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Does fibromyalgia affect physical activity due to pain?
Muhammed Recai Akdoğan1, Ekin Başak Doğancı2, Zeynep Tüzün1
1Division of Rheumatology, Department of Internal Medicine, Atatürk University Faculty Medicine, Erzurum, Türkiye.
Summary
Patients with fibromyalgia syndrome (FMS) are less physically active than healthy individuals, with reduced activity linked to pain. This highlights the importance of addressing physical activity in FMS management.
Area of Science:
- Rheumatology
- Exercise Science
- Pain Management
Background:
- Fibromyalgia syndrome (FMS) is a chronic condition characterized by widespread pain and fatigue.
- Physical activity is often recommended for FMS management, but patient participation can be challenging.
- Understanding physical activity levels in FMS is crucial for effective treatment strategies.
Purpose of the Study:
- To compare physical activity levels between patients with FMS and healthy controls.
- To investigate the relationship between physical activity and FMS characteristics, including pain and disease impact.
- To inform clinical practice regarding the role of physical activity in FMS care.
Main Methods:
- A case-control study involving 70 FMS patients and 50 age-gender-matched controls.
- Assessment of pain using the visual analog scale (VAS).
- Evaluation of FMS impact with the Fibromyalgia Impact Questionnaire (FIQ) and physical activity using the International Physical Activity Questionnaire (IPAQ).
Main Results:
- FMS patients exhibited significantly lower levels of transportation-related, recreational, and total physical activity compared to controls.
- Patients reported less time spent walking and engaging in vigorous activities.
- A negative correlation was found between pain severity and self-reported moderate/vigorous physical activity, but no correlation between FIQ and IPAQ scores.
Conclusions:
- Individuals with FMS demonstrate reduced physical activity compared to healthy populations.
- This decreased activity is associated with pain intensity, suggesting pain as a barrier to exercise.
- Integrating physical activity considerations, particularly pain-related limitations, into a holistic FMS management approach is recommended.
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