Maintenance of exercise in women with fibromyalgia
Maintenance of exercise in women with fibromyalgia
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DOI：
10.1002/art.21470
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发表时间：
2005-10-15
期刊：
影响因子：
--
通讯作者：
Da Costa, D
中科院分区：
文献类型：
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作者：
Dobkin, PL;Abrahamowicz, M;Da Costa, D
Objective.确定纤维肌痛（FM）妇女维持运动的预测因素。在治疗期间和治疗后3个月，对随机分配到临床试验运动组的FM女性进行前瞻性研究。受试者每周完成运动日志，并通过邮政邮件返回数据。结果变量是有氧运动和伸展运动的持续时间。建立了两个独立的纵向数据多变量模型，并对治疗依从性和时间进行了调整。治疗前的特征（自我效能、疼痛、残疾、压力、运动障碍和益处、年龄）和治疗期间的变化（疼痛、残疾、压力、运动障碍和益处）被认为是运动维持的潜在预测因素。治疗后3个月，拉伸显著减少。基线时的高压力和治疗期间压力的增加与拉伸维持不良相关。基线残疾（用纤维肌痛影响问卷测量）、治疗期间运动障碍的增加以及治疗期间上身疼痛的增加与治疗后3个月内有氧运动的维持较差相关。FM妇女的运动计划的维持似乎取决于能够处理压力、疼痛、运动障碍和残疾。
Objective. To identify predictors of maintenance of exercise for women with fibromyalgia (FM).Methods. Women with FM who had been randomized to the exercise arm of a clinical trial were studied prospectively during and 3 months following treatment. Subjects completed exercise logs weekly and returned the data via postal mail. Outcome variables were duration of aerobic and stretching exercises. Two separate multivariate models for longitudinal data were built with adjustment for in-treatment adherence and time. Pretreatment characteristics (self efficacy, pain, disability, stress, exercise barriers and benefits, and age) and changes during treatment (pain, disability, stress, and exercise barriers and benefits) were considered potential predictors of exercise maintenance.Results. Stretching significantly decreased in the 3 months following treatment. High stress at baseline and increases in stress during treatment were associated with poor maintenance of stretching. Disability at baseline (measured with the Fibromyalgia Impact Questionnaire), an increase in barriers to exercise during treatment, and increases in upper-body pain during treatment were associated with worse maintenance of aerobic exercise in the 3 months following treatment.Conclusion. The maintenance of an exercise program in women with FM appears to be contingent on being able to deal with stress, pain, barriers to exercise, and disability.