4.2 Article

Does physical exercise improve quality of life in patients with fibromyalgia?

Journal

IRISH JOURNAL OF MEDICAL SCIENCE
Volume 189, Issue 1, Pages 341-347

Publisher

SPRINGER LONDON LTD
DOI: 10.1007/s11845-019-02038-z

Keywords

Exercise; General health; Rheumatic diseases; Sleep quality

Funding

  1. Fundação de Apoio ao Ensino, Pesquisa e Assistência do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo () [2442-2011/12] Funding Source: Medline

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BackgroundTo compare patients with active and inactive fibromyalgia to better understand the impact of physical inactivity on quality of life and symptoms in these patients.MethodsA total of 304 patients were eligible for the study, 20 were excluded for reasons of health, work, or unavailability to perform the collection. Data were collected to assess sociodemographic and clinical characteristics, physical exercise, sleep, and quality of life. Patients were classified as active (performed physical exercise) or inactive (did not perform physical exercise). Sleep was assessed using the Pittsburgh Sleep Quality Index and quality of life was assessed using the Fibromyalgia Impact Questionnaire.ResultsOf the 284 final participants, 97.9% were women, with a mean age of 50.3910.31 years. Most did not exercise regularly and did not work, and most used antidepressant drugs and muscle relaxants. Patients who exercised regularly had a better overall quality of life than those who did not; moreover, inactive patients had a 1.77-fold likelihood of a greater impact on quality of life, and those with poor sleep quality had a 10.79-fold likelihood.Conclusionsp id=ParOur results reinforce the understanding that exercise can reduce symptoms of fibromyalgia and suggests that patients who practice physical exercise have a better quality of life, with fewer depressive symptoms and absences from work, and better sense of well-being.

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