Benefits of exercise in rheumatoid arthritis.
Benefits of exercise in rheumatoid arthritis.
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DOI：
10.4061/2011/681640
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发表时间：
2011-02-13
影响因子：
4.7
通讯作者：
Thom JM
中科院分区：
文献类型：
--
作者：
Cooney JK;Law RJ;Matschke V;Lemmey AB;Moore JP;Ahmad Y;Jones JG;Maddison P;Thom JM
本文旨在强调运动在类风湿性关节炎(RA)患者中的重要性，并展示适当设计的运动训练对这一人群具有的多种有益效果。类风湿关节炎是一种慢性、全身性、自身免疫性疾病，其特征是关节健康下降，包括关节疼痛和炎症、疲劳、心血管疾病发病率和进展增加，以及肌肉质量加速丧失，即“类风湿性恶病质”。这些因素导致功能受限、残疾、合并症和生活质量下降。针对RA患者的运动训练已被证明在逆转恶病质和显著改善功能方面有效，而不会加剧疾病活动，并可能降低心血管风险。因此，应鼓励所有类风湿关节炎患者将有氧运动和阻力运动训练作为常规护理的一部分。了解类风湿性关节炎患者和卫生专业人员对运动的看法是患者发起和坚持有效运动训练的关键。
This paper aims to highlight the importance of exercise in patients with rheumatoid arthritis (RA) and to demonstrate the multitude of beneficial effects that properly designed exercise training has in this population. RA is a chronic, systemic, autoimmune disease characterised by decrements to joint health including joint pain and inflammation, fatigue, increased incidence and progression of cardiovascular disease, and accelerated loss of muscle mass, that is, “rheumatoid cachexia”. These factors contribute to functional limitation, disability, comorbidities, and reduced quality of life. Exercise training for RA patients has been shown to be efficacious in reversing cachexia and substantially improving function without exacerbating disease activity and is likely to reduce cardiovascular risk. Thus, all RA patients should be encouraged to include aerobic and resistance exercise training as part of routine care. Understanding the perceptions of RA patients and health professionals to exercise is key to patients initiating and adhering to effective exercise training.