Dobkin Patricia L, Abrahamowicz Michal, Fitzcharles Mary-Ann, Dritsa Maria, da Costa Deborah
The McGill University Health Centre, McGill University, Montreal, Quebec, Canada.
Arthritis Rheum. 2005 Oct 15;53(5):724-31. doi: 10.1002/art.21470.
To identify predictors of maintenance of exercise for women with fibromyalgia (FM).
Women with FM who had been randomized to the exercise arm of a clinical trial were studied prospectively during and 3 months following treatment. Subjects completed exercise logs weekly and returned the data via postal mail. Outcome variables were duration of aerobic and stretching exercises. Two separate multivariate models for longitudinal data were built with adjustment for in-treatment adherence and time. Pretreatment characteristics (self efficacy, pain, disability, stress, exercise barriers and benefits, and age) and changes during treatment (pain, disability, stress, and exercise barriers and benefits) were considered potential predictors of exercise maintenance.
Stretching significantly decreased in the 3 months following treatment. High stress at baseline and increases in stress during treatment were associated with poor maintenance of stretching. Disability at baseline (measured with the Fibromyalgia Impact Questionnaire), an increase in barriers to exercise during treatment, and increases in upper-body pain during treatment were associated with worse maintenance of aerobic exercise in the 3 months following treatment.
The maintenance of an exercise program in women with FM appears to be contingent on being able to deal with stress, pain, barriers to exercise, and disability.
确定纤维肌痛（FM）女性运动维持的预测因素。
对随机分配到一项临床试验运动组的FM女性进行前瞻性研究，研究时间为治疗期间及治疗后3个月。受试者每周完成运动日志，并通过邮寄方式返回数据。结果变量为有氧运动和伸展运动的时长。建立了两个针对纵向数据的独立多变量模型，并对治疗期间的依从性和时间进行了调整。治疗前特征（自我效能、疼痛、残疾、压力、运动障碍和益处以及年龄）和治疗期间的变化（疼痛、残疾、压力以及运动障碍和益处）被视为运动维持的潜在预测因素。
治疗后3个月，伸展运动显著减少。基线时的高压力以及治疗期间压力增加与伸展运动维持不佳有关。基线时的残疾（用纤维肌痛影响问卷测量）、治疗期间运动障碍增加以及治疗期间上身疼痛增加与治疗后3个月有氧运动维持较差有关。
FM女性运动计划的维持似乎取决于能否应对压力、疼痛、运动障碍和残疾。
