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  • Kucharski, DanielGothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för reumatologi och inflammationsforskning,Institute of Medicine, Department of Rheumatology and Inflammation Research,University of Gothenburg,Sahlgrenska universitetssjukhuset,Sahlgrenska University Hospital (author)

Moderate-to-high intensity exercise with person-centered guidance influences fatigue in older adults with rheumatoid arthritis

  • Article/chapterEnglish2019

Publisher, publication year, extent ...

  • 2019-07-20
  • Springer Science and Business Media LLC,2019

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  • LIBRIS-ID:oai:gup.ub.gu.se/283057
  • https://gup.ub.gu.se/publication/283057URI
  • https://doi.org/10.1007/s00296-019-04384-8DOI
  • https://research.chalmers.se/publication/511543URI

Supplementary language notes

  • Language:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • 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.

Subject headings and genre

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  • Lange, ElviraGothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering,Institute of Neuroscience and Physiology, Department of Health and Rehabilitation,University of Gothenburg(Swepub:gu)xlaelv (author)
  • Ross, Alastair,1976AgResearch,AgResearch Lincoln,Chalmers tekniska högskola,Chalmers University of Technology(Swepub:cth)alastair (author)
  • Svedlund, SaraGothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine,Sahlgrenska universitetssjukhuset,Sahlgrenska University Hospital,University of Gothenburg(Swepub:gu)xsveds (author)
  • Feldthusen, Caroline,1977Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för reumatologi och inflammationsforskning,Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering,Institute of Medicine, Department of Rheumatology and Inflammation Research,Institute of Neuroscience and Physiology, Department of Health and Rehabilitation,University of Gothenburg,Sahlgrenska universitetssjukhuset,Sahlgrenska University Hospital(Swepub:gu)xfelca (author)
  • Önnheim, KarinGothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för reumatologi och inflammationsforskning,Institute of Medicine, Department of Rheumatology and Inflammation Research,University of Gothenburg(Swepub:gu)xgrank (author)
  • Mannerkorpi, Kaisa,1955Gothenburg University,Göteborgs universitet,Centrum för personcentrerad vård vid Göteborgs universitet (GPCC),Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering,University of Gothenburg Centre for person-centred care (GPCC),Institute of Neuroscience and Physiology, Department of Health and Rehabilitation,Sahlgrenska universitetssjukhuset,Sahlgrenska University Hospital,University of Gothenburg(Swepub:gu)xmannk (author)
  • Gjertsson, Inger,1962Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för reumatologi och inflammationsforskning,Centrum för personcentrerad vård vid Göteborgs universitet (GPCC),Institute of Medicine, Department of Rheumatology and Inflammation Research,University of Gothenburg Centre for person-centred care (GPCC),University of Gothenburg,Sahlgrenska universitetssjukhuset,Sahlgrenska University Hospital(Swepub:gu)xgjein (author)
  • Göteborgs universitetInstitutionen för medicin, avdelningen för reumatologi och inflammationsforskning (creator_code:org_t)

Related titles

  • In:Rheumatology International: Springer Science and Business Media LLC39:9, s. 1585-15940172-81721437-160X

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