SynthesisBMJ open2018
Community-deliverable exercise and anxiety in adults with arthritis and other rheumatic diseases: a systematic review with meta-analysis of randomised controlled trials.
Synthesis in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 21 papers, 3 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
21 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Impact of Structured Physical Exercise on Adolescent Depression: A Comprehensive Meta-Analysis of RCTs.CNS & neurological disorders drug targets · 2026Pooled it
- Brief communication: use of the minimal important difference for a meta-analysis on exercise and anxiety in adults with arthritis.Clinical rheumatology · 2018Pooled it
- Brief Report: Exercise and Anxiety in Adults with Arthritis and Other Rheumatic Diseases: Support for Evidential Value.BioMed research international · 2018Pooled it
- Emerging trends in the management of difficult-to-treat rheumatoid arthritis: targeted treatments and non-pharmacological interventions.Rheumatology (Oxford, England) · 2026Review
- Protective effects of swimming exercise on experimental rheumatoid arthritis in rats through modulation of leptin receptor expression and inflammation.Turkish journal of physical medicine and rehabilitation · 2025Article
- Article
- Effectiveness of physical activity interventions for improving depression, anxiety and distress: an overview of systematic reviews.British journal of sports medicine · 2023Review
- Exploring the emotional impact of axial Spondyloarthritis: a systematic review and thematic synthesis of qualitative studies and a review of social media.BMC rheumatology · 2023Article
- A Cross-Sectional Study Exploring the Physical Activity Levels of Afghans and Other South Asian Youth in the UK.International journal of environmental research and public health · 2023Article
- The Correlation of Built Environment on Hypertension, and Weight Status amongst Adolescence in Saudi Arabia.International journal of environmental research and public health · 2022Article
- Interactive multiobjective optimization for finding the most preferred exercise therapy modality in knee osteoarthritis.Annals of medicine · 2022Article
- Perceived Impact of the COVID-19 Pandemic on Physical Activity Among Adult Patients With Rheumatologic Disease.ACR open rheumatology · 2022Article
- Workplace Physical Activity Barriers and Facilitators: A Qualitative Study Based on Employees Physical Activity Levels.International journal of environmental research and public health · 2022Article
- Trends in Meeting the Aerobic Physical Activity Guideline Among Adults With and Without Select Chronic Health Conditions, United States, 1998-2018.Journal of physical activity & health · 2021Article
- Physical Activity Assessment and Recommendation for Adults With Arthritis by Primary Care Providers-DocStyles, 2018.American journal of health promotion : AJHP · 2021Article
- Mental Health and Psychological Wellbeing in Rheumatoid Arthritis during COVID-19 - Can Physical Activity Help?Mediterranean journal of rheumatology · 2020Review
- All-Cause Opioid Prescriptions Dispensed: The Outsized Role of Adults With Arthritis.American journal of preventive medicine · 2020Article
- Brief Report: State-Level Number of Physically Inactive US Adults With Arthritis Who can Improve Their Anxiety and Depression by Exercising.ACR open rheumatology · 2020Article
- Exercise and Chronic Pain.Advances in experimental medicine and biology · 2020Review
- Systematic reviews and meta-analysis in rheumatology: a gentle introduction for clinicians.Clinical rheumatology · 2019Article
Corrections and comments
- Erratum issuedCorrection:2019
Authors and funding
3 authors.
Funding
Abstract
background/purposeGiven conflicting findings, the purpose of this study was to use the meta-analytic approach to examine the effects of exercise (aerobic, strength training or both) on anxiety in adults with arthritis and other rheumatic diseases (AORD).
methodsRandomised controlled exercise intervention trials ≥4weeks in adults ≥18 years of age with osteoarthritis, rheumatoid arthritis or fibromyalgia were included. Studies were located by searching eight electronic databases, cross-referencing and expert review. Dual selection and data abstraction of studies were performed. Hedge's standardised effect size (ES) was calculated for each result and pooled using the recently developed inverse heterogeneity model. Two-tailed
resultsOf the 639 citations screened, 14 studies representing 926 initially enrolled participants (539 exercise, 387 control) met the criteria for inclusion. Length of training (mean±SD) averaged 15.8±6.7 weeks, frequency 3.3±1.3 times per week and duration 28.8±14.3 min per session. Overall, statistically significant reductions in anxiety were found (exercise minus control changes ES=-0.40, 95% CI -0.65 to -0.15, tau
conclusionsExercise is associated with reductions in anxiety among adults with selected types of AORD. However, a need exists for additional, well-designed, randomised controlled trials on this topic. PROSPERO REGISTRATION NUMBER: CRD42016048728.
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Registered trials
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.