Physical activity, exercise and rheumatoid arthritis: Effectiveness, mechanisms and implementation
Physical activity, exercise and rheumatoid arthritis: Effectiveness, mechanisms and implementation
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DOI：
10.1016/j.berh.2019.03.013
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发表时间：
2018-10-01
影响因子：
5.2
通讯作者：
Kitas, George D.
中科院分区：
文献类型：
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作者：
Metsios, George S.;Kitas, George D.
类风湿性关节炎 (RA) 的特点是功能障碍、疼痛、疲劳和身体成分改变，这些改变可能进一步影响 RA 中出现的身体功能障碍。 RA 还与全身症状相关，最显着的是心血管疾病风险增加。有强有力的证据表明，增加体力活动和/或锻炼可以同时改善症状并减少 RA 全身表现的影响。然而，在常规临床实践中促进增加体力活动和/或锻炼的干预措施的实施进展缓慢，不仅因为患者特定和医疗保健专业人员相关的障碍，而且还缺乏相关的基础设施和设施。我们回顾了支持 RA 中体力活动和/或锻炼增加所产生的生理适应和有益影响的证据，并提出了一个促进 RA 患者长期参与的实施模型。我们建议，以风湿病医疗工作者为主导，以社会创新为支撑，以务实的方式实施。 (C) 2019 Elsevier Ltd. 保留所有权利。
Rheumatoid arthritis (RA) is characterised by functional disability, pain, fatigue and body composition alterations that can further impact on the physical dysfunction seen in RA. RA is also associated with systemic manifestations, most notably an increased risk for cardiovascular disease. There is strong evidence to suggest that increasing physical activity and/or exercise can simultaneously improve symptoms and reduce the impact of systemic manifestations in RA. However, implementation of interventions to facilitate increased physical activity and/or exercise within routine clinical practice is slow because of not only patient-specific and healthcare professional-related barriers but also lack of relevant infrastructure and provision. We review the evidence supporting the physiological adaptations and beneficial effects occurring as a result of increased physical activity and/or exercise in RA and propose an implementation model for facilitating the long-term engagement of patients with RA. We propose that implementation should be led, in a pragmatic manner, by rheumatology healthcare practitioners and supported by social innovation. (C) 2019 Elsevier Ltd. All rights reserved.