SynthesisBMC public health2010
Exercise and global well-being in community-dwelling adults with fibromyalgia: a systematic review with meta-analysis.
Synthesis in BMC public health, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Effects of exercise on pain, fatigue, and quality of life in people with fibromyalgia: a systematic review and meta-analysis of randomized controlled trials.Frontiers in medicine · 2026Pooled it
- Effectiveness of Therapeutic Exercise in Fibromyalgia Syndrome: A Systematic Review and Meta-Analysis of Randomized Clinical Trials.BioMed research international · 2017Pooled it
- Does increasing steps per day predict improvement in physical function and pain interference in adults with fibromyalgia?Arthritis care & research · 2014Trial
- Effect of moderate to vigorous physical activity on long-term clinical outcomes and pain severity in fibromyalgia.Arthritis care & research · 2013Trial
- Efficacy of supervised exercise combined with transcutaneous electrical nerve stimulation in women with fibromyalgia: a prospective controlled study.Rheumatology international · 2013Trial
- A randomized controlled trial of 8-form Tai chi improves symptoms and functional mobility in fibromyalgia patients.Clinical rheumatology · 2012Trial
- Land- and water-based exercise intervention in women with fibromyalgia: the al-Andalus physical activity randomised controlled trial.BMC musculoskeletal disorders · 2012Trial
- Virtual reality exposure therapy as treatment for pain catastrophizing in fibromyalgia patients: proof-of-concept study (Study Protocol).BMC musculoskeletal disorders · 2011Trial
- The Efficiency of Kinesiotherapy versus Physical Modalities on Pain and Other Common Complaints in Fibromyalgia.Life (Basel, Switzerland) · 2024Article
- Pain catastrophizing mediates the negative influence of pain and trait-anxiety on health-related quality of life in fibromyalgia.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2020Article
- Targeting pain catastrophization in patients with fibromyalgia using virtual reality exposure therapy: a proof-of-concept study.Journal of physical therapy science · 2015Article
- Independent and combined association of overall physical fitness and subjective well-being with fibromyalgia severity: the al-Ándalus project.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2015Article
- Physical exercise as non-pharmacological treatment of chronic pain: Why and when.Best practice & research. Clinical rheumatology · 2015Review
- Evaluation of the effectiveness of an aerobic exercise program and the personality characteristics of patients with fibromyalgia syndrome: a pilot study.Journal of physical therapy science · 2014Article
- Objectively measured sedentary time and physical activity in women with fibromyalgia: a cross-sectional study.BMJ open · 2013Article
- Complementary and alternative exercise for fibromyalgia: a meta-analysis.Journal of pain research · 2013Article
- Effect of milnacipran on body weight in patients with fibromyalgia.International journal of general medicine · 2012Article
- Exercise therapy for fibromyalgia.Current pain and headache reports · 2011Review
- Management strategies for fibromyalgia.Open access rheumatology : research and reviews · 2011Article
- Efficacy and effectiveness of exercise on tender points in adults with fibromyalgia: a meta-analysis of randomized controlled trials.Arthritis · 2011Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
backgroundExercise has been recommended for improving global-well being in adults with fibromyalgia. However, no meta-analysis has determined the effects of exercise on global well-being using a single instrument and when analyzed separately according to intention-to-treat and per-protocol analyses. The purpose of this study was to fill that gap.
methodsStudies were derived from six electronic sources, cross-referencing from retrieved studies and expert review. Dual selection of randomized controlled exercise training studies published between January 1, 1980 and January 1, 2008 and in which global well-being was assessed using the Fibromyalgia Impact Questionnaire (FIQ) were included. Dual abstraction of data for study, subject and exercise program characteristics as well as assessment of changes in global well-being using the total score from the FIQ was conducted. Risk of bias was assessed using the Cochrane bias assessment tool. Random-effects models and Hedge's standardized effect size (g) were used to pool results according to per-protocol and intention-to-treat analyses.
resultsOf 1,025 studies screened, 7 representing 5 per-protocol and 5 intention-to-treat outcomes in 473 (280 exercise, 193 control) primarily female (99%) participants 18-73 years of age were included. Small, statistically significant improvements in global well-being were observed for per-protocol (g and 95% confidence interval, -0.39, -0.69 to -0.08) and intention-to-treat (-0.34, -0.53 to -0.14) analyses. No statistically significant within-group heterogeneity was found (per-protocol, Qw = 6.04, p = 0.20, I2 = 33.8%; intention-to-treat, Qw = 3.19, p = 0.53, I2 = 0%) and no between-group differences for per-protocol and intention-to-treat outcomes were observed (Qb = 0.07, p = 0.80). Changes were equivalent to improvements of 8.2% for per-protocol analyses and 7.3% for intention-to-treat analyses.
conclusionsThe results of this study suggest that exercise improves global well-being in community-dwelling women with fibromyalgia. However, additional research on this topic is needed, including research in men as well as optimal exercise programs for improving global well-being in adults.
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Registered trials
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