Moderate-to-high intensity exercise with person-centered guidance influences fatigue in older adults with rheumatoid arthritis
Artikel i vetenskaplig tidskrift, 2019

Fatigue is described as a dominant and disturbing symptom of rheumatoid arthritis (RA) regardless of the advances in pharmacological treatment. Fatigue is also found to correlate with depression. The objective was to evaluate the impact of moderate-to-high intensity, aerobic and resistance exercise with person-centered guidance on fatigue, anxiety and depression, in older adults with RA. Comparisons were made between older adults (> 65 years) with RA taking part in a 20-week moderate-to-high intensity exercise at a gym (n = 36) or in home-based exercise of light intensity (n = 38). Assessments were performed at baseline, at 20 weeks, and at 52 weeks. Outcomes were differences in Multidimensional Fatigue Inventory (MFI-20), Visual Analog Scale Fatigue (VAS fatigue), and Hospital Anxiety and Depression Scale (HADS). Analysis of metabolomics was also performed. The subscales “physical fatigue” and “mental fatigue” in MFI-20 and symptoms of depression using HADS depression scale improved significantly at week 20 in the exercise group compared with the control group. Exercise did not influence global fatigue rated by VAS or subscales “reduced motivation”, “reduced activity” and “general fatigue” in MFI-20. No significant change was found on the anxiety index of HADS. The improvements in physical fatigue were associated with changes in the metabolism of lipids, bile acids, the urea cycle and several sugars. Moderate-to-high intensity exercise with person-centered guidance decreased fatigue and improved symptoms of depression and were accompanied by metabolic changes in older adults with RA.

Patient-centered

Arthritis

Metabolomics

Depression

Anxiety

Fatigue

Rheumatoid

Exercise

Författare

Daniel Kucharski

Sahlgrenska universitetssjukhuset

Sahlgrenska akademin

Elvira Lange

Sahlgrenska akademin

Göteborgs universitet

Alastair Ross

Chalmers, Biologi och bioteknik, Livsmedelsvetenskap

AgResearch Lincoln Research Centre

Sara Svedlund

Sahlgrenska universitetssjukhuset

Sahlgrenska akademin

Caroline Feldthusen

Sahlgrenska akademin

Sahlgrenska universitetssjukhuset

Göteborgs universitet

Karin Önnheim

Sahlgrenska akademin

Kaisa Mannerkorpi

Sahlgrenska akademin

Göteborgs universitet

Sahlgrenska universitetssjukhuset

Inger Gjertsson

Sahlgrenska universitetssjukhuset

Sahlgrenska akademin

Göteborgs universitet

Rheumatology International

0172-8172 (ISSN) 1437-160X (eISSN)

Vol. 39 9 1585-1594

Ämneskategorier

Geriatrik

Sjukgymnastik

Gerontologi, medicinsk/hälsovetenskaplig inriktning

DOI

10.1007/s00296-019-04384-8

Mer information

Senast uppdaterat

2019-11-07