Cooney Jennifer K, Law Rebecca-Jane, Matschke Verena, Lemmey Andrew B, Moore Jonathan P, Ahmad Yasmeen, Jones Jeremy G, Maddison Peter, Thom Jeanette M
School of Sport, Health and Exercise Sciences, Bangor University, George Building, Holyhead Road, Bangor, Gwynedd LL57 2PZ, UK.
J Aging Res. 2011 Feb 13;2011:681640. doi: 10.4061/2011/681640.
This paper aims to highlight the importance of exercise in patients with rheumatoid arthritis (RA) and to demonstrate the multitude of beneficial effects that properly designed exercise training has in this population. RA is a chronic, systemic, autoimmune disease characterised by decrements to joint health including joint pain and inflammation, fatigue, increased incidence and progression of cardiovascular disease, and accelerated loss of muscle mass, that is, "rheumatoid cachexia". These factors contribute to functional limitation, disability, comorbidities, and reduced quality of life. Exercise training for RA patients has been shown to be efficacious in reversing cachexia and substantially improving function without exacerbating disease activity and is likely to reduce cardiovascular risk. Thus, all RA patients should be encouraged to include aerobic and resistance exercise training as part of routine care. Understanding the perceptions of RA patients and health professionals to exercise is key to patients initiating and adhering to effective exercise training.
本文旨在强调运动在类风湿关节炎（RA）患者中的重要性，并展示合理设计的运动训练对该人群产生的诸多有益效果。RA是一种慢性、全身性自身免疫性疾病，其特征包括关节健康受损，如关节疼痛和炎症、疲劳、心血管疾病发病率和进展增加，以及肌肉量加速流失，即“类风湿性恶病质”。这些因素导致功能受限、残疾、合并症和生活质量下降。已证明，针对RA患者的运动训练在逆转恶病质和显著改善功能方面有效，且不会加剧疾病活动，还可能降低心血管风险。因此，应鼓励所有RA患者将有氧和抗阻运动训练纳入常规护理。了解RA患者和医护人员对运动的看法，是患者开始并坚持有效运动训练的关键。
