Department of Rehabilitation Sciences, KU Leuven, Leuven, Belgium.
University Psychiatric Centre KU Leuven, Kortenberg - Leuven, Belgium.
Disabil Rehabil. 2024 May;46(10):1921-1927. doi: 10.1080/09638288.2023.2214379. Epub 2023 May 21.
Sedentary behaviour is associated with pain, fatigue, and a more severe impact of the disease in fibromyalgia, independently of physical activity levels. Despite this knowledge, little attention has been attributed to estimate sedentary behaviour in this population. The aims of this meta-analysis were to: (a) establish the pooled mean time spent sedentary, (b) investigate moderators of sedentary levels, and (c) explore differences with age- and gender-matched general population controls in people with fibromyalgia (PwF).
Two independent authors searched major databases until 1 December 2022. A random effects meta-analysis was performed. The methodological quality of included studies was assessed with the Quality Assessment Tool for Observational Cohort and Cross-sectional Studies.
Across 7 cross-sectional studies of fair methodological quality, there were 1500 patients with fibromyalgia (age range = 43-53 years). PwF spent 545.6 min/day (95% CI = 523.7-567.5, < 0.001, = 3) engaging in sedentary behaviour. Self-reported questionnaires overestimate sedentary levels with 314.3 min/day (95% CI = 302.0-326.6, = 0.001, = 2). PwF spent 36.14 min/day (95% CI = 16.3-55.9, < 0.001) more in sedentary behaviour than general population controls.
PwF are more sedentary than the general population. The limited available data should however be considered with caution due to substantial heterogeneity.
久坐行为与疼痛、疲劳以及纤维肌痛患者疾病的严重程度增加有关，而与身体活动水平无关。尽管有了这些认识，但对于估计该人群的久坐行为，关注甚少。本荟萃分析的目的是：（a）确定久坐时间的平均值，（b）研究久坐水平的调节因素，（c）与年龄和性别匹配的一般人群对照相比，探索纤维肌痛患者（PwF）的差异。
两位独立作者检索了主要数据库，检索时间截至 2022 年 12 月 1 日。采用随机效应荟萃分析。使用观察性队列研究和横断面研究的质量评估工具评估纳入研究的方法学质量。
纳入的 7 项具有中等方法学质量的横断面研究中，共有 1500 名纤维肌痛患者（年龄范围 43-53 岁）。PwF 每天有 545.6 分钟（95%CI=523.7-567.5，<0.001，=3）用于久坐行为。自我报告的问卷高估了久坐水平，为 314.3 分钟/天（95%CI=302.0-326.6，=0.001，=2）。PwF 比一般人群对照每天多花 36.14 分钟（95%CI=16.3-55.9，<0.001）用于久坐行为。
PwF 比一般人群更久坐。然而，由于存在很大的异质性，应谨慎考虑目前有限的可用数据。
