Efficacy of home-based physical activity interventions in patients with autoimmune rheumatic diseases: A systematic review and meta-analysis |
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| Affiliation: | 2. Rheumatology Division, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil;1. Department of Medicine, Women''s College Research Institute, University of Toronto, 6307 - 76 Grenville Street, 6th Floor, Toronto, Ontario M5S 1B2, Canada;2. Université de Lorraine, EA 4360 APEMAC, Nancy, France;3. Institute of Bone & Joint Research, University of Sydney, Australia;4. Inserm CIC 1433 clinical epidemiology, CHRU, Université de Lorraine, Nancy, France;5. Department of Rheumatology, Royal North Shore Hospital, The University of Sydney, Inner West Psychology Sydney, Australia;6. Université de Lorraine, EA 4360 APEMAC, Metz, France;7. Department of Rheumatology, Campbelltown Hospital, Sydney, NSW, Australia;8. Faculty of Medicine, Dentistry and Health, University of Sheffield, United Kingdom;9. Centre for Health, Exercise and Sports Medicine, University of Melbourne, Australia;10. Department of Rheumatology – Hospital Ramon y Cajal, Spain;11. Department of Medicine, University of Jos, Nigeria;12. Department of family medicine and emergency medicine, Université Laval, Canada;13. OMERACT Patient Research Partner, Founder Dragon Claw Charity Ltd, Australia;14. Adelaide Medical School, The University of Adelaide, Australia;15. Université de Sousse, Faculté de Médecine de Sousse, Sousse 4000, Tunisia;16. Hôpital de Sidi Bouzid, Service de Médecine Interne, Sidi Bouzid 9100, Tunisia;17. Centre for Health, Exercise & Sports Medicine, Department of Physiotherapy, University of Melbourne, Australia;18. Department of Physical Therapy, University of Alberta, Canada;19. Department of Physical Therapy, University of British Columbia, Arthritis Research Canada, Canada;20. Patient research partner, Toronto, Canada;21. Centre for Health, Activity and Rehabilitation Research, School of Physiotherapy and Pain@Otago Research Theme, University of Otago, Dunedin, New Zealand;22. Department of Rheumatology, Faculty of Medicine, Suez Canal University, Egypt;23. Department of Rehabilitation Medicine, University of Medicine, Mandalay, Myanmar;24. Department of Rheumatology, Kolling Institute, Royal North Shore Hospital, The University of Sydney, Australia;25. National Advisory Unit on Rehabilitation in Rheumatology, Division of Rheumatology and Research, Diakonhjemmet Hospital, Oslo, Norway;26. Hospital for Sick Children, University of Toronto, Canada;27. Department of Rheumatology, Leiden University Medical Center, Leiden, Netherlands;28. Department of Rheumatology, Zuyderland Medical Center, Heerlen, Netherlands;29. Department of Physiotherapy, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal;30. Centre for Musculoskeletal Outcomes Research, Department of Surgical Sciences, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand;31. School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Canada;32. Department of Pediatrics, Faculty of Medicine, University of Ottawa, Canada;33. Children''s Hospital of Eastern Ontario Research Institute, Ottawa, Canada;34. Department of Physical Therapy, The University of British Columbia, Arthritis Research Canada, Canada;35. Department of Epidemiology and Preventive Medicine, Monash University, Australia;36. School of Epidemiology and Public Health, University of Ottawa, Canada;37. Division of Rheumatology, Allergy and Immunology, Department of Medicine, Thurston Arthritis Research Center, University of North Carolina, Chapel Hill;38. Patient research partner, Nancy, France;39. Secretariat, OMERACT, University of Ottawa, Ottawa, Ontario, Canada;1. Outcome Measures in Rheumatology (OMERACT), Toronto, Canada;2. Institute for Work & Health and Institute for Health Policy Management and Evaluation, University of Toronto, Toronto, Canada;3. Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds and NIHR Leeds Biomedical Research Centre, UK;4. OMERACT Patient Research Partner, Toronto, Canada;5. Faculty of Medicine, University of Ottawa, Ottawa, Canada;6. Ottawa Hospital Research Institute, School of Epidemiology and Public Health, University of Ottawa, Ottawa, Canada;7. Department of Medicine, University of Ottawa, Ottawa, Canada;8. Division of Rheumatology, Department of Medicine, Johns Hopkins University, 5200 Eastern Avenue MFL Center 4300, Baltimore, MD 21224, USA;9. Università Cattolica del Sacro Cuore, Rheumatology Department, Fondazione Policlinico Universitario Agostino Gemelli, IRCSS, Rome, Italy;10. Florance and Cope Professorial Department of Rheumatology, Royal North Shore Hospital and Institute of Bone and Joint Research, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia;11. Medicine Service, VA Medical Center, Department of Medicine at the School of Medicine, University of Alabama at Birmingham (UAB), Department of Epidemiology at the UAB School of Public Health, Birmingham, AL, USA;12. Division of Immunology/Rheumatology, Stanford University School of Medicine, Palo Alto, CA, USA;13. School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada;1. Division of Rheumatology, University of Chicago, Chicago, IL, United States;2. Division of Rheumatology and Clinical Immunology, University of Pittsburgh Medical Center, BST S 727, 3500 Terrace Street Pittsburgh, PA 15261, United States;3. Department of Pediatrics, Division of Pediatric Rheumatology, Duke University School of Medicine, Durham, NC, United States;4. Departments of Pediatrics & Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United States;5. Division of Rheumatology, Ann & Robert H. Lurie Children''s Hospital of Chicago, Chicago, IL, United States;6. Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, United States;1. Department of Rheumatology, Instituto de Rehabilitación Psicofísica, CABA, Argentina;2. Department of Rheumatology, Leiden University Medical Centre, Leiden and Department of Rheumatology, Zuyderland Medical Centre, Heerlen, the Netherlands;3. Department of Rheumatology, Instituto de Rehabilitación Psicofísica, CABA, Argentina;4. Department of Rheumatology, Instituto de Rehabilitación Psicofísica, Echeverría 955, CABA 1429, Argentina;1. Centre for Sport and Exercise Science, Sheffield Hallam University, Sheffield, UK;2. Rheumatology Department, Royal Hallamshire Hospital, Sheffield, UK |
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| Abstract: | IntroductionPhysical activity (PA) has been receiving increasing interest in recent years as an adjuvant therapy for autoimmune rheumatic disease (ARDs), but there is scarce information about the efficacy of home-based PA for patients with ARDs.ObjectiveTo perform a systematic review and meta-analysis on the efficacy of home-based physical activity (PA) interventions in improving health-related quality of life, functional capacity, pain, and disease activity in patients with ARDs.MethodsSearches were performed in PubMed, Web of Science, Scopus, Cochrane, CINAHL database and Sport Discus. Trials were considered eligible if they included a home-based physical activity intervention. The population included adults with autoimmune rheumatic diseases (e.g., rheumatoid arthritis, systemic lupus erythematosus, idiopathic inflammatory myopathies, systemic sclerosis and ankylosing spondylitis), comparisons included non-physical activity control or centre-based interventions (i.e., interventions performed on a specialized exercise centre) and the outcomes were quality of life, pain, functional capacity, disease activity and inflammation.ResultsHome-based physical activity improved quality of life (p<0.01; g = 0.69; IC95%, 0.61 to 1.07) and functional capacity (p = 0.04; g = - 0.51; IC95%, -0.86; -0.16), and reduced disease activity (p = 0.03; g = - 0.60; IC95%, -1.16; -0.04) and pain (p = 0.01; g = -1.62; IC95%, -2.94 to -0.31) compared to the non-physical activity control condition. Additionally, home-based physical activity interventions were as effective as centre-based interventions for all investigated outcomes.ConclusionHome-based PA is an efficacious strategy to improve disease control and aleviate symptoms in ARD. |
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