Exercise as adjunctive therapy for systemic lupus erythematosus (Review)

Article


Frade, Stephanie, O'Neill, Sean, Greene, David, Nutter, Elise and Cameron, Melainie. 2023. "Exercise as adjunctive therapy for systemic lupus erythematosus (Review)." Cochrane Database of Systematic Reviews. 2023 (4). https://doi.org/10.1002/14651858.CD014816.pub2.
Article Title

Exercise as adjunctive therapy for systemic lupus erythematosus (Review)

ERA Journal ID15305
Article CategoryArticle
AuthorsFrade, Stephanie, O'Neill, Sean, Greene, David, Nutter, Elise and Cameron, Melainie
Journal TitleCochrane Database of Systematic Reviews
Journal Citation2023 (4)
Article NumberCD014816
Number of Pages132
Year2023
PublisherJohn Wiley & Sons
Place of PublicationUnited Kingdom
ISSN1469-493X
1361-6137
Digital Object Identifier (DOI)https://doi.org/10.1002/14651858.CD014816.pub2.
Web Address (URL)https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD014816.pub2/full
Abstract

Background
Systemic lupus erythematosus (SLE) is a rare, chronic autoimmune inflammatory disease with a prevalence varying from 4.3 to 150 people in 100,000, or approximately five million people worldwide. Systemic manifestations frequently include internal organ involvement, a characteristic malar rash on the face, pain in joints and muscles, and profound fatigue. Exercise is purported to be beneficial for people with SLE. For this review, we focused on studies that examined all types of structured exercise as an adjunctive therapy in the management of SLE.

Objectives
To evaluate the benefits and harms of structured exercise as adjunctive therapy for adults with SLE compared with usual pharmacological care, usual pharmacological care plus placebo and usual pharmacological care plus non‐pharmacological care.

Search methods
We used standard, extensive Cochrane search methods. The latest search date was 30 March 2022.

Selection criteria
We included randomised controlled trials (RCTs) of exercise as an adjunct to usual pharmacological treatment in SLE compared with placebo, usual pharmacological care alone and another non‐pharmacological treatment. Major outcomes were fatigue, functional capacity, disease activity, quality of life, pain, serious adverse events, and withdrawals due to any reason, including any adverse events.

Data collection and analysis
We used standard Cochrane methods. Our major outcomes were 1. fatigue, 2. functional capacity, 3. disease activity, 4. quality of life, 5. pain, 6. serious adverse events, and 7. withdrawals due to any reason. Our minor outcomes were 8. responder rate, 9. aerobic fitness, 10. depression, and 11. anxiety. We used GRADE to assess certainty of evidence. The primary comparison was exercise compared with placebo.

Main results
We included 13 studies (540 participants) in this review. Studies compared exercise as an adjunct to usual pharmacological care (antimalarials, immunosuppressants, and oral glucocorticoids) with usual pharmacological care plus placebo (one study); usual pharmacological care (six studies); and another non‐pharmacological treatment such as relaxation therapy (seven studies). Most studies had selection bias, and all studies had performance and detection bias. We downgraded the evidence for all comparisons because of a high risk of bias and imprecision.

Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020420199. Allied health and rehabilitation science not elsewhere classified
Public Notes

File reproduced in accordance with the copyright policy of the publisher/author/creator.

Byline AffiliationsUniversity of Southern Queensland
Australian Catholic University
University of Sydney
Royal North Shore Hospital, Australia
North-West University, South Africa
University of the Sunshine Coast
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Vlachojannis, Julia, Cameron, Melainie and Chrubasik, Sigrun. 2011. "Letter to the Editor: Herbal Medicinal Treatment Options for Headache and Migraine." Headache. 51 (8), pp. 1350-1351. https://doi.org/10.1111/j.1526-4610.2011.01981.x
Chiropractic & Osteopathy
Cameron, Melainie, French, S. and Minter, W.. 2009. "Chiropractic & Osteopathy." Grimmer-Somers, Karen, Kumar, Saravana, Worley, Anthea and Young, Alexandra (ed.) Practical Tips in Finding the Evidence: An Allied Health Primer. Manila, Philippines. University of Santo Tomas Publishing House. pp. 56-84
Evidence of Effectiveness of Herbal Medicinal Products in the Treatment of Arthritis Part 2: Rheumatoid Arthritis
Cameron, Melainie, Gagnier, Joel J., Little, Christine, Parsons Tessa J., Blumle, Anette and Chrubasik, Sigrun. 2009. "Evidence of Effectiveness of Herbal Medicinal Products in the Treatment of Arthritis Part 2: Rheumatoid Arthritis." Phytotherapy Research. 23 (12), pp. 1647-1662. https://doi.org/10.1002/ptr.3006
Evidence of Effectiveness of Herbal Medicinal Products in the Treatment of Arthritis Part 1: Osteoarthritis
Cameron, Melainie, Gagnier, J., Christine V., L., Parsons, T., J., Blumle, A. and Chrubasik, S.. 2009. "Evidence of Effectiveness of Herbal Medicinal Products in the Treatment of Arthritis Part 1: Osteoarthritis." Phytotherapy Research. 23 (11), pp. 1497-1515. https://doi.org/10.1002/ptr.3007
A systematic review on the effectiveness of willow bark for musculoskeletal pain
Vlachojannis, J., Cameron, M. and Chrubasik, S.. 2009. "A systematic review on the effectiveness of willow bark for musculoskeletal pain." Phytotherapy Research. 23 (7), pp. 897-900. https://doi.org/10.1002/ptr.2747
A pilot program of physical activity promotion among clients receiving home and community care
Cameron, Melainie, Chahine, Natalie, Selig, Steve and Newton, Pam. 2008. "A pilot program of physical activity promotion among clients receiving home and community care." Australian Health Review. 32 (3), pp. 439-450. https://doi.org/10.1071/AH080439