The impact of physical activity on serum levels of inflammatory markers in rheumatoid arthritis: A systematic literature review
Standard
The impact of physical activity on serum levels of inflammatory markers in rheumatoid arthritis: A systematic literature review. / Burghardt, Rolf-Dieter; Kazim, Murteza Ali; Rüther, Wolfgang; Niemeier, Andreas; Strahl, André.
In: RHEUMATOL INT, Vol. 39, No. 5, 05.2019, p. 793-804.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - The impact of physical activity on serum levels of inflammatory markers in rheumatoid arthritis: A systematic literature review
AU - Burghardt, Rolf-Dieter
AU - Kazim, Murteza Ali
AU - Rüther, Wolfgang
AU - Niemeier, Andreas
AU - Strahl, André
PY - 2019/5
Y1 - 2019/5
N2 - This review aims to determine the specific effects of PA on systemic levels of interleukins and inflammatory markers. A systematic literature search was conducted in three computerized bibliographic databases (Medline, Embase, CENTRAL) to identify randomized controlled trials and matched case studies. Applied key words were: RA and PA including the terms exercise, exercise therapy, gymnastics and exercise movement techniques. Inclusion criteria were data on all types of proinflammatory interleukins (IL), C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR). For data synthesis, the populations, interventions and outcomes were described according to the PRISMA statement. A total of 1289 publications were found. Fifteen papers, related to 14 different study populations, met the inclusion criteria. No study revealed a significant change regarding IL or CRP levels in response to the intervention (PA). In three study populations, a significant reduction of the ESR was identified, but the effect from PA was not discernible from effects of changes of the anti-rheumatic medication in these studies. The strong variability in study designs, cohort size and types of physical training programs remains an obstacle in the assessment of the measurable effects of PA on inflammatory markers in patients with RA. At present, there is no sufficient evidence to conclude that PA has a significant impact on systemic levels of inflammatory markers in RA.
AB - This review aims to determine the specific effects of PA on systemic levels of interleukins and inflammatory markers. A systematic literature search was conducted in three computerized bibliographic databases (Medline, Embase, CENTRAL) to identify randomized controlled trials and matched case studies. Applied key words were: RA and PA including the terms exercise, exercise therapy, gymnastics and exercise movement techniques. Inclusion criteria were data on all types of proinflammatory interleukins (IL), C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR). For data synthesis, the populations, interventions and outcomes were described according to the PRISMA statement. A total of 1289 publications were found. Fifteen papers, related to 14 different study populations, met the inclusion criteria. No study revealed a significant change regarding IL or CRP levels in response to the intervention (PA). In three study populations, a significant reduction of the ESR was identified, but the effect from PA was not discernible from effects of changes of the anti-rheumatic medication in these studies. The strong variability in study designs, cohort size and types of physical training programs remains an obstacle in the assessment of the measurable effects of PA on inflammatory markers in patients with RA. At present, there is no sufficient evidence to conclude that PA has a significant impact on systemic levels of inflammatory markers in RA.
KW - Journal Article
KW - Review
KW - Blood Sedimentation
KW - Humans
KW - Arthritis, Rheumatoid/immunology
KW - Exercise/physiology
KW - Exercise Therapy
KW - C-Reactive Protein/immunology
KW - Inflammation/immunology
KW - Interleukins/immunology
U2 - 10.1007/s00296-019-04284-x
DO - 10.1007/s00296-019-04284-x
M3 - SCORING: Review article
C2 - 30899988
VL - 39
SP - 793
EP - 804
JO - RHEUMATOL INT
JF - RHEUMATOL INT
SN - 0172-8172
IS - 5
ER -