Hernández-Hernández María Vanesa, Díaz-González Federico
Servicio de Reumatología, Hospital Universitario de Canarias, La Laguna, Spain.
Servicio de Reumatología, Hospital Universitario de Canarias, La Laguna, Spain; Departamento de Medicina Interna, Facultad de Medicina, Universidad de La Laguna, La Laguna, Spain.
Reumatol Clin. 2017 Jul-Aug;13(4):214-220. doi: 10.1016/j.reuma.2016.04.003. Epub 2016 Jun 2.
Rheumatoid arthritis (RA) is a chronic inflammatory disease affecting diarthrodial joints, in which patients tend to perform less physical activity (PA) than recommended. This review focuses on the existing evidence about the relationship of PA and RA, specifically how the former influences joint inflammation, disability, quality of life and pain in RA patients, and also how disease activity potentially impacts PA in these patients.
A literature search of EMBASE and MEDLINE databases from January 2000 to January 2015.
The evidence indicating that PA in RA patients is safe and the benefits from regularly performing, both aerobic and resistance exercises, in these patients include improvement in: quality of life, functionality, pain and number of swollen joints. Interestingly, recent studies suggest that changes in disease activity in RA patients inversely correlate with variations in PA, as assessed by accelerometry.
The regular monitoring of PA in RA patients might facilitate a more objective evaluation of variations in disease activity, helping physicians to make general and therapeutic recommendations that will improve both the health status and the joint functionality of these patients.
类风湿关节炎(RA)是一种影响滑膜关节的慢性炎症性疾病,此类患者往往达不到推荐的体力活动(PA)水平。本综述聚焦于关于PA与RA关系的现有证据,特别是PA如何影响RA患者的关节炎症、残疾、生活质量和疼痛,以及疾病活动如何潜在影响这些患者的PA。
检索2000年1月至2015年1月期间的EMBASE和MEDLINE数据库。
有证据表明,RA患者进行PA是安全的,定期进行有氧运动和抗阻运动给这些患者带来的益处包括:生活质量、功能、疼痛及关节肿胀数量的改善。有趣的是,最近的研究表明,通过加速度计评估,RA患者疾病活动的变化与PA的变化呈负相关。
对RA患者的PA进行定期监测可能有助于更客观地评估疾病活动的变化,帮助医生做出全面的治疗建议,从而改善这些患者的健康状况和关节功能。