Andrade Alexandro, Dominski Fábio Hech, Sieczkowska Sofia Mendes
Laboratory of Sport and Exercise Psychology (Lape) of College of Health and Sport Science (CEFID) of the Santa Catarina State University (Udesc), Pascoal Simone, 358, Coqueiros, Florianópolis, SC, Brazil.
Laboratory of Sport and Exercise Psychology (Lape) of College of Health and Sport Science (CEFID) of the Santa Catarina State University (Udesc), Pascoal Simone, 358, Coqueiros, Florianópolis, SC, Brazil; Univille University, Paulo Malschitzki, 10 - Zona Industrial Norte, Joinville, SC, Brazil.
Semin Arthritis Rheum. 2020 Dec;50(6):1465-1480. doi: 10.1016/j.semarthrit.2020.02.003. Epub 2020 Feb 14.
We aimed to analyze the evidence on the effects of physical exercise in patients with fibromyalgia (FM) and to assess the characteristics of published studies, especially the quality of the evidence, through an umbrella review. This umbrella review followed the PRISMA guidelines and was documented in the PROSPERO registry (CRD42017075687). We searched the PubMed, Web of Science, SportDiscus, Scopus, Cinahl, and Cochrane Library databases. The methodological quality of systematic reviews was assessed using AMSTAR 2. We only selected systematic reviews (with or without meta-analyses) investigating the effects of any type of physical exercise in patients with FM syndrome. Thirty-seven systematic reviews (total = 477) fulfilled the criteria. Most studies were rated as being of low or moderate quality. A variety of exercises were used as treatment for FM symptoms, with positive results. Most of the reviews investigated the effects of aerobic exercise and strength training. No serious adverse events were reported. The largest effects of exercise were seen in terms of improved pain intensity and quality of life. Altogether, exercise may be an effective treatment for FM symptoms. Thus, aerobic exercise and strength training are effective programs for the treatment of FM. By summarizing the findings and effect sizes of the reviewed studies, we observed that the evidence for improvement of pain level and quality of life was the strongest. The results have potential to influence evidence-based practice. Future studies should analyze the long-term effects of exercise.
我们旨在通过一项系统综述分析体育锻炼对纤维肌痛（FM）患者影响的证据，并评估已发表研究的特征，尤其是证据质量。该系统综述遵循PRISMA指南，并在PROSPERO注册库（CRD42017075687）中备案。我们检索了PubMed、科学网、SportDiscus、Scopus、Cinahl和Cochrane图书馆数据库。使用AMSTAR 2评估系统评价的方法学质量。我们仅选择调查任何类型体育锻炼对FM综合征患者影响的系统评价（无论是否有荟萃分析）。三十七项系统评价（共477项）符合标准。大多数研究被评为低质量或中等质量。多种运动被用作FM症状的治疗方法，并取得了积极效果。大多数综述研究了有氧运动和力量训练的效果。未报告严重不良事件。运动的最大效果体现在疼痛强度和生活质量的改善方面。总之，运动可能是治疗FM症状的有效方法。因此，有氧运动和力量训练是治疗FM的有效方案。通过总结所综述研究的结果和效应量，我们观察到疼痛水平和生活质量改善的证据最为有力。这些结果有可能影响循证实践。未来的研究应分析运动的长期影响。
