关键词: autoimmune diseases lupus erythematosus, systemic systemic lupus erythematosus

Mesh : Humans Consensus Lupus Erythematosus, Systemic / therapy Exercise Advisory Committees

来  源:   DOI:10.1136/rmdopen-2024-004171   PDF(Pubmed)

Abstract:
OBJECTIVE: This international task force aimed to provide healthcare professionals and persons living with systemic lupus erythematosus (SLE) with consensus-based recommendations for physical activity and exercise in SLE.
METHODS: Based on evidence from a systematic literature review and expert opinion, 3 overarching principles and 15 recommendations were agreed on by Delphi consensus.
RESULTS: The overarching principles highlight the importance of shared decision-making and the need to explain the benefits of physical activity to persons living with SLE and other healthcare providers. The 15 specific recommendations state that physical activity is generally recommended for all people with SLE, but in some instances, a medical evaluation may be needed to rule out contraindications. Pertaining to outdoor activity, photoprotection is necessary. Both aerobic and resistance training programmes are recommended, with a gradual increase in frequency and intensity, which should be adapted for each individual, and ideally supervised by qualified professionals.
CONCLUSIONS: In summary, the consensus reached by the international task force provides a valuable framework for the integration of physical activity and exercise into the management of SLE, offering a tailored evidence-based and eminence-based approach to enhance the well-being of individuals living with this challenging autoimmune condition.
摘要:
目的:该国际工作组旨在为医疗保健专业人员和系统性红斑狼疮(SLE)患者提供基于共识的SLE体力活动和运动建议。
方法:基于来自系统文献综述和专家意见的证据,德尔菲协商一致同意了3项总体原则和15项建议。
结果:总体原则强调了共同决策的重要性,以及向患有SLE和其他医疗保健提供者的人解释体育锻炼的好处的必要性。15项具体建议指出,一般建议所有SLE患者进行体育锻炼,但在某些情况下,可能需要进行医学评估以排除禁忌症。关于户外活动,光保护是必要的。建议进行有氧和阻力训练,随着频率和强度的逐渐增加,它应该适合每个人,理想情况下由合格的专业人员监督。
结论:总之,国际工作队达成的共识为将身体活动和锻炼纳入SLE的管理提供了宝贵的框架,提供量身定制的基于证据和基于优势的方法,以增强患有这种具有挑战性的自身免疫性疾病的个体的福祉。
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