Activité physique au cours des rhumatismes inflammatoires

Patients with chronic inflammatory rheumatic diseases such as rheumatoid arthritis and spondyloarthritis display both dramatically low physical activity engagement and highly frequent sedentary behaviors which both negatively affects disease related outcomes measures and comorbidities. Physical activity has been shown to be safe in rheumatic disease. Besides, its positive effects on pain, function and health-related quality of life, physical activity has been shown to improve most of the canonical comorbidities in the general population (i.e. cardiovascular diseases, infections and cancer) but also chronic pain-related comorbidities such as fibromyalgia, anxiety or sleep disorders. This narrative review emphasizes the need for a global approach, taking into account both physical activity and sedentary behaviors to effectively implement long-term behavioral changes in patients with chronic inflammatory rheumatic diseases.