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Publikationstyp: Beitrag in wissenschaftlicher Zeitschrift
Art der Begutachtung: Peer review (Publikation)
Titel: Effects of exercise and physical activity promotion : meta-analysis informing the 2018 EULAR recommendations for physical activity in people with rheumatoid arthritis, spondyloarthritis and hip/knee osteoarthritis
Autor/-in: Rausch Osthoff, Anne-Kathrin
Juhl, Carsten Bogh
Knittle, Keegan
Dagfinrud, Hanne
Hurkmans, Emalie
Braun, Juergen
Schoones, Jan
Vliet Vlieland, Theodora P. M.
Niedermann, Karin
DOI: 10.21256/zhaw-4962
10.1136/rmdopen-2018-000713
Erschienen in: RMD Open
Band(Heft): 4
Heft: e000713
Erscheinungsdatum: 2018
Verlag / Hrsg. Institution: BMJ Publishing Group
ISSN: 2056-5933
Sprache: Englisch
Schlagwörter: Rheumatoid Arthritis; Spondyloarthritis; Osteoarthritis; Exercise; Physical activity
Fachgebiet (DDC): 615.82: Physiotherapie
616.7: Krankheiten des Bewegungsapparates und Orthopädie
Zusammenfassung: Objective: To evaluate the effectiveness of exercise and physical activity (PA) promotion on cardiovascular fitness, muscle strength, flexibility, neuromotor performance (eg, balance) and daily PA in people with rheumatoid arthritis (RA), spondyloarthritis (SpA) and hip/knee osteoarthritis (HOA/KOA). Methods: systematic review (SR) and meta-analysis (MA) were performed searching the databases PubMed/Medline, CENTRAL, Embase, Web of Science, Emcare and PsycInfo until April 2017. We included randomised controlled trials (RCTs) in adults (≥18 years) with RA, SpA and HOA/KOA, investigating the effects of exercise or PA promotion according to the public health PA recommendations by the American College of Sports Medicine. The time point of interest was the first assessment after the intervention period. If suitable, data were pooled in a MA using a random-effects model presented as standardised mean difference (SMD). Results: The SR included 63 RCTs, of which 49 (3909 people with RA/SpA/HOA/KOA) were included in the MA. Moderate effects were found of aerobic exercises and resistance training on cardiovascular fitness (SMD 0.56 (95% CI 0.38 to 0.75)) and muscle strength (SMD 0.54 (95% CI 0.35 to 0.72)), respectively, but no effect of combined strength/aerobic/flexibility exercises on flexibility (SMD 0.12 (95% CI -0.16 to 0.41)). PA promotion interventions produced a small increase in PA behaviour (SMD 0.21 (95% CI 0.03 to 0.38)). Conclusion: Exercises and PA promotion according to public health recommendations for PA improved cardiovascular fitness, muscle strength and PA behaviour, with moderate effect sizes in people with SpA, RA and HOA/KOA.
URI: https://digitalcollection.zhaw.ch/handle/11475/14256
Volltext Version: Publizierte Version
Lizenz (gemäss Verlagsvertrag): CC BY-NC 4.0: Namensnennung - Nicht kommerziell 4.0 International
Departement: Gesundheit
Organisationseinheit: Institut für Physiotherapie (IPT)
Enthalten in den Sammlungen:Publikationen Gesundheit

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