Effects of exercise dosage on the treatment of fibromyalgia: A meta-analysis of randomised controlled trials.

IF 1.5 Q3 RHEUMATOLOGY Musculoskeletal Care Pub Date : 2024-09-01 DOI:10.1002/msc.1918

Guoweng Niu, Xiaozhu Zheng, Bigao Deng, Qianhong Yang, YongSheng Du

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Abstract

Background: Exercise intensity is a key component of an exercise prescription. This meta-analysis aimed to investigate the treatment effect of different exercise doses on fibromyalgia syndrome.

Methods: PubMed, Embase, Web of Science, and the Cochrane Library were searched from their inception until 29 December 2023. The studies were subjected to screening using a 2-phase approach by 2 independent reviewers. Reference lists of the included studies were manually searched. Two independent reviewers extracted information regarding the origin, characteristics of study participants, eligibility criteria, characteristics of interventions, outcome measures, and main results using a pre-defined template.

Results: This meta-analysis encompassed a total of 19 randomized controlled trials comprising 857 patients. Compared with the low compliance/uncertain group according to ACSM, the high compliance group showed better effectiveness in general condition improvement (SMD: -1.15 > -0.71), pain relief (SMD: -1.29 > -1.04), sleep quality enhancement (SMD: -1.66 > -1.08), and fatigue relief (SMD: -1.72 > -1.32). However, there was no difference in the improvement of mental health between the two groups (SMD: -0.93 > -0.92).

Conclusion: Compared to the ACSM group with compliance uncertainty (<70%), the high compliance group showed improvement in general conditions, pain, sleep quality, and fatigue. However, there was no difference in terms of mental health.

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运动剂量对纤维肌痛治疗的影响：随机对照试验的荟萃分析。

背景：运动强度是运动处方的关键组成部分。本荟萃分析旨在研究不同运动剂量对纤维肌痛综合征的治疗效果：方法：检索了 PubMed、Embase、Web of Science 和 Cochrane 图书馆从开始到 2023 年 12 月 29 日的所有研究。由两名独立审稿人分两个阶段对研究进行筛选。人工检索了纳入研究的参考文献列表。两位独立审稿人使用预先定义的模板提取了有关研究的来源、参与者特征、资格标准、干预措施特征、结果测量和主要结果等信息：这项荟萃分析共包括19项随机对照试验，共有857名患者参与。与 ACSM 低依从性/不确定组相比，高依从性组在改善一般状况（SMD：-1.15 > -0.71）、缓解疼痛（SMD：-1.29 >-1.04）、提高睡眠质量（SMD：-1.66 >-1.08）和缓解疲劳（SMD：-1.72 >-1.32）方面表现出更好的效果。然而，两组在改善心理健康方面没有差异（SMD：-0.93 > -0.92）：结论：与依从性不确定的 ACSM 组相比（SMD：-0.93 > -0.92

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来源期刊

Musculoskeletal Care RHEUMATOLOGY-

CiteScore

2.30

自引率

7.70%

发文量

期刊介绍： Musculoskeletal Care is a peer-reviewed journal for all health professionals committed to the clinical delivery of high quality care for people with musculoskeletal conditions and providing knowledge to support decision making by professionals, patients and policy makers. This journal publishes papers on original research, applied research, review articles and clinical guidelines. Regular topics include patient education, psychological and social impact, patient experiences of health care, clinical up dates and the effectiveness of therapy.