Sedentary time, physical activity, and sleep quality in fibromyalgia: The al‐Ándalus project

Borges-Cósic, Milkana; Aparicio, Virginia A.; Estévez‐López, Fernando; Soriano‐Maldonado, Alberto; Acosta‐Manzano, Pedro; Gavilán‐Carrera, Blanca; Fernández, Manuel Delgado; Geenen, Rinie; Segura‐Jiménez, Víctor

doi:10.1111/sms.13318

Cited by 35 publications

(25 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This could indicate that they continued to perform physical activity even after the intervention had finished. This is relevant because the replacement of 30 min of sedentary time with physical activity leads to improvement in health-related quality of life, FM impact [43], and quality of sleep [44]. Future studies should investigate the effects of long-term exergame interventions on the lifestyle of women with FM.…”

Section: Discussionmentioning

confidence: 99%

Effect of Exergame Training and Detraining on Lower-Body Strength, Agility, and Cardiorespiratory Fitness in Women with Fibromyalgia: Single-Blinded Randomized Controlled Trial

Villafaina

Borrega-Mouquinho

Fuentes-García

et al. 2019

IJERPH

View full text Add to dashboard Cite

The aim of this study was to analyze the effects of a 24 week exergame intervention and 24 weeks of detraining on lower-limb strength, agility, and cardiorespiratory fitness in women with fibromyalgia (FM). It was performed as a single-blinded randomized controlled trial of 55 women with FM. University facilities were used. The 24 week exergame intervention was focused on mobility, postural control, upper- and lower-limb coordination, aerobic fitness, and strength. Participants performed 120 min of exergaming per week, which was divided into two sessions. Twenty-four weeks after the end of the intervention, participants were re-evaluated. A chair–stand test, 10 step stair test, and six-minute walk test were conducted to assess lower-body strength, agility, and cardiorespiratory fitness, respectively. The exergame intervention significantly improved lower-limb strength and cardiorespiratory fitness. However, no significant effects on agility were observed. After the detraining period, lower-limb strength and agility returned to their baseline level, but improvements in cardiorespiratory fitness were sustained over time. Exergaming was therefore shown to be beneficial for physical fitness in people with FM. However, exergames had to be played regularly to maintain the benefits. This long-term intervention (24 weeks) may have changed the lifestyle of women with FM, which could explain why cardiorespiratory fitness improvements remained after the detraining period. Future research should focus on lifestyle changes after long-term interventions.

show abstract

Section: Discussionmentioning

confidence: 99%

Effect of Exergame Training and Detraining on Lower-Body Strength, Agility, and Cardiorespiratory Fitness in Women with Fibromyalgia: Single-Blinded Randomized Controlled Trial

Villafaina

Borrega-Mouquinho

Fuentes-García

et al. 2019

IJERPH

View full text Add to dashboard Cite

show abstract

“…To date, most of the previous research on ST and health in fibromyalgia has been limited to the study of total ST [7,29]. In addition, few studies have objectively characterized ST through accelerometry in these patients [18,30] and only one of them [18] reported the values of sustained ST (>1 hour).…”

Section: Comparison With Prior Workmentioning

confidence: 99%

“…Fibromyalgia patients, who tend to be highly sedentary, usually reduce their physical activity (PA) levels in order to avoid an aggravation of their symptomatology [2,3]. However, adopting this behavior might trigger a worsening of their condition [4][5][6][7][8]. Importantly, the risks of a sedentary lifestyle are present irrespective of the PA performed [9,10].…”

Section: Introductionmentioning

confidence: 99%

Patterns of Sedentary Time and Quality of Life in Women With Fibromyalgia: Cross-Sectional Study From the al-Ándalus Project (Preprint)

