A systematic review of the effects of dynamic exercise in rheumatoid arthritis

Cairns, Andrew; McVeigh, JG

doi:10.1007/s00296-009-1090-5

Cited by 69 publications

(54 citation statements)

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“…Thus, patients avoiding physical activity when having a flare may explain the association between disease activity and physical activity behavior. It is noteworthy that while inconsistency exists within observational studies of the association between disease activity and physical activity [7,[45][46][47], physical exercise interventions have shown no worsening on disease activity [48]. Furthermore, it is documented that patients with RA performing vigorous physical activity have lower joint pain [49], which support the effectiveness of physical exercise intervention trials in reducing pain in patients with RA [1,50].…”

Section: Discussionmentioning

confidence: 99%

Physical activity and the association with fatigue and sleep in Danish patients with rheumatoid arthritis

et al. 2015

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The aim of this study was to examine physical activity behavior in patients with rheumatoid arthritis and to identify potential correlates of regular physical activity including fatigue, sleep, pain, physical function and disease activity. A total of 443 patients were recruited from a rheumatology outpatient clinic and included in this cross-sectional study. Physical activity was assessed by a four-class questionnaire, in addition to the Physical Activity Scale. Other instruments included the Multidimensional Fatigue Inventory (MFI), the Pittsburgh Sleep Quality Index and the Health Assessment Questionnaire. Disease activity was obtained from a nationwide clinical database. Of the included patients, 80 % were female and mean age was 60 (range 21-88 years). Hereof, 22 % (n = 96) were regularly physically active, and 78 % (n = 349) were mainly sedentary or having a low level of physical activity. An inverse univariate association was found between moderate to vigorous physical activity, and fatigue (MFI mental, MFI activity, MFI physical and MFI general), sleep, diabetes, depression, pain, patient global assessment, HAQ and disease activity. The multivariate prediction model demonstrated that fatigue-related reduced activity and physical fatigue were selected in >95 % of the bootstrap samples with median odds ratio 0.89 (2.5-97.5 % quantiles: 0.78-1.00) and 0.91 (2.5-97.5 % quantiles: 0.81-0.97), respectively, while disease activity was selected in 82 % of the bootstrap samples with median odds ratio 0.90. Moderate to vigorous physical activity in patients with rheumatoid arthritis is associated with the absence of several RA-related factors with the most important correlates being reduced activity due to fatigue, physical fatigue and disease activity.

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Section: Discussionmentioning

confidence: 99%

Physical activity and the association with fatigue and sleep in Danish patients with rheumatoid arthritis

et al. 2015

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“…A data extraction template was developed, based on previous systematic reviews which examined exercise in RA [30,31]. Data extraction was conducted by the primary author (LL).…”

Section: Data Extractionmentioning

confidence: 99%

Behaviour change interventions to promote physical activity in rheumatoid arthritis: a systematic review

et al. 2015

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Research has shown that people who have rheumatoid arthritis (RA) do not usually participate in enough physical activity to obtain the benefits of optimal physical activity levels, including quality of life, aerobic fitness and disease-related characteristics. Behaviour change theory underpins the promotion of physical activity. The aim of this systematic review was to explore behaviour change interventions which targeted physical activity behaviour in people who have RA, focusing on the theory underpinning the interventions and the behaviour change techniques utilised using specific behaviour change taxonomy. An electronic database search was conducted via EBSCOhost, PubMed, Cochrane Central Register of Controlled Trials and Web of Science databases in August 2014, using Medical Subject Headings and keywords. A manual search of reference lists was also conducted. Randomised control trials which used behaviour change techniques and targeted physical activity behaviour in adults who have RA were included. Two reviewers independently screened studies for inclusion. Methodological quality was assessed using the Cochrane risk of bias tool. Five studies with 784 participants were included in the review. Methodological quality of the studies was mixed. The studies consisted of behaviour change interventions or combined practical physical activity and behaviour change interventions and utilised a large variety of behaviour change techniques. Four studies reported increased physical activity behaviour. All studies used subjective methods of assessing physical activity with only one study utilising an objective measure. There has been varied success of behaviour change interventions in promoting physical activity behaviour in people who have RA. Further studies are required to develop and implement the optimal behaviour change intervention in this population.

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“…[14][15][16][17][18][19][20] However; much less research has been conducted in the broader category of physical activity.…”

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confidence: 99%

Physical Activity in Rheumatoid Arthritis: A Systematic Review

Tierney

Fraser²,

Kennedy³

2012

Journal of Physical Activity and Health

117

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Background: Physical activity is associated with improved health outcomes in many populations. It is assumed that physical activity levels in the rheumatoid arthritis (RA) population may be reduced as a result of symptoms of the disease. The objective of this review is to establish the current evidence base for levels of physical activity in the RA population. Methods: A systematic review was performed of 7 databases (Emabase, MEDLINE, AMED, Biomedical Reference Collection Expanded, CINAHL, Nursing and Allied Health Collection, and SportsDiscus) up to February 2011 to examine the evidence in the area. Results: One hundred and thirty-six studies were identified through electronic searching. One hundred and six were excluded based on title and/or abstract analysis and a further 14 were excluded based on full text analysis. Sixteen studies meeting the criteria were deemed suitable for inclusion. The results of the included studies indicate that the level of physical activity may be lower among individuals with RA when compared with healthy controls or normative data. Conclusions: There are a number of methodological considerations at play within the studies reviewed which prohibits definitive conclusion on the physical activity levels of this population group. Given the known health benefits of physical activity, further research in this area appears indicated.

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A systematic review of the effects of dynamic exercise in rheumatoid arthritis

Abstract: Exercise is commonly used in the management of patients with rheumatoid arthritis

Cited by 69 publications

References 50 publications

Physical activity and the association with fatigue and sleep in Danish patients with rheumatoid arthritis

Physical activity and the association with fatigue and sleep in Danish patients with rheumatoid arthritis

Behaviour change interventions to promote physical activity in rheumatoid arthritis: a systematic review

Physical Activity in Rheumatoid Arthritis: A Systematic Review

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