Efficacy of resistance exercises in rheumatoid arthritis: meta-analysis of randomized controlled trials

Baillet, Athan; Vaillant, Mathieu; Guinot, Michel; Juvin, R.; Gaudin, Philippe

doi:10.1093/rheumatology/ker330

Cited by 130 publications

(109 citation statements)

References 42 publications

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“…However, such drugs do not alleviate all symptoms, and their protection against the increased risk of cardiovascular disease seen in RA is unclear (3). To address these clinical problems, sufficient physical activity, including aerobic exercise and muscle strength training, is recommended (4,5). Health-enhancing physical activity (HEPA) is defined as a minimum of 150 weekly minutes of moderate or 75 weekly minutes of intense physical activity with the addition of muscle strength training twice a week (6,7).…”

Section: Introductionmentioning

confidence: 99%

Trajectories of Physical Activity Over Two Years in Persons With Rheumatoid Arthritis

Demmelmaier

Dufour

Nordgren

et al. 2016

Arthritis Care & Research

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Objective. To identify and describe different trajectories of physical activity over 2 years and to identify baseline predictors for each trajectory within a large cohort of people with rheumatoid arthritis (RA). Methods. The sample included 2,752 people ages 18-75 years and independent in daily living. Data on sociodemographic, disease-related, and psychosocial variables and physical activity (total weekly hours of vigorously/moderately intense activity and walking) were collected from registers and by questionnaires at baseline, and at 14 and 26 months. K-means cluster analysis was used to identify different physical activity trajectories. Multinomial logistic regression was used to identify predictors of trajectory membership. Results. Three trajectories were identified: 1 stable high (n 5 272; with an average of 25 hours of physical activity/week), 1 decreasing (n 5 564; changing from 22 to 8 hours), and 1 stable low (n 5 1,916; with an average of 3 hours). Predictors of the stable high trajectory versus the other 2 were male sex and already established physical activity at baseline. Predictors of the stable high trajectory versus decreasing trajectory were lower age and less social support for exercise, while predictors of stable high versus the stable low trajectory were less activity limitation and higher exercise self-efficacy. Conclusion. The results indicate that distinct trajectories of physical activity over 2 years in people with RA exist, and that stable, high physical activity is mainly predicted by male sex and already established physical activity at baseline. Additional predictors, amenable to change, include activity limitation, social support, and self-efficacy for exercise, suggesting a wide perspective on maintained physical activity in RA.

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Section: Introductionmentioning

confidence: 99%

Trajectories of Physical Activity Over Two Years in Persons With Rheumatoid Arthritis

Demmelmaier

Dufour

Nordgren

et al. 2016

Arthritis Care & Research

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“…A better understanding of pain mechanisms can limit catastrophic thoughts relating to pain, and combined psychological and pharmacological treatments can facilitate pain control. Cognitive therapy alone may be effective, and it does necessarily need to be combined with behavioural strategies [100,101]. RA patients with moderately active disease and restricted joint erosions may benefit from aerobic exercises and dynamic strength training.…”

Section: Non-pharmacological Treatment Of Ra-related Painmentioning

confidence: 99%

Pain in systemic inflammatory rheumatic diseases

Atzeni

Masala

Salaffi

et al. 2015

Best Practice & Research Clinical Rheumatology

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“…der Aufnahme und Aufrechterhaltung körperlicher Aktivität von hoher Relevanz [16,17]. Regelmäßige körperliche Aktivität ist auch bei Vorliegen entzünd-lich rheumatischer Erkrankungen wichtig, notwendig und hilfreich [1,2,3,12]. Um Nachhaltigkeit zu erzeugen, müssen die Betroffenen jedoch kontinuierlich zu einer positiven Verhaltensänderung motiviert werden.…”

Section: » Wesentliche Aufgabe Der Rheuma-liga Vor Ort Ist Das Beweguunclassified

Wie vermittelt die Deutsche Rheuma-Liga Gesundheitskompetenz?

Faubel

Cattelaens

2014

Z. Rheumatol.

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The German Association against Rheumatism and Arthritis considers the improvement of health literacy as one of their most important tasks. In local groups people with arthritis have the chance to exchange experiences and to benefit from consultation. Individual experiences are merged into a collective knowledge. Numerous printed media as well as information and exchange via the internet help to improve health literacy. Self-management courses and patient education courses are specific instruments to improve the competences of people with arthritis to manage their own condition. Through exercise programs, which are offered locally, the Association strives to improve self-efficacy regarding exercise. A survey of the members showed that the activities of the patient association are well accepted and valued. The empowered patient has more and more become a partner in the micro-level communication with their doctor. On the macro-level, patient representatives play an important role in the committees of the German self-administration of health insurance and physician organizations.

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Efficacy of resistance exercises in rheumatoid arthritis: meta-analysis of randomized controlled trials

Abstract: Resistance exercise in RA is safe, and the improvement in most outcomes was statistically significant and possibly clinically relevant for RA disability.

Cited by 130 publications

References 42 publications

Trajectories of Physical Activity Over Two Years in Persons With Rheumatoid Arthritis

Trajectories of Physical Activity Over Two Years in Persons With Rheumatoid Arthritis

Pain in systemic inflammatory rheumatic diseases

Wie vermittelt die Deutsche Rheuma-Liga Gesundheitskompetenz?

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