Effects of lifestyle physical activity in adults with fibromyalgia: results at follow-up.
Effects of lifestyle physical activity in adults with fibromyalgia: results at follow-up.
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DOI：
10.1097/rhu.0b013e31820e7ea7
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发表时间：
2011-03
期刊：
影响因子：
--
通讯作者：
Clauw DJ
中科院分区：
文献类型：
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作者：
Fontaine KR;Conn L;Clauw DJ
在一项为期 12 周的随机对照试验中，研究了生活方式体力活动 (LPA) 对成人纤维肌痛患者症状和功能的影响，我们发现 LPA 参与者的平均每日步数增加了 54%，自我报告的功能提高了 18%，疼痛减轻了 35%。该研究的目的是评估 LPA 干预对结果的中期（6 个月）和长期（12 个月）影响。参与者在干预后 6 个月和 12 个月完成了体力活动、疼痛、纤维肌痛相关功能、疲劳、抑郁、压痛点数量、6 分钟步行测试以及感知改善的后续评估。在完成 12 周试验的 73 名参与者中，53 名 (73%) 完成了 6 个月和 12 个月的随访。尽管 LPA 参与者在每次随访中都报告了更大的感知改善，但他们在疼痛、体力活动、压痛、疲劳、抑郁或 6 分钟步行测试方面与对照组没有差异。 LPA 参与者的自我报告功能在随访中显着下降。尽管参与者在每次评估中都报告了更大的感知改善，但 12 周干预后发现的 LPA 对身体活动、功能和疼痛的有益影响并没有随着时间的推移而持续。这种累犯现象在几乎任何条件下的活动和锻炼研究中都可以看到，而可能防止这种情况发生的创新方法是未来研究的重点。
In a 12-week randomized controlled trial of the effects of lifestyle physical activity (LPA) on symptoms and function among adults with fibromyalgia, we found that LPA participants increased their average daily step count by 54%, improved their self-reported functioning by 18%, and reduced their pain by 35%. The objective of the study was to evaluate the intermediate (6 months) and long-term (12 months) effects of the LPA intervention on outcomes. Participants completed follow-up assessments of physical activity, pain, fibromyalgia-related function, fatigue, depression, number of tender points, 6-minute walk test, and perceived improvement at 6 and 12 months after intervention. Of the 73 participants who completed the 12-week trial, 53 (73%) completed both the 6- and 12-month follow-up. Although the LPA participants reported greater perceived improvement at each follow-up, they did not differ from controls on pain, physical activity, tenderness, fatigue, depression, or the 6-minute walk test. Self-reported functioning declined markedly at follow-up for the LPA participants. Although participants reported greater perceived improvement at each assessment, the beneficial effects of LPA on physical activity, function, and pain found after the 12-week intervention were not sustained over time. This recidivism is seen in studies of activity and exercise in nearly any condition, and innovative methods that may prevent this are a focus of future studies.