Efficacy of home-based physical activity interventions in patients with autoimmune rheumatic diseases: A systematic review and meta-analysis

Autor(es)

Sieczkowska, Mendes ^{[1, 2, 3]} ; Smaira, Fabiana Infante ^{[1, 2, 3]} ; Mazzolani, Bruna Caruso ^{[1, 2, 3]} ; Gualano, Bruno ^{[1, 2, 3]} ; Roschel, Hamilton ^{[1, 2, 3]} ; Pecanha, Tiago ^{[1, 2, 3]}

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Div Rheumatol, Hosp Clin HCFMUSP, Fac Med, Sao Paulo - Brazil

^[2] Univ Sao Paulo, Appl Physiol & Nutr Res Grp, Sch Phys Educ & Sport, Rheumatol Div, Fac Med FMUSP, Ave Dr Arnaldo 455, BR-01246903 Sao Paulo, SP - Brazil

^[3] Univ Sao Paulo, Lab Assessment & Conditioning Rhematol, Fac Med FMUSP, Disciplina Reumatol, Ave Dr Arnaldo 455, BR-01246903 Sao Paulo, SP - Brazil

• Tipo de documento: Artigo de Revisão
• Fonte: SEMINARS IN ARTHRITIS AND RHEUMATISM; v. 51, n. 3, p. 576-587, JUN 2021.
• Citações Web of Science: 0

Resumo

Introduction: Physical activity (PA) has been receiving increasing interest in recent years as an adjuvant ther-apy for autoimmune rheumatic disease (ARDs), but there is scarce information about the efficacy of home-based PA for patients with ARDs. Objective: To 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. Methods: Searches 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 popula-tion included adults with autoimmune rheumatic diseases (e.g., rheumatoid arthritis, systemic lupus erythemato-sus, 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 exer-cise centre) and the outcomes were quality of life, pain, functional capacity, disease activity and inflammation. Results: Home-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. Conclusion: Home-based PA is an efficacious strategy to improve disease control and aleviate symptoms in ARD. (c) 2021 Elsevier Inc. All rights reserved. (AU)

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