and pool-based intervention in female fibromyalgia patients: A randomized-controlled trial. Turk J Phys Med Rehab 2018;64(4):337-343. ABSTRACT Objectives:The aim of this study was to assess the effect of a standard physical rehabilitation intervention (SPRI) program, in pool-based (SPRI-P) and land-based (SPRI-L) environments, applied to female fibromyalgia (FM) patients with mild-to-moderate symptoms during a period of 20 weeks. Patients and methods:Between September 2016 and September 2017, a total of 73 female FM patients (mean age 48.2±6.8 years; range, 30 to 59 years) who suffered from FM were included in this study on a voluntary basis. The SPRI program was applied to the patients for 20 weeks. The severity of FM was assessed using the Fibromyalgia Impact Questionnaire. The dependent variables including selfperceived pain, perceived fatigue, aerobic capacity, depressive symptoms, and the overall impact of FM were evaluated. Results: Self-perceived pain, perceived fatigue, overall impact of FM (p<0.05) and depressive symptoms (p<0.001) of the participants in the SPRI-P program decreased in the post-test values, compared to the pre-test values. Using the SPRI-L program, a significant improvement in the aerobic capacity (maximum consumption of relative oxygen and distance in meters), overall impact of FM (p<0.05), and depressive symptoms (p<0.01) was observed. Conclusion:Our study results indicated that the SPRI-P program yielded improvements in patients with FM in self-perceived pain, perceived fatigue, depressive symptoms, and overall impact, as well as improving the aerobic capacity. In addition, in the SPRI-L program, the participants increased their capacities, self-perceived pain, and overall impact of FM.

La Fibromialgia provoca una disminución en la función física, en la calidad de vida y una mayor prevalencia de enfermedades vinculadas a la salud mental. El tratamiento farmacológico es el más empleado en pacientes con fibromialgia, pero un correcto abordaje del proceso terapéutico debe incluir la práctica de ejercicio físico. La actividad física provoca mejoras en la sintomatología, la capacidad aeróbica, la función física y la percepción subjetiva de bienestar general y autoeficacia. Por ello, el objetivo del presente estudio es desarrollar una actualización del estado del arte relacionado con el ejercicio acuático en pacientes con Fibromialgia, así como conocer los principales beneficios de este tipo de intervenciones. Para la búsqueda, recopilación y selección de artículos, se emplearon las palabras clave: “fibromyalgia” y “aquatic exercise”, que fueron introducidas en las bases de datos Scopus, Web of Science y PubMed. Para ajustar la búsqueda al objeto de estudio, se establecieron una serie de criterios de inclusión de las publicaciones científicas. Los estudios analizados muestran que el ejercicio acuático es una alternativa eficaz y complementaria a la terapia convencional. Entre los beneficios del ejercicio acuático destacan la disminución del estrés, la reducción de la fatiga y la mejora de los síntomas de depresión y ansiedad, así como una disminución del dolor y de los problemas de insomnio. A la vista de estos resultados, parece que los programas acuáticos de ejercicio físico son un tipo de tratamiento no farmacológico para tener en cuenta en el tratamiento de pacientes con fibromialgia, mejorando la sintomatología y la calidad de vida. Palabras clave: Fibromialgia; Ejercicio Acuático; Calidad de vida Abstract. Fibromyalgia causes a decrease in physical function, quality of life and a higher prevalence of mental health-related diseases. Pharmacological treatment is the most used in patients with fibromyalgia, but a correct approach to the therapeutic process should include the practice of physical exercise. Physical activity causes improvements in symptomatology, aerobic capacity, physical function and subjective perception of general well-being and self-efficacy. Therefore, the aim of the present study is to develop an update of the state of the art related to aquatic exercise in patients with fibromyalgia, as well as to know the main benefits of this type of interventions. For the search, compilation and selection of articles, the keywords "fibromyalgia" and "aquatic exercise" were used, which were entered in the Scopus, Web of Science and PubMed databases. To adjust the search to the object of study, a series of inclusion criteria were established for the scientific publications. The studies analyzed show that aquatic exercise is an effective and complementary alternative to conventional therapy. Among the benefits of aquatic exercise are a decrease in stress, a reduction in fatigue and an improvement in symptoms of depression and anxiety, as well as a decrease in pain and insomnia problems. In view of these results, it seems that aquatic physical exercise programs are a type of non-pharmacological treatment to be considered in the treatment of patients with fibromyalgia, improving symptoms and quality of life. Keywords: Fibromyalgia; Aquatic exercise; Quality of life

Eating Disorders (ED) are a severe mental illness that causes physical and psychosocial problems. This illness has a higher prevalence among young women, and between athletes. cognitive behavioural therapy (CBT) is the current treatment for this type of disorder. However, more and more programs are including physical exercise (PE) and nutritional therapy (TN) for eating disorders treatment. Objective. To carry out an exploratory systematic review of the literature that allows us to know the current state of intervention programs through physical exercise and nutritional therapy for the treatment of eating disorders. Materials and methods. For the reference search thesame search phrase was used. The terms were entered in English in the following computerized databases: SCOPUS, Web of Science, and PubMed. To limit the search, four inclusion criteria were introduced. Results. The review included five scientific articles related to the study topic, which met the inclusion criteria. Conclusion. Intervention programs for the treatment of eating disorders that include physical exercise and nutritional therapy are shown as an alternative or complementary tool to conventional therapy. These programs involve a reduction in the severity of ED symptoms and an improvement in anthropometric parameters and physical condition. More studies that combine PE and TN programs for people with ED are required.