Gavilán‐Carrera¹,

Segura‐Jiménez²,

Acosta‐Manzano³

et al. 2019

Preprint

Self Cite

View full text Add to dashboard Cite

BACKGROUND Sedentary time (ST) has been associated with detrimental health outcomes in fibromyalgia. Previous evidence in the general population has shown that not only is the total amount of ST harmful but the pattern of accumulation of sedentary behaviors is also relevant to health, with prolonged unbroken periods (ie, bouts) being particularly harmful. OBJECTIVE To examine the association of the patterns of ST with health-related quality of life (HRQoL) in women with fibromyalgia and to test whether these associations are independent of moderate-to-vigorous physical activity (MVPA). METHODS A total of 407 women (mean 51.4 years of age [SD 7.6]) with fibromyalgia participated. ST and MVPA were measured with triaxial accelerometry. The percentage of ST accumulated in bouts and the frequency of sedentary bouts of different lengths (≥10 min, ≥20 min, ≥30 min, and ≥60 min) were obtained. Four groups combining total ST and sedentary bout duration (≥30 min) were created. We assessed HRQoL using the 36-item Short-Form Health Survey (SF-36). RESULTS A greater percentage of ST spent in all bout lengths was associated with worsened physical function, bodily pain, vitality, social function, and physical component summary (PCS) (all P<.05). In addition, a higher percentage of ST in bouts of 60 minutes or more was related to worsened physical role (P=.04). A higher frequency of bouts was negatively associated with physical function, social function, the PCS (≥30 min and ≥60 min), physical role (≥60 min), bodily pain (≥60 min), and vitality (≥20 min, ≥30 min, and ≥60 min) (all P<.05). Overall, for different domains of HRQoL, these associations were independent of MVPA for higher bout lengths. Patients with high total ST and high sedentary bout duration had significantly worsened physical function (mean difference 8.73 units, 95% CI 2.31-15.15; independent of MVPA), social function (mean difference 10.51 units, 95% CI 2.59-18.44; not independent of MVPA), and PCS (mean difference 2.71 units, 95% CI 0.36-5.06; not independent of MVPA) than those with low ST and low sedentary bout duration. CONCLUSIONS Greater ST in prolonged periods of any length and a higher frequency of ST bouts, especially in longer bout durations, are associated with worsened HRQoL in women with fibromyalgia. These associations were generally independent of MVPA.

show abstract

“…ST has been directly associated with higher risk incident of fibromyalgia [10], a complex multi-symptomatic and heterogeneous disease [11][12][13][14]. Furthermore, recent studies have shown that greater total ST is associated with worse symptoms and cardiovascular profile, and lower health-related quality of life in women with fibromyalgia [15][16][17][18][19][20]. However, little is known about the association of prolonged ST with symptoms in fibromyalgia.…”

Section: Introductionmentioning

confidence: 99%

Sedentary Time Accumulated in Bouts is Positively Associated with Disease Severity in Fibromyalgia: The Al-Ándalus Project

Segura‐Jiménez

Gavilán‐Carrera

Acosta‐Manzano

et al. 2020

JCM

Self Cite

View full text Add to dashboard Cite

To examine the associations of prolonged sedentary time (ST) with disease severity in women with fibromyalgia, and to analyse the combined association of total ST and prolonged ST with the disease severity in this population. Women (n = 451; 51.3 ± 7.6 years old) with fibromyalgia participated. Sedentary time and moderate-to-vigorous physical activity (MVPA) were measured using triaxial accelerometry and ST was processed into 30-and 60-min bouts. Dimensions of fibromyalgia (function, overall, symptoms) and the overall disease impact were assessed with the Revised Fibromyalgia Impact Questionnaire (FIQR). Body fat percentage was assessed using a bio-impedance analyser, and physical fitness was assessed with the Senior Fitness Tests Battery. Greater percentage of ST in 30-min bouts and 60-min bouts were associated with worse function, overall, symptoms and the overall impact of the disease (all, P < 0.05). Overall, these associations were statistically significant when additionally controlling for MVPA and overall physical fitness. Participants with low levels of total ST and prolonged ST (>60-min bouts) presented lower overall impact compared to participants with high levels of total ST and prolonged ST (mean difference = 6.56; 95% confidence interval (CI) = 1.83 to 11.29, P = 0.002). Greater percentage of ST accumulated in 30and 60-min bouts and a combination of high levels of total and prolonged ST are related to worse disease severity. Although unable to conclude on causality, results suggest it might be advisable to motivate women with fibromyalgia to break prolonged ST and reduce their total daily ST.

show abstract

Sedentary time, physical activity, and sleep quality in fibromyalgia: The al‐Ándalus project

Cited by 35 publications

References 39 publications

Effect of Exergame Training and Detraining on Lower-Body Strength, Agility, and Cardiorespiratory Fitness in Women with Fibromyalgia: Single-Blinded Randomized Controlled Trial

Effect of Exergame Training and Detraining on Lower-Body Strength, Agility, and Cardiorespiratory Fitness in Women with Fibromyalgia: Single-Blinded Randomized Controlled Trial

Patterns of Sedentary Time and Quality of Life in Women With Fibromyalgia: Cross-Sectional Study From the al-Ándalus Project (Preprint)

Sedentary Time Accumulated in Bouts is Positively Associated with Disease Severity in Fibromyalgia: The Al-Ándalus Project

Contact Info

Product

Resources

About