria E.; Hewlett, Sarah; Walsh, Nicola; Kirwan, John R.; Cramp, Fiona

doi:10.1080/10833196.2016.1277454

Cited by 8 publications

(7 citation statements)

References 47 publications

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“…After browsing the title and summary, 45 potentially relevant reviews were identified. We removed 35 studies after reading the full text, leaving a total of 10 reviews (Baillet et al., 2010, 2012; Cairns & McVeigh, 2009; Hammond & Prior, 2016; Han et al., 2004; Hurkmans et al., 2009; Peres et al., 2017; Rongen‐van Dartel et al., 2015; Salmon et al., 2017; Williams et al., 2018) including 97 studies and 7,190 participants and the flow diagram is shown in Figure 1. The reasons for exclusion are summarized in Appendix S3.…”

Section: Resultsmentioning

confidence: 99%

“…Reporting quality evaluation shows that the average score is 20.1 points (range 13–24). Among them, one review (Cairns & McVeigh, 2009) received ≤ 15 points; four (Baillet et al., 2012; Hammond & Prior, 2016; Han et al., 2004; Rongen‐van Dartel et al., 2015) received 15–21 points; and five (Baillet et al., 2010; Hurkmans et al., 2009; Rongen‐van Dartel et al., 2015; Salmon et al., 2017; Williams et al., 2018) received >21 points.…”

Section: Resultsmentioning

confidence: 99%

“…Hand exercise is an effective method to improve hand function, but its effect on grip strength and pain is uncertain. One review (Salmon et al, 2017) did not describe the different interventions towards RA and the authors thought that there was not enough information to judge whether exercise is effective for fatigue in RA.…”

Section: Resultsmentioning

confidence: 99%

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The effect of physical exercise on rheumatoid arthritis: An overview of systematic reviews and meta‐analysis

Gao

et al. 2020

Journal of Advanced Nursing

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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The effect of physical exercise on rheumatoid arthritis: An overview of systematic reviews and meta‐analysis

Gao

et al. 2020

Journal of Advanced Nursing

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“…Review 1 findings have been published elsewhere [34]. Only two additional studies were identified since the Cochrane review [8].…”

Section: Resultsmentioning

confidence: 99%

“…To our knowledge, this is the first study to provide evidence of RA patient and rheumatology HCP involvement, including extensive input from PRPs, in the co-design of a PA fatigue management intervention [34]. Consideration of implementation and participation issues and preferences of potential intervention users and those who might deliver it during development means that the intervention is likely to be acceptable to future users, and to translate into clinical settings [39].…”

Section: Discussionmentioning

confidence: 99%

Developing a group intervention to manage fatigue in rheumatoid arthritis through modifying physical activity

Salmon

Hewlett

Walsh

et al. 2019

BMC Musculoskelet Disord

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Background Fatigue is a major symptom of rheumatoid arthritis (RA). There is some evidence that physical activity (PA) may be effective in reducing RA fatigue. However, few PA interventions have been designed to manage fatigue and there is limited evidence of end-user input into intervention development. The aim of this research was to co-design an intervention to support self-management of RA fatigue through modifying PA. Methods A series of studies used mixed methodological approaches to co-design a fatigue management intervention focused on modifying PA based on UK Medical Research Council guidance, and informed by the Behaviour Change Wheel theoretical framework. Development was based on existing evidence, preferences of RA patients and rheumatology healthcare professionals, and practical issues regarding intervention format, content and implementation. Results The resulting group-based intervention consists of seven sessions delivered by a physiotherapist over 12 weeks. Each session includes an education and discussion session followed by supervised PA chosen by the participant. The intervention is designed to support modification and maintenance of PA as a means of managing fatigue. This is underpinned by evidence-based behaviour change techniques that might support changes in PA behaviour. Intervention delivery is interactive and aims to enhance capability, opportunity and motivation for PA. Conclusion This study outlines stages in the systematic development of a theory-based intervention designed through consultation with RA patients and healthcare professionals to reduce the impact of RA fatigue. The feasibility of future evaluation of the intervention should now be determined.

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Physical Activity Intensity is Associated with Symptom Distress in the CNICS Cohort

et al. 2018

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Symptom distress remains a challenging aspect of living with HIV. Physical activity is a promising symptom management strategy, but its effect on symptom distress has not been examined in a large, longitudinal HIV-infected cohort. We hypothesized that higher physical activity intensity would be associated with reduced symptom distress. We included 5,370 people living with HIV (PLHIV) who completed patient-reported assessments of symptom distress, physical activity, alcohol and substance use, and HIV medication adherence between 2005 and 2016. The most frequent and burdensome symptoms were fatigue (reported by 56%), insomnia (50%), pain (46%), sadness (45%), and anxiety (45%), with women experiencing more symptoms and more burdensome symptoms than men. After adjusting for age, sex, race, time, HIV medication adherence, alcohol and substance use, site, and HIV RNA, greater physical activity intensity was associated with lower symptom intensity. Although individual symptoms may be a barrier to physical activity (e.g. pain), the consistent association between symptoms with physical activity suggests that more intense physical activity could mitigate symptoms experienced by PLHIV.

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Physical activity interventions for fatigue in rheumatoid arthritis: a systematic review

Cited by 8 publications

References 47 publications

The effect of physical exercise on rheumatoid arthritis: An overview of systematic reviews and meta‐analysis

The effect of physical exercise on rheumatoid arthritis: An overview of systematic reviews and meta‐analysis

Developing a group intervention to manage fatigue in rheumatoid arthritis through modifying physical activity

Physical Activity Intensity is Associated with Symptom Distress in the CNICS Cohort

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