Effectiveness of exercise on fatigue and sleep quality in fibromyalgia: a systematic review and meta-analysis of randomized trials

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dc.contributor.authorEstévez-López, Fernandoen
dc.contributor.authorMaestre-Cascales, Cristinaen
dc.contributor.authorRussell, Deborrahen
dc.contributor.authorÁlvarez-Gallardo, Inmaculada C.en
dc.contributor.authorRodriguez-Ayllon, Maríaen
dc.contributor.authorHughes, Ciara M.en
dc.contributor.authorDavison, Gareth W.en
dc.contributor.authorSañudo, Borjaen
dc.contributor.authorMcVeigh, Joseph G.en
dc.contributor.funderHorizon 2020en
dc.contributor.funderHealth and Social Care Northern Irelanden
dc.date.accessioned2024-07-03T09:50:06Z
dc.date.available2024-07-03T09:50:06Z
dc.date.issued2020-07-05en
dc.description.abstractObjectives: To determine the effects of exercise on fatigue and sleep quality in fibromyalgia (primary aim) and to identify which type of exercise is the most effective in achieving these outcomes (secondary aim). Data Sources: PubMed and Web of Science were searched from inception until October 18, 2018. Study Selection: Eligible studies contained information on population (fibromyalgia), intervention (exercise), and outcomes (fatigue or sleep). Randomized controlled trials (RCT) testing the effectiveness of exercise compared with usual care and randomized trials (RT) comparing the effectiveness of 2 different exercise interventions were included for the primary and secondary aims of the present review, respectively. Two independent researchers performed the search, screening, and final eligibility of the articles. Of 696 studies identified, 17 RCTs (n=1003) were included for fatigue and 12 RCTs (n=731) for sleep. Furthermore, 21 RTs compared the effectiveness of different exercise interventions (n=1254). Data Extraction: Two independent researchers extracted the key information from each eligible study. Data Synthesis: Separate random-effect meta-analyses were performed to examine the effects from RCTs and from RTs (primary and secondary aims). Standardized mean differences (SMD) effect sizes were calculated using Hedges’ adjusted g. Effect sizes of 0.2, 0.4, and 0.8 were considered small, moderate, and large. Compared with usual care, exercise had moderate effects on fatigue and a small effect on sleep quality (SMD, –0.47; 95% confidence interval [CI], –0.67 to –0.27; P<.001 and SMD, –0.17; 95% CI, –0.32 to –0.01; P=.04). RTs in which fatigue was the primary outcome were the most beneficial for lowering fatigue. Additionally, meditative exercise programs were the most effective for improving sleep quality. Conclusions: Exercise is moderately effective for lowering fatigue and has small effects on enhancing sleep quality in fibromyalgia. Meditative exercise programs may be considered for improving sleep quality in fibromyalgia.en
dc.description.sponsorshipHealth and Social Care Public Health Agency, Northern Ireland (STL/5268/16)en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationEstévez-López, F., Maestre-Cascales, C., Russell, D., Álvarez-Gallardo, I.C., Rodriguez-Ayllon, M., Hughes, C.M., Davison, G.W., Sañudo, B. and McVeigh, J.G. (2021) ‘Effectiveness of exercise on fatigue and sleep quality in fibromyalgia: a systematic review and meta-analysis of randomized trials’, Archives of Physical Medicine and Rehabilitation, 102(4), pp. 752–761. Available at: https://doi.org/10.1016/j.apmr.2020.06.019en
dc.identifier.doihttps://doi.org/10.1016/j.apmr.2020.06.019en
dc.identifier.endpage761en
dc.identifier.issn0003-9993en
dc.identifier.issued4en
dc.identifier.journaltitleArchives of Physical Medicine and Rehabilitationen
dc.identifier.startpage752en
dc.identifier.urihttps://hdl.handle.net/10468/16091
dc.identifier.volume102en
dc.language.isoenen
dc.publisherElsevieren
dc.relation.ispartofArchives of Physical Medicine and Rehabilitationen
dc.relation.projectinfo:eu-repo/grantAgreement/EC/H2020::MSCA-COFUND-FP/707404/EU/LEaDing Fellows/LEaDing Fellowsen
dc.rights© 2020 by the American Congress of Rehabilitation Medicine. Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)en
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectChronic painen
dc.subjectManagementen
dc.subjectPhysical exerciseen
dc.subjectRehabilitationen
dc.subjectTrainingen
dc.subjectVitalityen
dc.titleEffectiveness of exercise on fatigue and sleep quality in fibromyalgia: a systematic review and meta-analysis of randomized trialsen
dc.typeArticle (peer-reviewed)en
oaire.citation.issue4en
oaire.citation.volume102en
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