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Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: 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
Authors : 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
Published in : RMD Open
Volume(Issue) : 4
Issue : e000713
Issue Date: 2018
Publisher / Ed. Institution : BMJ Publishing Group
ISSN: 2056-5933
Language : English
Subjects : Rheumatoid Arthritis; Spondyloarthritis; Osteoarthritis; Exercise; Physical activity
Subject (DDC) : 615.82: Physical therapy
616.7: Diseases of musculoskeletal system and orthopaedics
Abstract: 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.
Fulltext version : Published version
License (according to publishing contract) : CC BY-NC 4.0: Attribution - Non commercial 4.0 International
Departement: Health Professions
Organisational Unit: Institute of Physiotherapy (IPT)
Appears in Collections:Publikationen Gesundheit

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