A prescription for exercise in systemic lupus erythematosus

Abstract

Patients with systemic lupus erythematosus (SLE) have increased cardiovascular risk, and fatigue is a major subjective complaint. Sedentary lifestyle has been shown to have negative health impacts in cardiovascular and rheumatic disease, though exercise has not traditionally been incorporated into routine therapy recommendations. Regular exercise in SLE may improve difficult to treat Type 2 symptoms, such as fatigue, depression, stress, and quality of life. Insufficient counseling on exercise by physicians is a notable barrier for SLE patients to engage in physical activity. Aerobic exercise regimens are more commonly studied, and have been shown to improve cardiovascular health in SLE. Exercise may improve some inflammatory markers, though does not definitively affect SLE clinical disease activity. Physical activity should be recommended to improve quality of life and cardiovascular health in patients with SLE. Developing clearer guidelines for exercise regimens in a patient-centered manner is warranted, especially given diverse phenotypes of SLE patients and varying degrees of physical limitations.

Automedicación e higiene de sueño en pacientes con Lupus Eritematoso Sistémico: una mirada salutogénica

“…A pesar de ese contexto y con las dificultades que implicó, en tiempo, en tecnología, entre la adecuación al teletrabajo y la zozobra y la incertidumbre, la investigación si arrojó resultados valiosos y una contribución en torno a la producción de conocimiento. Y fruto de esos resultados, el trabajo se presentó en el 4th International Symposium of Advanced Topics in Exercise Physiology: Nonpharmacological treatment for the improvement of the quality of life in the Elderly en el año 2020 en Baja California.Luego un resumen sobre dicha investigación fue publicado ese mismo año en la revista BMC Proceddings(6).Uno de los vacíos que se encontró es que la investigación sobre personas con lupus eritematoso tiene una serie de limitaciones, entre ellas se mencionan: (a) falta de un marco teórico claro de los mecanismos sociales que subyacen al desarrollo de las habilidades para la vida necesarias para una vida saludable,…”

The Barriers of Systemic Lupus Erythematosus that Affect Self-Efficacy for Physical Activity

“…Exercise can help reduce the risk of mortality due to the disease itself and / or the associated comorbidities. According to both the World Health Organization (WHO) and Physical Activity Guidelines for Americans, adults with chronic conditions have the same recommendations as those without, which is 150 minutes a week of physical activity, with added caution of supervision by a provider (Molina et al 2021). The American Heart Association and American College of Sports Medicine recommend regular moderate-intensity physical activity as an efficient method for the prevention and complementary treatment of several diseases.…”