Inmaculada C Álvarez-Gallardo1,2, Fernando Estévez-López3, Xitlali C Torres-Aguilar4, Víctor Segura-Jiménez5,6, Milkana Borges-Cosic4, Alberto Soriano-Maldonado7,8, Daniel Camiletti-Moirón5,6, Inmaculada C García-Rodríguez4, Diego Munguía-Izquierdo9,10, Ángela Sierras-Robles11, Manuel Delgado-Fernández4, María J Girela-Rejón12. 1. Department of Physical Education, Faculty of Education Sciences, University of Cádiz, Avenida República Saharaui, s/n, 11519, Cádiz, Spain. inma.alvarez@uca.es. 2. Biomedical Research and Innovation Institute of Cádiz (INiBICA) Research Unit, Puerta del Mar University Hospital, University of Cádiz, Cadiz, Spain. inma.alvarez@uca.es. 3. Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC University Medical Center, Rotterdam, the Netherlands. 4. Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, Spain. 5. Department of Physical Education, Faculty of Education Sciences, University of Cádiz, Avenida República Saharaui, s/n, 11519, Cádiz, Spain. 6. Biomedical Research and Innovation Institute of Cádiz (INiBICA) Research Unit, Puerta del Mar University Hospital, University of Cádiz, Cadiz, Spain. 7. Department of Education, Faculty of Education Sciences, University of Almería, Almería, Spain. 8. SPORT Research Group (CTS-1024), CERNEP Research Center, University of Almería, Almería, Spain. 9. Physical Performance & Sports Research Center, Department of Sports and Computer Science, Section of Physical Education and Sports, Faculty of Sports Sciences, University Pablo de Olavide, Seville, Spain. 10. Biomedical Research Networking Center on Frailty and Healthy Aging, Madrid, Spain. 11. Department of Physical Education, Music, and Fine Arts, University of Huelva, Huelva, Spain. 12. Department of Didactic of Corporal Expression, Faculty of Education Sciences, University of Granada, Granada, Spain.
Abstract
INTRODUCTION/ OBJECTIVES: Reproductive labour refers to activities and tasks directed at caregiving and domestic roles, such as cleaning, cooking, and childcare. Productive labour refers to activities that involve economic remuneration. The aim of the present study was to analyse physical activity, sedentary behaviour, physical fitness, and cognitive performance in women with fibromyalgia who engaged, or did not engage, in productive work. METHOD: This cross-sectional study comprised 276 women with fibromyalgia from Andalusia (southern of Spain). Levels of physical activity (light, moderate, and vigorous) and sedentary behaviour were measured by an accelerometer. Physical fitness and cognitive performance were measured with a battery of performance-based tests. RESULTS: More hours/week of homemaker-related tasks were associated with higher time spend in light physical activity and lower sedentary behaviour (P < 0.001 and P < 0.05, respectively). Furthermore, in comparison with those who only engaged in reproductive labour, women with fibromyalgia who engaged in productive work showed lower levels of sedentary behaviour and higher levels of light and moderate physical activity, physical fitness (except muscular strength), and cognitive performance (all, P < 0.05). CONCLUSIONS: Altogether, our findings suggest that productive work is consistently related to better physical and cognitive functioning in women with fibromyalgia. If future research corroborates causality of our findings, then, to maintain women with fibromyalgia engaging in productive work may be strived for not only because of societal or economic reasons but also for better health. However, we should keep in mind that people with fibromyalgia have a chronic condition, and therefore, adaptations at the workplace are imperative.Key Points• Women with fibromyalgia, who spend more time in reproductive labour, have higher levels of light physical activity and lower sedentary behaviour; however, it is associated with poorer general health (as lower physical fitness or cognitive performance).• Household tasks are often seen as a responsibility associated with the gender roles that women with fibromyalgia perform, despite the feelings of incapacity they cause. Policies focused on reducing reproductive labour demands for fibromyalgia patients (i.e. social help on housework or childcare) might facilitate the inclusion of daily active behaviours.• People with fibromyalgia who engage in productive work seem to have better health outcomes than those who have not; however, we cannot forget that adaptations and flexibility at the workplace are imperative.
INTRODUCTION/ OBJECTIVES: Reproductive labour refers to activities and tasks directed at caregiving and domestic roles, such as cleaning, cooking, and childcare. Productive labour refers to activities that involve economic remuneration. The aim of the present study was to analyse physical activity, sedentary behaviour, physical fitness, and cognitive performance in women with fibromyalgia who engaged, or did not engage, in productive work. METHOD: This cross-sectional study comprised 276 women with fibromyalgia from Andalusia (southern of Spain). Levels of physical activity (light, moderate, and vigorous) and sedentary behaviour were measured by an accelerometer. Physical fitness and cognitive performance were measured with a battery of performance-based tests. RESULTS: More hours/week of homemaker-related tasks were associated with higher time spend in light physical activity and lower sedentary behaviour (P < 0.001 and P < 0.05, respectively). Furthermore, in comparison with those who only engaged in reproductive labour, women with fibromyalgia who engaged in productive work showed lower levels of sedentary behaviour and higher levels of light and moderate physical activity, physical fitness (except muscular strength), and cognitive performance (all, P < 0.05). CONCLUSIONS: Altogether, our findings suggest that productive work is consistently related to better physical and cognitive functioning in women with fibromyalgia. If future research corroborates causality of our findings, then, to maintain women with fibromyalgia engaging in productive work may be strived for not only because of societal or economic reasons but also for better health. However, we should keep in mind that people with fibromyalgia have a chronic condition, and therefore, adaptations at the workplace are imperative.Key Points• Women with fibromyalgia, who spend more time in reproductive labour, have higher levels of light physical activity and lower sedentary behaviour; however, it is associated with poorer general health (as lower physical fitness or cognitive performance).• Household tasks are often seen as a responsibility associated with the gender roles that women with fibromyalgia perform, despite the feelings of incapacity they cause. Policies focused on reducing reproductive labour demands for fibromyalgiapatients (i.e. social help on housework or childcare) might facilitate the inclusion of daily active behaviours.• People with fibromyalgia who engage in productive work seem to have better health outcomes than those who have not; however, we cannot forget that adaptations and flexibility at the workplace are imperative.
Authors: Víctor Segura-Jiménez; Inmaculada C Álvarez-Gallardo; Fernando Estévez-López; Alberto Soriano-Maldonado; Manuel Delgado-Fernández; Francisco B Ortega; Virginia A Aparicio; Ana Carbonell-Baeza; Jorge Mota; Pedro Silva; Jonatan R Ruiz Journal: Arthritis Rheumatol Date: 2015-11 Impact factor: 10.995
Authors: Víctor Segura-Jiménez; Fernando Estévez-López; Alberto Soriano-Maldonado; Inmaculada C Álvarez-Gallardo; Manuel Delgado-Fernández; Jonatan R Ruiz; Virginia A Aparicio Journal: Pain Res Manag Date: 2016-10-27 Impact factor: 3.037
Authors: Maria José Girela-Rejón; Blanca Gavilán-Carrera; Esther Aparicio-Ortega; Milkana Borges-Cosic; Inmaculada C García-Rodríguez; Manuel Delgado-Fernández; Fernando Estévez-López Journal: BMJ Open Date: 2020-04-28 Impact factor: 2.692