Efectos del ejercicio físico en personas con lupus eritematoso sistémicorevisión sistemática

  1. C. Ayán 1
  2. A. de Pedro-Múñez 1
  3. I. Martínez-Lemos 1
  1. 1 Facultad de CC. de la Educación y el Deporte, Universidad de Vigo, Pontevedra, España
Revue:
Semergen: revista española de medicina de familia

ISSN: 1138-3593

Année de publication: 2018

Número: 3

Pages: 192-206

Type: Article

DOI: 10.1016/J.SEMERG.2017.12.002 DIALNET GOOGLE SCHOLAR

D'autres publications dans: Semergen: revista española de medicina de familia

Objectifs de Développement Durable

Résumé

This systematic review was aimed at analysing the existing scientific evidence regarding the effects of physical exercise on the symptomatology, disease activity, and fitness level in a population with systemic lupus erythematosus. Following the PRISMA checklist, a search was carried out on PubMed, PEDro, and Sportdiscus databases. The PEDro and MINORS checklists were used in order to identify the methodological quality of the studies selected. A total of 14 studies were found, of which 10 were randomised controlled trials, and 4 were comparative studies. The performance of physical exercise led to significant improvements in fitness and fatigue. No adverse effects were registered. None of the studies found reported positive effects on the disease activity. The obtained results imply that the performance of physical exercise is safe for people with systemic lupus erythematosus, although its benefits are reduced mainly to improvements in their fitness and perceived level of fatigue.

