Abstract
Objectives
To examine the associations of non-bouted moderate-to-vigorous physical activity (MVPA)
and patterns of MVPA in bouts ≥10 minutes with pain, physical fatigue, and disease
severity in women with fibromyalgia, and test whether these associations are independent
of sedentary time (ST) and physical fitness (PF).
Design
Cross-sectional study carried out from November 2011 to January 2013.
Setting
University facilities and fibromyalgia associations.
Participants
Women with fibromyalgia (N=439; 51.3±7.6y).
Interventions
Not applicable.
Main Outcome Measures
ST and MVPA were measured with triaxial accelerometry, and PF with the Senior Fitness
test battery. We assessed pain, physical fatigue and disease severity with diverse
questionnaires.
Results
Total time in non-bouted MVPA only was independently associated with lower physical
fatigue (B=-0.012; P=.010) and disease severity (B=-0.068; P=.007) in women with fibromyalgia, regardless of PF but not of ST. Patterns of bouted
MVPA were overall associated with symptoms independently of ST or PF. The strongest
regressor was the maximum time in MVPA bout (min/bout), which was consistently and
independently associated with pain, physical fatigue and disease severity after controlling
for ST or PF (all, P≤.002). Patients meeting bouted physical activity guidelines displayed lower disease
severity than those not meeting guidelines (bouted or non-bouted) and those meeting
non-bouted physical activity guidelines (all, P≤.008).
Conclusions
Patterns of MVPA performed in bouts ≥10 minutes were overall consistently and independently
associated with core symptoms (pain and fatigue) in fibromyalgia and the overall disease
severity, regardless of ST or PF. The results suggest that longer bouts of continuous
MVPA are associated with better symptoms profile in this population, which needs to
be corroborated in longitudinal research.
Keywords
List of abbreviations:
ACR (American College of Rheumatology), FIQR (Revised Fibromyalgia Impact Questionnaire), MMSE (Mini Mental State Examination), MVPA (moderate-to-vigorous physical activity), PA (physical activity), PF (global physical fitness), ST (sedentary time)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: January 05, 2019
Footnotes
Supported by the Spanish Ministry of Economy and Competitiveness (I+D+i grant no. DEP2010-15639; I+D+i grant no. DEP2013-40908-R; grant no. BES-2014-067612), the Consejeria de Turismo, Comercio y Deporte (grant no. CTCD-201000019242-TRA), the Spanish Ministry of Education (grant no. FPU14/02518), Granada Research of Excellence Initiative on Biohealth, Campus BioTic, University of Granada, Spain and the European University of Madrid, Escuela de Estudios Universitarios Real Madrid (grant no. 2010/04RM).
Disclosures: none.
Identification
Copyright
© 2019 by the American Congress of Rehabilitation Medicine
