2018 EULAR recommendations for physical activity in people with inflammatory arthritis and osteoarthritis

Anne Kathrin Rausch Osthoff; Karin Niedermann; Jürgen Braun; Jo Adams; Nina Brodin; Hanne Dagfinrud; Tuncay Duruoz; Bente Appel Esbensen; Klaus Peter Günther; Emailie Hurkmans; Carsten Bogh Juhl; Norelee Kennedy; Uta Kiltz; Keegan Knittle; Michael Nurmohamed; Sandra Pais; Guy Severijns; Thijs Willem Swinnen; Irene A. Pitsillidou; Louise Warburton; Zhivko Yankov; Theodora P.M. Vliet Vlieland

doi:10.1136/annrheumdis-2018-213585

2018 EULAR recommendations for physical activity in people with inflammatory arthritis and osteoarthritis

Anne Kathrin Rausch Osthoff, Karin Niedermann^*, Jürgen Braun, Jo Adams, Nina Brodin, Hanne Dagfinrud, Tuncay Duruoz, Bente Appel Esbensen, Klaus Peter Günther, Emailie Hurkmans, Carsten Bogh Juhl, Norelee Kennedy, Uta Kiltz, Keegan Knittle, Michael Nurmohamed, Sandra Pais, Guy Severijns, Thijs Willem Swinnen, Irene A. Pitsillidou, Louise WarburtonZhivko Yankov, Theodora P.M. Vliet Vlieland

^*Corresponding author for this work

Department of Clinical Medicine

148 Citations (Scopus)

Abstract

Regular physical activity (PA) is increasingly promoted for people with rheumatic and musculoskeletal diseases as well as the general population. We evaluated if the public health recommendations for PA are applicable for people with inflammatory arthritis (iA; Rheumatoid Arthritis and Spondyloarthritis) and osteoarthritis (hip/knee OA) in order to develop evidence-based recommendations for advice and guidance on PA in clinical practice. The EULAR standardised operating procedures for the development of recommendations were followed. A task force (TF) (including rheumatologists, other medical specialists and physicians, health professionals, patient-representatives, methodologists) from 16 countries met twice. In the first TF meeting, 13 research questions to support a systematic literature review (SLR) were identified and defined. In the second meeting, the SLR evidence was presented and discussed before the recommendations, research agenda and education agenda were formulated. The TF developed and agreed on four overarching principles and 10 recommendations for PA in people with iA and OA. The mean level of agreement between the TF members ranged between 9.8 and 8.8. Given the evidence for its effectiveness, feasibility and safety, PA is advocated as integral part of standard care throughout the course of these diseases. Finally, the TF agreed on related research and education agendas. Evidence and expert opinion inform these recommendations to provide guidance in the development, conduct and evaluation of PA-interventions and promotion in people with iA and OA. It is advised that these recommendations should be implemented considering individual needs and national health systems.

Original language	English
Journal	Annals of the Rheumatic Diseases
Volume	77
Issue number	9
Pages (from-to)	1251-1260
ISSN	0003-4967
DOIs	https://doi.org/10.1136/annrheumdis-2018-213585
Publication status	Published - 1 Sept 2018

Keywords

Hip osteoarthritis
knee osteoarthritis
rehabilitation
rheumatoid arthritis
spondyloarthritis

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Rausch Osthoff, A. K., Niedermann, K., Braun, J., Adams, J., Brodin, N., Dagfinrud, H., Duruoz, T., Esbensen, B. A., Günther, K. P., Hurkmans, E., Juhl, C. B., Kennedy, N., Kiltz, U., Knittle, K., Nurmohamed, M., Pais, S., Severijns, G., Swinnen, T. W., Pitsillidou, I. A., ... Vliet Vlieland, T. P. M. (2018). 2018 EULAR recommendations for physical activity in people with inflammatory arthritis and osteoarthritis. Annals of the Rheumatic Diseases, 77(9), 1251-1260. https://doi.org/10.1136/annrheumdis-2018-213585

Rausch Osthoff, AK, Niedermann, K, Braun, J, Adams, J, Brodin, N, Dagfinrud, H, Duruoz, T, Esbensen, BA, Günther, KP, Hurkmans, E, Juhl, CB, Kennedy, N, Kiltz, U, Knittle, K, Nurmohamed, M, Pais, S, Severijns, G, Swinnen, TW, Pitsillidou, IA, Warburton, L, Yankov, Z & Vliet Vlieland, TPM 2018, '2018 EULAR recommendations for physical activity in people with inflammatory arthritis and osteoarthritis', Annals of the Rheumatic Diseases, vol. 77, no. 9, pp. 1251-1260. https://doi.org/10.1136/annrheumdis-2018-213585

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AU - Dagfinrud, Hanne

AU - Duruoz, Tuncay

AU - Esbensen, Bente Appel

AU - Günther, Klaus Peter

AU - Hurkmans, Emailie

AU - Juhl, Carsten Bogh

AU - Kennedy, Norelee

AU - Kiltz, Uta

AU - Knittle, Keegan

AU - Nurmohamed, Michael

AU - Pais, Sandra

AU - Severijns, Guy

AU - Swinnen, Thijs Willem

AU - Pitsillidou, Irene A.

AU - Warburton, Louise

AU - Yankov, Zhivko

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2018 EULAR recommendations for physical activity in people with inflammatory arthritis and osteoarthritis

Abstract

Keywords

UN SDGs

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