Are persons with rheumatoid arthritis deconditioned A review of physical activity and aerobic capacityReport as inadecuate




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BMC Musculoskeletal Disorders

, 13:202

First Online: 18 October 2012Received: 29 November 2011Accepted: 10 October 2012

Abstract

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 10 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.

KeywordsRheumatoid arthritis Cardiovascular disease Physical activity Aerobic capacity Healthy controls Electronic supplementary materialThe online version of this article doi:10.1186-1471-2474-13-202 contains supplementary material, which is available to authorized users.

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Author: Tjerk Munsterman - Tim Takken - Harriet Wittink

Source: https://link.springer.com/







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