Evidence map›Paper›PMID 31327051›Full record

Trial reportRheumatology international2019

Moderate-to-high intensity exercise with person-centered guidance influences fatigue in older adults with rheumatoid arthritis.

Daniel Kucharski, Elvira Lange, Alastair B Ross, Sara Svedlund, Caroline Feldthusen, Karin Önnheim, Kaisa Mannerkorpi, Inger Gjertsson

Abstract readComparative StudyMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Rheumatology international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
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  6. Article
  7. Article
  8. Review
  9. Observational
  10. Article
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  13. Article
  14. Review
  15. Changes in Objectively Measured Physical Activity Are Associated With Perceived Physical and Mental Fatigability in Older Men.The journals of gerontology. Series A, Biological sciences and medical sciences · 2022
    Article
  16. Article
  17. Article
  18. Research progress on rheumatoid arthritis-associated depression.Frontiers in behavioral neuroscience · 2022
    Review
  19. Article
  20. Review
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

8 authors.

Daniel KucharskiRheumatology and Inflammation Research, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID http://orcid.org/0000-0002-3254-8412
Elvira LangeDepartment of Health and Rehabilitation, Institute of Neuroscience and Physiology, The Sahlgrenska Academy, University of Gothenburg, Box 455, 405 30, Gothenburg, Sweden. elvira.m.lange@vgregion.se.ORCID http://orcid.org/0000-0003-4190-8667
Alastair B RossDepartment of Biology and Biological Engineering, Chalmers University of Technology, Gothenburg, Sweden.ORCID http://orcid.org/0000-0002-9585-0141
Sara SvedlundThe Sahlgrenska University Hospital, Gothenburg, Sweden.ORCID http://orcid.org/0000-0002-4359-7463
Caroline FeldthusenThe Sahlgrenska University Hospital, Gothenburg, Sweden.ORCID http://orcid.org/0000-0003-3467-6757
Karin ÖnnheimRheumatology and Inflammation Research, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID http://orcid.org/0000-0001-5969-8851
Kaisa MannerkorpiThe Sahlgrenska University Hospital, Gothenburg, Sweden.ORCID http://orcid.org/0000-0003-4997-9523
Inger GjertssonRheumatology and Inflammation Research, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID http://orcid.org/0000-0002-9301-4844

Funding

ALF/LUA at Sahlgrenska University Hospital ALFGBG-4636751Felix Neubergh foundation --the Health & Medical Care Committee of the Regional Executive Board) VGFOUREG-66251the Swedish Rheumatism Association R-663361University of Gothenburg Center for Person-centered Care --
6 · The paper itself

Abstract

Fatigue is described as a dominant and disturbing symptom of rheumatoid arthritis (RA) regardless of the advances in pharmacological treatment. Fatigue is also found to correlate with depression. The objective was to evaluate the impact of moderate-to-high intensity, aerobic and resistance exercise with person-centered guidance on fatigue, anxiety and depression, in older adults with RA. Comparisons were made between older adults (> 65 years) with RA taking part in a 20-week moderate-to-high intensity exercise at a gym (n = 36) or in home-based exercise of light intensity (n = 38). Assessments were performed at baseline, at 20 weeks, and at 52 weeks. Outcomes were differences in Multidimensional Fatigue Inventory (MFI-20), Visual Analog Scale Fatigue (VAS fatigue), and Hospital Anxiety and Depression Scale (HADS). Analysis of metabolomics was also performed. The subscales "physical fatigue" and "mental fatigue" in MFI-20 and symptoms of depression using HADS depression scale improved significantly at week 20 in the exercise group compared with the control group. Exercise did not influence global fatigue rated by VAS or subscales "reduced motivation", "reduced activity" and "general fatigue" in MFI-20. No significant change was found on the anxiety index of HADS. The improvements in physical fatigue were associated with changes in the metabolism of lipids, bile acids, the urea cycle and several sugars. Moderate-to-high intensity exercise with person-centered guidance decreased fatigue and improved symptoms of depression and were accompanied by metabolic changes in older adults with RA.

Indexed as

Exercise ToleranceHome Care ServicesAgedArthritis, RheumatoidBiomarkersDepressionEnergy MetabolismExercise TherapyFatigueFemaleHealth StatusHumansMaleMental HealthPatient-Centered CareRecovery of FunctionBiomarkersAnxietyArthritisDepressionExerciseFatigueMetabolomicsPatient-centeredRheumatoid

Identifiers

What OpenQuestion holds

Textmetadata
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.