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The effect of aerobic exercise training on fatigue in rheumatoid arthritis: a meta-analysis.

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The effect of aerobic exercise training on fatigue in rheumatoid arthritis: a meta-analysis.


There is evidence with low risk of bias that an aerobic exercise program is effective in reducing fatigue among patients with RA. PubMed, Arthritis Care Res (Hoboken), 01/26/2015. (Also see: Treatments for Rheumatoid Arthritis)


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To substantiate the evidence, RCT's should be performed in patients with RA selected for having fatigue.


I note that the participants were not chosen on the basis that they were experiencing fatigue but I think the trial accounted for this in its calculations. Why not choose participants with fatigue when trying to establish the effects of exercise on fatigue rather than calculate out any bias?


I would also like to know HOW  did the participants perform aerobic exercise? If rheumatoid arthritis affects the joints with the movement of them causing pain, how did the participants exercise? Some people with RA end up wheelchair bound or have difficulty walking and standing. Am I to assume that these people were not used either, that rather fit and healthy people with RA were used to take part in the trial?


I ask because I am wheelchair dependant because of scleroderma and have just started working with a dietician and am soon to start with a trainer. I canNOT undertake aerobic exercise because I can't stand and neither can I swim because I could not get in and out of the pool for starters, the RA participants undertook land based exercise anyway. If it's possible to exercise aerobically even though you can't stand, I would LOVE to know how so I can do so and having raised my heart rate sufficiently, lose weight.


I don't get it I'm afraid. Personally, and it's just the opinion of a lay person with scleroderma, I fail to see the point of a trial about the effects of exercise on fatigue in RA that does NOT use participants with fatigue and neither does it explain how said participants managed to perform aerobic exercise. Am I to assume, as it happens I do, that the participants had what we'll call mild RA? We know they were not selected for having fatigue and they must have been fit and well enough to exercise.


If I have misunderstood the extract please correct me and feel free to explain it to me. No doubt it's just where I personally am at but I don't see the point of this abstract. That's not to say I don't thank Jo for taking the time to find it and put it on site. Thanks to Jo and of course Shelley we have a truly stellar news archive with the most current articles posted almost daily. Not sure many other sites can boast about that.


Take care.

Amanda Thorpe

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