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dc.contributor.authorRausch Osthoff, Anne-Kathrin-
dc.contributor.authorJuhl, Carsten Bogh-
dc.contributor.authorKnittle, Keegan-
dc.contributor.authorDagfinrud, Hanne-
dc.contributor.authorHurkmans, Emalie-
dc.contributor.authorBraun, Juergen-
dc.contributor.authorSchoones, Jan-
dc.contributor.authorVliet Vlieland, Theodora P. M.-
dc.contributor.authorNiedermann, Karin-
dc.description.abstractObjective: 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.de_CH
dc.publisherBMJ Publishing Groupde_CH
dc.relation.ispartofRMD Opende_CH
dc.subjectRheumatoid Arthritisde_CH
dc.subjectPhysical activityde_CH
dc.subject.ddc615.82: Physiotherapiede_CH
dc.subject.ddc616.7: Krankheiten des Bewegungsapparates und Orthopädiede_CH
dc.titleEffects 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 osteoarthritisde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
zhaw.organisationalunitInstitut für Physiotherapie (IPT)de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
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