2018 EULAR recommendations for physical activity in people with inflammatory arthritis and osteoarthritis

被引：543

作者：

Osthoff, Anne-Kathrin Rausch ^{[1
,2
]}

Niedermann, Karin ^{[1
]}

Braun, Juergen ^{[3
,4
]}

Adams, Jo ^{[5
,6
]}

Brodin, Nina ^{[7
,8
]}

Dagfinrud, Hanne ^{[9
]}

Duruoz, Tuncay ^{[10
]}

Esbensen, Bente Appel ^{[11
,12
]}

Guenther, Klaus-Peter ^{[13
]}

Hurkmans, Emailie ^{[14
]}

Juhl, Carsten Bogh ^{[15
,16
]}

Kennedy, Norelee ^{[17
]}

Kiltz, Uta ^{[3
,4
]}

Knittle, Keegan ^{[18
]}

Nurmohamed, Michael ^{[19
]}

Pais, Sandra ^{[20
]}

Severijns, Guy ^{[21
]}

Swinnen, Thijs Willem ^{[22
,23
]}

Pitsillidou, Irene A. ^{[24
]}

Warburton, Louise ^{[25
]}

Yankov, Zhivko ^{[26
,27
]}

Vlieland, Theodora P. M. Vliet ^{[2
]}

机构：

[1] Zurich Univ Appl Sci, Inst Physiotherapy, Sch Hlth Profess, Winterthur, Switzerland

[2] Leiden Univ, Med Ctr, Dept Orthopaed Rehabil & Phys Therapy, Leiden, Netherlands

[3] Rheumazentrum Ruhrgebiet, Herne, Germany

[4] Ruhr Univ, Bochum, Germany

[5] Univ Southampton, Fac Hlth Sci, Southampton, Hants, England

[6] Univ Southampton, Arthrit Res UK Ctr Excellence Sport Exercise & Os, Southampton, Hants, England

[7] Danderyd Univ Hosp Corp, Dept Orthopaed, Stockholm, Sweden

[8] Karolinska Inst, Div Physiotherapy, Care Sci & Soc, Dept Neurol, Huddinge, Sweden

[9] Diakonhjemmet Hosp, Natl Advisory Unit Rehabil Rheumatol, Oslo, Norway

[10] Marmara Univ, Sch Med, Div Rheumatol, PMR Dept, Istanbul, Turkey

[11] Rigshosp, Ctr Head & Orthopaed, Ctr Rheumatol & Spine Dis, Copenhagen Ctr Arthrit Res, Glostrup, Denmark

[12] Univ Copenhagen, Fac Hlth & Med Sci, Dept Clin Med, Copenhagen, Denmark

[13] Tech Univ Dresden, Univ Med, Univ Ctr Orthopaed & Traumatol, Dresden, Germany

[14] ECORYS Nederland BV, Dept Social Affaire & Hlth, Rotterdam, Netherlands

[15] Univ Southern Denmark, Dept Sports Sci & Clin Biomech, Odense, Denmark

[16] Univ Copenhagen, Herlev & Gentofte Hosp, Dept Occupat & Phys Therapy, Copenhagen, Denmark

[17] Univ Limerick, Res Inst, Fac Educ & Hlth Sci & Hlth, Sch Allied Hlth, Limerick, Ireland

[18] Univ Helsinki, Fac Social Sci, Dept Social Psychol, Helsinki, Finland

[19] Vrije Univ Amsterdam Med Ctr, Amsterdam Rheumatol & Immunol Ctr, Dept Rheumatol, Amsterdam, Netherlands

[20] Univ Algarve, Ctr Biomed Res, Faro, Portugal

[21] ReumaNet, EULAR PARE Patient Res Partner, Leuven, Belgium

[22] Katholieke Univ Leuven, Skeletal Biol & Engn Res Ctr, Dept Dev & Regenerat, Leuven, Belgium

[23] Univ Hosp Leuven, Div Rheumatol, Leuven, Belgium

[24] Cyprus League Rheumatism, EULAR Patient Res Partner, Nicosia, Cyprus

[25] Keele Univ, Primary Hlth Care Sci, Keele, Staffs, England

[26] Bulgarian Ankylosing Spondylitis Patient Soc, PRP Patient Res Partner EULAR, Sofia, Bulgaria

[27] ASIF, London, England

来源：

ANNALS OF THE RHEUMATIC DISEASES | 2018年 / 77卷 / 09期

关键词：

HOME-BASED EXERCISE; QUALITY-OF-LIFE; RHEUMATOID-ARTHRITIS; KNEE OSTEOARTHRITIS; ANKYLOSING-SPONDYLITIS; HIP OSTEOARTHRITIS; AEROBIC EXERCISE; OLDER-ADULTS; RANDOMIZED-TRIAL; DISEASE-ACTIVITY;

D O I：

10.1136/annrheumdis-2018-213585

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Regular physical activity (PA) is increasingly promoted for people with rheumatic and musculoskeletal diseases as well as the general population. We evaluated if the public health recommendations for PA are applicable for people with inflammatory arthritis (iA; Rheumatoid Arthritis and Spondyloarthritis) and osteoarthritis (hip/knee OA) in order to develop evidence-based recommendations for advice and guidance on PA in clinical practice. The EULAR standardised operating procedures for the development of recommendations were followed. A task force (TF) (including rheumatologists, other medical specialists and physicians, health professionals, patient-representatives, methodologists) from 16 countries met twice. In the first TF meeting, 13 research questions to support a systematic literature review (SLR) were identified and defined. In the second meeting, the SLR evidence was presented and discussed before the recommendations, research agenda and education agenda were formulated. The TF developed and agreed on four overarching principles and 10 recommendations for PA in people with iA and OA. The mean level of agreement between the TF members ranged between 9.8 and 8.8. Given the evidence for its effectiveness, feasibility and safety, PA is advocated as integral part of standard care throughout the course of these diseases. Finally, the TF agreed on related research and education agendas. Evidence and expert opinion inform these recommendations to provide guidance in the development, conduct and evaluation of PA-interventions and promotion in people with iA and OA. It is advised that these recommendations should be implemented considering individual needs and national health systems.

引用

页码：1251 / 1260

页数：10

共 129 条

[31] How Are Behavioral Theories Used in Interventions to Promote Physical Activity in Rheumatoid Arthritis? A Systematic Review [J].