Evidence map›Paper›PMID 23401486›Full record

Trial reportArthritis care & research2013

Effect of moderate to vigorous physical activity on long-term clinical outcomes and pain severity in fibromyalgia.

Anthony S Kaleth, Chandan K Saha, Mark P Jensen, James E Slaven, Dennis C Ang

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Arthritis care & research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
4.2field-weighted citation impact, top 6% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Whole body vibration exercise training for fibromyalgia.The Cochrane database of systematic reviews · 2017
    Pooled it
  3. Aerobic exercise training for adults with fibromyalgia.The Cochrane database of systematic reviews · 2017
    Pooled it
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Exploring the Relationship between Fibromyalgia-Related Fatigue, Physical Activity, and Quality of Life.International journal of environmental research and public health · 2022
    Article
  9. Effect of age and weight on physical activity.Journal of public health research · 2020
    Article
  10. Observational
  11. Article
  12. Review
  13. Article
  14. Article
  15. 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 · 2015
    Article
  16. Physical exercise as non-pharmacological treatment of chronic pain: Why and when.Best practice & research. Clinical rheumatology · 2015
    Review
  17. Article
  18. Review
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Anthony S KalethDepartment of Kinesiology, Indiana University-Purdue University Indianapolis, 901 West New York Street, Indianapolis, IN 46202-5193, USA. akaleth@iupui.edu
Chandan K Saha
Mark P Jensen
James E Slaven
Dennis C Ang
Indiana University IndianapolisIndiana University – Purdue University Indianapolis · USUniversity of Washington · US

Funding

Exercise-based Motivational Interviewing for FibromyalgiaR01AR054324 · NIAMS · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI ANG, DENNIS CHUA · 2007 to 2010
$1.8M
NIAMS NIH HHS 1-R01-AR-054324-01A1NIAMS NIH HHS R01 AR054324
6 · The paper itself

Abstract

objectiveTo evaluate the relationship between long-term maintenance of moderate to vigorous physical activity (MVPA) and clinical outcomes in fibromyalgia (FM).

methodsPatients with FM (n = 170) received individualized exercise prescriptions and completed baseline and followup physical activity assessments using the Community Health Activities Model Program for Seniors questionnaire at weeks 12, 24, and 36. The primary outcome was the change in the Fibromyalgia Impact Questionnaire-Physical Impairment (FIQ-PI) score. The secondary outcomes included improvements in overall well-being (FIQ total score), pain severity ratings, and depression.

resultsUsing a threshold increase in MVPA of ≥10 metabolic equivalent hours/week above usual activities, 27 subjects (15.9%) increased and sustained (SUS-PA), 68 (40%) increased but then declined (UNSUS-PA), and 75 (44.1%) did not achieve (LO-PA) this benchmark. Compared to LO-PA subjects, both SUS-PA and UNSUS-PA subjects reported greater improvement in FIQ-PI (P < 0.01) and FIQ total score (P < 0.05). Additionally, the SUS-PA group reported greater improvement in pain severity compared to the LO-PA group (P < 0.05). However, there were no significant group differences between SUS-PA and UNSUS-PA for any primary or secondary outcome measure.

conclusionIncreased participation in MVPA for at least 12 weeks improved physical function and overall well-being in patients with FM. Although sustained physical activity was not associated with greater clinical benefit compared with unsustained physical activity, these findings also suggest that performing greater volumes of physical activity is not associated with worsening pain in FM. Future research is needed to determine the relationship between sustained MVPA participation and subsequent improvement in patient outcomes.

Indexed as

ExerciseExercise TherapyAdultFemaleFibromyalgiaHumansMaleMiddle AgedSeverity of Illness IndexTreatment Outcome

Identifiers

PMID23401486
PMCPMC3672379
OpenAlexW1593097316

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.