Víctor Segura-Jiménez1, Fernando Estévez-López2, José Castro-Piñero1, Inmaculada C Álvarez-Gallardo3, Alberto Soriano-Maldonado4, Milkana Borges-Cosic5, Manuel Delgado-Fernández5. 1. Department of Physical Education, Faculty of Education Sciences, University of Cádiz, Cádiz, Spain. 2. Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, Spain; Department of Psychology, Faculty of Social and Behavioural Sciences, Utrecht University, Utrecht, The Netherlands; Institute of Nursing and Health Research, School of Health Sciences, Ulster University, Northern Ireland. Electronic address: festevez@ugr.es. 3. Department of Physical Education, Faculty of Education Sciences, University of Cádiz, Cádiz, Spain; Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, Spain. 4. Department of Education, Faculty of Education Sciences, University of Almería, Almería, Spain; SPORT Research Group (CTS-1024), CERNEP Research Center, University of Almería, 04120 Almería, Spain. 5. Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, Spain.
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.
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.
Authors: Alexandra Braun; Dimitar Evdokimov; Johanna Frank; Paul Pauli; Nurcan Üçeyler; Claudia Sommer Journal: PLoS One Date: 2020-12-28 Impact factor: 3.240
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Authors: Víctor Segura-Jiménez; Blanca Gavilán-Carrera; Pedro Acosta-Manzano; Dane B Cook; Fernando Estévez-López; Manuel Delgado-Fernández Journal: J Clin Med Date: 2020-03-09 Impact factor: 4.241
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