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A training program for fibromyalgia management: A 5-year pilot study.

Céline Bodéré1,2,3, Mathilde Cabon1, Alain Woda4

  • 1Laboratory Interactions Epitheliums Neurones (LIEN), Université de Bretagne Occidentale, Brest, France.

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|October 28, 2020
PubMed
Summary
This summary is machine-generated.

A 5-year cardio training program significantly improved fibromyalgia symptoms, including pain, anxiety, and depression. Adherence to moderate-to-high intensity exercise was key to enhancing quality of life and sleep quality in patients.

Keywords:
Fibromyalgiaautonomic nervous systempainphysical activitytraining sessions

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Area of Science:

  • Exercise Physiology
  • Rheumatology
  • Clinical Medicine

Background:

  • Fibromyalgia is a chronic condition characterized by widespread pain and fatigue.
  • Current management often involves a multidisciplinary approach, but effective long-term exercise interventions are still being explored.
  • Cardiovascular training's role in managing fibromyalgia symptoms requires further investigation.

Purpose of the Study:

  • To investigate the long-term effects of a 5-year cardiovascular training program on pain and quality of life in women with fibromyalgia.
  • To assess the impact of different exercise intensities and adherence levels on symptom management.

Main Methods:

  • An observational longitudinal pilot study involving 138 women with fibromyalgia over 5 years.
  • Participants engaged in moderate-intensity continuous training (64%-75% Maximal Heart Rate [HRmax]), with progressive intensity increases and the addition of high-intensity interval training (85%-90% HRmax) in later years.
  • Symptom assessment included pain (Visual Analog Scale), anxiety/depression (Hospital Anxiety and Depression Scale), fibromyalgia impact (Fibromyalgia Impact Questionnaire), and sleep quality.

Main Results:

  • 89 patients completed the study, retrospectively assigned to Active, Semi-Active, or Passive groups based on training adherence.
  • The Active group, adhering to moderate-to-high intensity training, showed significant alleviation of all fibromyalgia symptoms (p < 0.0001).
  • The Semi-Active group demonstrated improvements in quality of life and depression but not pain, while the Passive group showed no benefits.

Conclusions:

  • A 5-year cardiovascular training program, especially when involving moderate-to-high intensity exercise, is effective in alleviating pain, anxiety, and depression in fibromyalgia patients.
  • The intervention significantly improved quality of life and sleep quality, highlighting the importance of exercise adherence and intensity.
  • This study supports the integration of structured, progressive cardiovascular exercise within multidisciplinary care for fibromyalgia management.