Psoriatic arthritis and physical activity: a systematic review
- 29 April 2021
- journal article
- review article
- Published by Springer Science and Business Media LLC in Clinical Rheumatology
- Vol. 40 (11), 4379-4389
- https://doi.org/10.1007/s10067-021-05739-y
Abstract
Introduction The positive effects of physical activity in both rheumatoid arthritis and ankylosing spondylitis have been proven, but no clear data is yet published regarding psoriatic arthritis (PsA). The aims of this study were (i) to assess the level of physical activity (PA) in these patients and (ii) to review the effects of PA on articular disease, extra articular symptoms, and overall well-being. Methods The research strategy was performed on Pubmed, Cochrane, PEDro databases using the following keywords: “psoriatic arthritis AND physical activity” without restriction. The PRISMA methodology was used to select and analyze articles. We searched for all studies published online and in English before January 2021. Results A total of 319 studies were retrieved by our search but only 13 could be included. Two reports showed that 17 and 68% of patients reported practicing regularly physical activity. Exercise improved the BASDAI (Bath Ankylosing Spondylitis Disease Activity Index), the general symptoms (pain and fatigue), and the quality of life. Muscle strength and some of cardiovascular comorbidities were also improved. While the studies concerning the risk of enthesitis or flare induced by physical activity are conflicting, recent clinical trials did not mention any adverse event. Finally, rehabilitation programs were associated with a reduction mainly of pain and fatigue. Conclusion Studies show clear beneficial effects of exercise in PsA on disease activity, on well-being, and on comorbidities, and they seem to outweigh the risk of enthesitis induced by mechanical stress. Further investigations are necessary to confirm these results and to precise the modalities of exercise. Key Points • Psoriatic arthritis patients have a sedentary lifestyle • Physical activity has beneficial effects on disease activity, well-being and reduced some cardiovascular risk factor in psoriatic arthritis • Risk of enthesitis and flares is low with exercise in psoriatic arthritisThis publication has 59 references indexed in Scilit:
- Differences in physical activity patterns in patients with spondylarthritisArthritis Care & Research, 2012
- The Association Between Physical Activity and the Risk of Incident PsoriasisArchives of Dermatology, 2012
- Cardiovascular Risk in Patients with Psoriatic ArthritisInternational Journal of Rheumatology, 2012
- Prevalence of atherosclerotic risk factors and the metabolic syndrome in patients with chronic inflammatory arthritisArthritis Care & Research, 2011
- Team-based rehabilitation improves long-term aerobic capacity and health-related quality of life in patients with chronic inflammatory arthritisDisability and Rehabilitation, 2010
- The Minimally Important Difference for the Fatigue Visual Analog Scale in Patients with Rheumatoid Arthritis Followed in an Academic Clinical PracticeThe Journal of Rheumatology, 2008
- Involvement, satisfaction and unmet health care needs in patients with psoriatic arthritisRheumatology, 2008
- Effects of a modular behavioural arthritis education programme: a pragmatic parallel-group randomized controlled trialRheumatology, 2008
- Clinical Significance of Reported Changes in Pain SeverityAnnals of Emergency Medicine, 1996
- Effects of Strength Training on Neuromuscular Function and Disease Activity in Patients with Recent-onset Inflammatory ArthritisScandinavian Journal of Rheumatology, 1994