Recommendations for physical activity and exercise in persons living with Systemic Lupus Erythematosus (SLE): consensus by an international task forceService de rhumatologie, CHU d'Angers, Angers, France.
School of physiotherapy Boris Dolto, DUS2R, University of Paris Cité, Paris, France.
Departamento de Medicina, Universidad de Oriente, Ciudad Bolívar, Venezuela.
Treningsklinikken, Medical Rehabilitation Clinic, Trondheim, Norway.
School of Sport and Exercise Sciences, University of Kent, Canterbury, UK.
School of Kinesiology, University of Michigan, Ann Arbor, Michigan, USA.
Division of Allergy,Immunology and Rheumatology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan; School of Medicine, Tzu Chi University, Hualien, Taiwan.
Division of Rheumatology, Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada; Arthritis Research Canada, Vancouver, British Columbia, Canada.
Arthritis Research Canada, Vancouver, British Columbia, Canada; Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada.
Division of Rheumatology, Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
School of Medicine, Division of Clinical Immunology and Rheumatology, National Referral Centre for SLE and Related Disorders, University of Zagreb, Zagreb, Croatia; Department of Internal Medicine, University Hospital Centre Zagreb, Zagreb, Croatia.
University Center of Excellence on Nephrological, Rheumatological and Rare Diseases (ERK-net, ERN-Reconnect and RITA-ERN Member) including Nephrology and Dialysis Unit and Center of Immuno-Rheumatology and Rare Diseases (CMID), Coordinating Center of the Interregional Network for Rare Diseases of Piedmont and Aosta Valley (North-West Italy), San Giovanni Bosco Hub Hospital, ASL Città di Torino and Department of Clinical and Biological Sciences of the University of Turin, Turin, Italy.
Department of Medicine, Division of Rheumatology, Allergy & Immunology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA; Thurston Arthritis Research Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Department of Education, Faculty of Education Sciences, and SPORT Research Group (CTS-1024), CIBIS (Centro de Investigación para el Bienestar y la Inclusión Social) Research Center, University of Almería, Almería, Spain.
Grupo Peruano de Estudio de Enfermedades Autoinmunes Sistémicas, Universidad Cientifica del Sur, Lima Peru and Rheumatology Department, Hospital Guillermo Almenara Irigoyen - EsSalud, Lima, Peru.
Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK; National Institute for Health and Care Research (NIHR) Leeds Biomedical Research Centre, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Department of Rheumatology, National Reference Center for Rare Autoimmune Diseases (RESO), Hôpitaux Universitaires de Strasbourg, Strasbourg, France.
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2024 (English)In: RMD Open, E-ISSN 2056-5933, Vol. 10, no 2, article id e004171Article, review/survey (Refereed) Published
Abstract [en]
OBJECTIVE: This international task force aimed to provide healthcare professionals and persons living with systemic lupus erythematosus (SLE) with consensus-based recommendations for physical activity and exercise in SLE.
METHODS: Based on evidence from a systematic literature review and expert opinion, 3 overarching principles and 15 recommendations were agreed on by Delphi consensus.
RESULTS: The overarching principles highlight the importance of shared decision-making and the need to explain the benefits of physical activity to persons living with SLE and other healthcare providers. The 15 specific recommendations state that physical activity is generally recommended for all people with SLE, but in some instances, a medical evaluation may be needed to rule out contraindications. Pertaining to outdoor activity, photoprotection is necessary. Both aerobic and resistance training programmes are recommended, with a gradual increase in frequency and intensity, which should be adapted for each individual, and ideally supervised by qualified professionals.
CONCLUSION: In summary, the consensus reached by the international task force provides a valuable framework for the integration of physical activity and exercise into the management of SLE, offering a tailored evidence-based and eminence-based approach to enhance the well-being of individuals living with this challenging autoimmune condition.
Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2024. Vol. 10, no 2, article id e004171
Keywords [en]
Autoimmune diseases, lupus erythematosus, systemic, systemic lupus erythematosus
National Category
Clinical Medicine
Identifiers
URN: urn:nbn:se:oru:diva-113036DOI: 10.1136/rmdopen-2024-004171ISI: 001201881400023PubMedID: 38580348Scopus ID: 2-s2.0-85190357284OAI: oai:DiVA.org:oru-113036DiVA, id: diva2:1850014
Note
Funding agency:
Junta de Andalucia PIER-0223-2019
2024-04-092024-04-092025-02-18Bibliographically approved