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Fatigue in systemic lupus erythematosus: a randomized controlled trial of exercise
Open accessAbstract
OBJECTIVE: To test the efficacy of a graded aerobic exercise programme in treating fatigue in systemic lupus erythematosus. METHODS: Ninety-three patients with systemic lupus erythematosus without active disease in any major organ were randomized, using a minimization protocol, to 12 weeks of graded exercise therapy, relaxation therapy or no intervention. RESULTS: Analysis by intention to treat showed that 16 of the 33 (49%) patients in the exercise group rated themselves as 'much' or 'very much' better compared with eight out of 29 (28%) in the relaxation group and five out of 32 (16%) in the control group (chi2=8.3, df=2, P=0.02). Fatigue improved significantly on one out of three measures after exercise therapy and there was a trend for fatigue to improve on all measures after exercise. CONCLUSION: These findings support the use of appropriately prescribed graded aerobic exercise in the management of patients with fatigue and systemic lupus erythematosus.
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Cites
The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research
Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989) · Psychiatry Research · doi:10.1016/0165-1781(89)90047-4 · Cited by 35,234
Development of a fatigue scale
Chalder, T., Berelowitz, G., Pawlikowska, T., Watts, L., Wessely, S., Wright, D., & Wallace, E. P. (1993) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(93)90081-p · Cited by 3,032 · cited 3×
“1 (very much better) 3 (9) 4 (14) 1 (3) 2 (much better) 13 (40) 4 (14) 4 (13) 3 (a little better) 5 ( 15 ) 4 (14) 3 (9) 4 (no change) 6 (18) 10 (36) 13 (41) 5 (a little worse) 4 (12) 4 (15) 10 (31) 6 (much worse) 2 (6) 2 (7) 1 (3) 7 (very much worse) 0 0 0 1052 C. M. Tench et al. C. M. Tench et al.”
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Cited by
Rahman, M. U. (2008) · Essentials of Physical Medicine and Rehabilitation · doi:10.1016/b978-1-4160-4007-1.50153-x · Cited by 1,019
D'Cruz, D. P., Khamashta, M. A., & Hughes, G. R. (2007) · The Lancet · doi:10.1016/s0140-6736(07)60279-7 · Cited by 992
Exercise as an anti-inflammatory therapy for rheumatic diseases—Myokine regulation
Benatti, F. B., & Pedersen, B. K. (2015) · Nature Reviews Rheumatology · doi:10.1038/nrrheum.2014.193 · Cited by 474
The Effect of Exercise Training on Anxiety Symptoms Among Patients: A Systematic Review
Herring, M. P. (2010) · Archives of Internal Medicine · doi:10.1001/archinternmed.2009.530 · Cited by 446
Chen, H.-Y., Chiang, C.-K., Wang, H.-H., Hung, K.-Y., Lee, Y.-J., Peng, Y.-S., Wu, K.-D., & Tsai, T.-J. (2008) · American Journal of Kidney Diseases · doi:10.1053/j.ajkd.2008.03.012 · Cited by 111
Metadata
- Authors
- Tench, C. M.
- Venue
- Rheumatology
- Publisher
- Oxford University Press (OUP)
- Published
- 2003-03-31
- Volume
- 42
- Issue
- 9
- Pages
- 1050-1054
- ISSN
- 0263-7103 (ISSN-L)
- 1460-2172
- OpenAlex
- W2101904342
- Cited by
- 200
- References
- 2
- FWCI
- 2.49
- Type
- journal article
- Language
- en
- Open access
- bronze
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