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2018 EULAR recommendations for physical activity in people with inflammatory arthritis and osteoarthritis

2018 EULAR recommendations for physical activity in people with inflammatory arthritis and osteoarthritis
2018 EULAR recommendations for physical activity in people with inflammatory arthritis and osteoarthritis
Objective: Regular physical activity (PA) is increasingly promoted for people with rheumatic and musculoskeletal diseases as well as the general population. We evaluated if the public health recommendations for PA are applicable for people with inflammatory arthritis (iA; Rheumatoid Arthritis and Spondyloarthritis) and osteoarthritis (hip/knee OA) in order to develop evidence-based recommendations for advice and guidance on PA in clinical practice.

Methods: The EULAR standardised operating procedures for the development of recommendations were followed. A task force (TF) (including rheumatologists, other medical specialists and physicians, health professionals, patient-representatives, methodologists) from 16 countries met twice. In the first TF meeting, 13 research questions to support a systematic literature review (SLR) were identified and defined. In the second meeting, the SLR evidence was presented and discussed before the recommendations, research agenda and education agenda were formulated.

Results: The TF developed and agreed on four overarching principles and ten recommendations for PA in people with iA and OA. The mean level of agreement between the TF members ranged between 9.8 to 8.8. Given the evidence for its effectiveness, feasibility and safety, PA is advocated as integral part of standard care throughout the course of these diseases. Finally, the TF agreed on related research and education agendas.

Conclusion: Evidence and expert opinion inform these recommendations to provide guidance in the development, conduct and evaluation of PA-interventions and promotion in people with iA and OA. It is advised that these recommendations should be implemented considering individual needs and national health systems.
0003-4967
1251-1260
Osthoff, Anne-Kathrin Rausch
89bb061c-6471-4ea9-8bc5-ccd1fc55950e
Niedermann, Karin
a964c3f8-896e-4c6d-9150-7ad2e1ff031a
Braun, Jürgen
a793f8cd-fb28-4193-9c3d-f6876e96bbba
Adams, Joanna
6e38b8bb-9467-4585-86e4-14062b02bcba
Osthoff, Anne-Kathrin Rausch
89bb061c-6471-4ea9-8bc5-ccd1fc55950e
Niedermann, Karin
a964c3f8-896e-4c6d-9150-7ad2e1ff031a
Braun, Jürgen
a793f8cd-fb28-4193-9c3d-f6876e96bbba
Adams, Joanna
6e38b8bb-9467-4585-86e4-14062b02bcba

Osthoff, Anne-Kathrin Rausch, Niedermann, Karin, Braun, Jürgen and Adams, Joanna (2018) 2018 EULAR recommendations for physical activity in people with inflammatory arthritis and osteoarthritis. Annals of the Rheumatic Diseases, 77 (9), 1251-1260. (doi:10.1136/annrheumdis-2018-213585).

Record type: Article

Abstract

Objective: Regular physical activity (PA) is increasingly promoted for people with rheumatic and musculoskeletal diseases as well as the general population. We evaluated if the public health recommendations for PA are applicable for people with inflammatory arthritis (iA; Rheumatoid Arthritis and Spondyloarthritis) and osteoarthritis (hip/knee OA) in order to develop evidence-based recommendations for advice and guidance on PA in clinical practice.

Methods: The EULAR standardised operating procedures for the development of recommendations were followed. A task force (TF) (including rheumatologists, other medical specialists and physicians, health professionals, patient-representatives, methodologists) from 16 countries met twice. In the first TF meeting, 13 research questions to support a systematic literature review (SLR) were identified and defined. In the second meeting, the SLR evidence was presented and discussed before the recommendations, research agenda and education agenda were formulated.

Results: The TF developed and agreed on four overarching principles and ten recommendations for PA in people with iA and OA. The mean level of agreement between the TF members ranged between 9.8 to 8.8. Given the evidence for its effectiveness, feasibility and safety, PA is advocated as integral part of standard care throughout the course of these diseases. Finally, the TF agreed on related research and education agendas.

Conclusion: Evidence and expert opinion inform these recommendations to provide guidance in the development, conduct and evaluation of PA-interventions and promotion in people with iA and OA. It is advised that these recommendations should be implemented considering individual needs and national health systems.

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2018 EULAR recommendations for physical activity in people with inflammatory arthritis and osteoarthritis - Accepted Manuscript
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2018 EULAR recommendations: Figure_S1_Cochrane risk of bias assessment - Accepted Manuscript
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2018 EULAR recommendations: Table_S1_research questions - Accepted Manuscript
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More information

Accepted/In Press date: 16 June 2018
e-pub ahead of print date: 11 July 2018

Identifiers

Local EPrints ID: 421741
URI: http://eprints.soton.ac.uk/id/eprint/421741
ISSN: 0003-4967
PURE UUID: baf374f0-8644-4518-b48a-eb742df38892
ORCID for Joanna Adams: ORCID iD orcid.org/0000-0003-1765-7060

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Date deposited: 26 Jun 2018 16:30
Last modified: 26 Nov 2021 05:29

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Contributors

Author: Anne-Kathrin Rausch Osthoff
Author: Karin Niedermann
Author: Jürgen Braun
Author: Joanna Adams ORCID iD

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