Références bibliographiques

  • B.K. Pedersen, B. Saltin Exercise as medicine–evidence for prescribing exercise as therapy in 26 different chronic diseases Scand J Med Sci Sports., 25 Suppl 3 (2015), pp. 1-72 CrossRefView Record in ScopusGoogle Scholar
  • D. Nunan Doctors should be able to prescribe exercise like a drug BMJ., 353 (2016), p. i2468 CrossRefView Record in ScopusGoogle Scholar
  • H. Pareja-Galeano, N. Garatachea, A. Lucia Exercise as a polypill for chronic diseases Prog Mol Biol Transl., 135 (2015), pp. 497-526 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • Sociedad Española de Reumatología. Estudio EPISER: Prevalencia de las enfermedades reumáticas en la población española. Madrid: Merck Sharp & Done Ed; 2001. Google Scholar
  • A. Brito-Zerón, A. Sisó Almirall, B. Kostov, M. Martí Villalta, H. Gheitasi, S. Retamozo, et al. IF-82. El lupus eritematoso sistémico en atención primaria: prevalencia de la enfermedad e impacto de los factores de riesgo cardiovascular en un estudio de casos y controles Rev Clin Esp., 214 (Espec Congr) (2014), p. 78 View Record in ScopusGoogle Scholar
  • V. Golder, A. Hoi Systemic lupus erythematosus: An update Med J Aust., 206 (2017), pp. 215-220 CrossRefView Record in ScopusGoogle Scholar
  • C. Ayán, V. Martín Systemic lupus erythematosus and exercise Lupus., 16 (2007), pp. 5-9 CrossRefView Record in ScopusGoogle Scholar
  • J.N. Barnes, H. Tanaka Cardiovascular benefits of habitual exercise in systemic lupus erythematosus: A review Phys Sportsmed., 40 (2012), pp. 43-48 CrossRefGoogle Scholar
  • M.L. Wu, K.H. Yu, J.C. Tsai The effectiveness of exercise in adults with systemic lupus erythematosus: A systematic review and meta-analysis to guide evidence-based practice Worldviews Evid Based Nurs., 14 (2017), pp. 306-315 CrossRefView Record in ScopusGoogle Scholar
  • D. Moher, L. Shamseer, M. Clarke, D. Ghersi, A. Liberati, M. Peticrew, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) statement Syst Rev., 4 (2015), p. 1 View Record in ScopusGoogle Scholar
  • N.A. De Morton The PEDro scale is a valid measure of the methodological quality of clinical trials: A demographic study Aus J Physiother., 55 (2009), pp. 129-133 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • M. Paci, G. Matulli, M. Baccini, L. Rinaldi, S. Baldassi Reported quality of randomized controlled trials in neglect rehabilitation Neurol Sci., 31 (2010), pp. 159-163 CrossRefView Record in ScopusGoogle Scholar
  • K. Slim, D. Forestier, F. Kwiatkowski, Y. Panis, J. Chipponi Methodological index for non-randomized studies (MINORS): Development and validation of a new instrument ANZ J Surg., 73 (2003), pp. 712-716 View Record in ScopusGoogle Scholar
  • C. Boström, B. Elfving, B. Dupré, C. Opava, E. Lundberg, E. Jansson Effects of a one-year physical activity programme for women with systemic lupus erythematosus–a randomized controlled study Lupus., 25 (2016), pp. 602-616 CrossRefView Record in ScopusGoogle Scholar
  • M.I. Abrahão, A.B. Gomiero, M.S. Peccin, A.J. Grande, V.F.M. Trevisani Cardiovascular training vs. resistance training for improving quality of life and physical function in patients with systemic lupus erythematosus: A randomized controlled trial Scand J Rheumatol., 45 (2015), pp. 197-201 Google Scholar
  • R. Ramsey-Goldman, E. Schilling, D. Dunlop, C. Langman, P. Greenland, R. Thomas, et al. A pilot study on the effects of exercise in patients with systemic lupus erythematosus Arthritis Care Res., 13 (2000), pp. 262-269 View Record in ScopusGoogle Scholar
  • M. Tench, J. McCarthy, I. McCurdie, P. White, D. D’cruz Fatigue in systemic lupus erythematosus: A randomized controlled trial of exercise Rheumatology, 42 (2003), pp. 1050-1054 View Record in ScopusGoogle Scholar
  • R. Miossi, F. Benatti, A. Lúciade, F. Lima, E. Borba, D. Prado, et al. Using exercise training to counterbalance chronotropic incompetence and delayed heart rate recovery in systemic lupus erythematosus: A randomized trial Arthritis Care Res (Hoboken)., 64 (2012), pp. 1159-1166 View Record in ScopusGoogle Scholar
  • D. Prado, F. Benatti, A. de Sá-Pinto, A. Hayashi, B. Gualano, M. Pereira, et al. Exercise training in childhood-onset systemic lupus erythematosus: A controlled randomized trial Arthritis Res Ther., 15 (2013), p. R46 CrossRefView Record in ScopusGoogle Scholar
  • F. Benatti, R. Miossi, M. Passareli, E. Nakandakare, L. Perandini, F. Lima, et al. The effects of exercise on lipid profile in systemic lupus erythematosus and healthy individuals: A randomized trial Rheumatol Int., 35 (2015), pp. 61-69 CrossRefView Record in ScopusGoogle Scholar
  • L. Robb-Nicholson, L. Daltroy, H. Eaton, V. Gall, E. Wright, L. Hartley Effects of aerobic conditioning in lupus fatigue: A pilot study Br J Rheumatol., 28 (1989), pp. 500-505 CrossRefView Record in ScopusGoogle Scholar
  • L. Daltroy, C. Robb-Nicholson, M. Iversen, E. Wright, M. Liang Effectiveness of minimally supervised home aerobic training in patients with systemic rheumatic disease Br J Rheumatol., 34 (1995), pp. 1064-1069 CrossRefView Record in ScopusGoogle Scholar
  • M. Avaux, P. Hoellinger, S. Nieuwland-Husson, V. Fraselle, G. Depresseux, F. Houssiau Effects of two different exercise programs on chronic fatigue in lupus patients Acta Clin Belg., 71 (2016), pp. 403-406 CrossRefView Record in ScopusGoogle Scholar
  • E. Dos Reis-Neto, A. Silva, C. Monteiro, L. Camargo, E. Salto Supervised physical exercise improves endothelial function in patients with systemic lupus erythematosus Rheumatology., 52 (2013), pp. 2187-2195 View Record in ScopusGoogle Scholar
  • L. Perandini, D. Sales-de-Oliveira, S. Mello, N. Camara, F. Benatti, F. Limar, et al. Exercise training can attenuate the inflammatory milieu in women with systemic lupus erythematosus J Appl Physiol., 117 (2014), pp. 639-647 CrossRefView Record in ScopusGoogle Scholar
  • M. Carvalho, E. Sato, A. Tebexreni, R. Heidecher, S. Schenkman, T.L. Neto, et al. Effects of supervised cardiovascular training program on exercise tolerance, aerobic capacity, and quality of life in patients with systemic lupus erythematosus Arthritis Rheum, 53 (2005), pp. 838-844 CrossRefGoogle Scholar
  • G. Bogdanovic, L. Stojanovich, A. Djokovic, N. Stanisavljevic Physical activity program is helpful for improving quality of life in patients with systemic lupus erythematosus Tohoku J Exp Med., 237 (2015), pp. 193-199 CrossRefView Record in ScopusGoogle Scholar
  • L. Perandini, D. Sales-de-Oliveira, D. Almeida, H. Azevedo, C. Moreira-Filho, M. Cenedeze, et al. Effects of acute aerobic exercise on leukocyte inflammatory gene expression in systemic lupus erythematosus Exerc Immunol Rev., 22 (2016), pp. 64-81 View Record in ScopusGoogle Scholar
  • N. Allen, C. Sherrington, G. Suriyarachchi, S. Paul, J. Song, C.G. Canning Exercise and motor training in people with Parkinson's disease: A systematic review of participant characteristics, intervention delivery, retention rates, adherence, and adverse events in clinical trials Parkinsons Dis., 2012 (2012), p. 854328 View Record in ScopusGoogle Scholar
  • J. Bidonde, A. Jean Busch, B. Bath, S. Milosavljevic Exercise for adults with fibromyalgia: An umbrella systematic review with synthesis of best evidence Curr Rheumatol Rev., 10 (2014), pp. 45-79 CrossRefView Record in ScopusGoogle Scholar
  • H. Yuen, K. Holthaus, D. Kamen, D. Sword, H. Breland Using Wii Fit to reduce fatigue among African American women with systemic lupus erythematosus: A pilot study Lupus., 20 (2011), pp. 1293-1299 CrossRefView Record in ScopusGoogle Scholar
  • S. Balsamo, L. dos Santos-Neto Fatigue in systemic lupus erythematosus: An association with reduced physical fitness Autoimmun Rev., 10 (2011), pp. 514-518 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • A. Schmeding, M. Schneider Fatigue, health-related quality of life and other patient-reported outcomes in systemic lupus erythematosus Best Pract Res Clin Rheumatol., 27 (2013), pp. 363-375 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • M. Mahieu, G. Ahn, J. Chmiel, D. Dunlop, I. Helenowski, P. Semanik Fatigue, patient reported outcomes, and objective measurement of physical activity in systemic lupus erythematosus Lupus., 25 (2016), pp. 1190-1199 CrossRefView Record in ScopusGoogle Scholar
  • J. Higgins, S. Green Cochrane handbook for systematic reviews of interventions Wiley-Blackwell, Chichester England (2008) Google Scholar
  • T. O’Dwyer, L. Durcan, F. Wilson Exercise and physical activity in systemic lupus erythematosus: A systematic review with meta-analyses Semin Arthritis Rheum., 47 (2017), pp. 204-215 ArticleDownload PDFView Record in ScopusGoogle Scholar
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