Effectiveness and safety of aerobic exercise for Rheumatoid Arthritis

CPD Team

Generally, aerobic exercise is beneficial and safe for Rheumatoid Arthritis patients.

Aerobic exercise has a certain alleviating effect on symptoms and has shown to improve functional ability, pain and aerobic capacity.

As a result, aerobic exercise should be encouraged, where possible, alongside traditional medical management of Rheumatoid Arthritis.

Context

The purpose of this meta-analysis was to evaluate the effectiveness and safety of aerobic exercise for rheumatoid arthritis patients.

Methods

  • Randomised controlled trials of the effectiveness and safety of aerobic exercise for rheumatoid arthritis were included.
    A total of 13 RCTs were included, including 967 rheumatoid arthritis patients.
    Meta-analyses were performed to investigate the effects of aerobic exercise on rheumatoid arthritis
    Aerobic exercise interventions were performed at 50–90% of maximal heart rate, including walking, cycling and jogging.

    Results

  • The meta-analysis results showed that aerobic exercise can improve functional ability.
  • There were statistically significant differences in:
    – Pain relief
    – Increased aerobic capacity
    – Improvements to the sit to stand test
  • However, there is no substantial evidence to prove that aerobic exercise significantly affects the disease activity itself.

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