Are persons with rheumatoid arthritis deconditioned? A review of physical activity and aerobic capacity

BMC Musculoskeletal Disorders

Research Article

Tjerk Munsterman¹  Harriet Wittink²  Tim Takken³ 

[1] Physical Therapy Center, Martini Hospital Groningen, P.O. Box 30033, 9700 RM, Groningen, The Netherlands;Research group Lifestyle and Health, Faculty of Health Care, Utrecht University of Applied Sciences, Bolognalaan 101, 3584 CJ, Utrecht, The Netherlands;School of Clinical Health Sciences, Department of Physical Therapy Science, Utrecht University, Utrecht, The Netherlands;Child Development & Exercise Center, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands;

关键词: Rheumatoid arthritis;    Cardiovascular disease;    Physical activity;    Aerobic capacity;    Healthy controls;   

DOI  :  10.1186/1471-2474-13-202

 received in 2011-11-29, accepted in 2012-10-10,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundAlthough the general assumption is that patients with rheumatoid arthritis (RA) have decreased levels of physical activity, no review has addressed whether this assumption is correct.MethodsOur objective was to systematically review the literature for physical activity levels and aerobic capacity (VO2max). in patients with (RA), compared to healthy controls and a reference population. Studies investigating physical activity, energy expenditure or aerobic capacity in patients with RA were included. Twelve studies met our inclusion criteria.ResultsIn one study that used doubly labeled water, the gold standard measure, physical activity energy expenditure of patients with RA was significantly decreased. Five studies examined aerobic capacity. Contradictory evidence was found that patients with RA have lower VO2max than controls, but when compared to normative values, patients scored below the 10th percentile. In general, it appears that patients with RA spend more time in light and moderate activities and less in vigorous activities than controls.ConclusionPatients with RA appear to have significantly decreased energy expenditure, very low aerobic capacity compared to normative values and spend less time in vigorous activities than controls.

【 授权许可】

Unknown   
© Munsterman et al.; licensee BioMed Central Ltd. 2012. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.