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

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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 languageEnglish
JournalAnnals of the Rheumatic Diseases
Volume77
Issue number9
Pages (from-to)1251-1260
ISSN0003-4967
DOIs
Publication statusPublished - Sep 2018

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Advisory Committees
Exercise
Education
Health
Public health
Research
Musculoskeletal Diseases
Patient Advocacy
Hip Osteoarthritis
Knee Osteoarthritis
Expert Testimony
Rheumatic Diseases
Public Health
Physicians
Safety
Population

Keywords

  • Hip osteoarthritis
  • knee osteoarthritis
  • rehabilitation
  • rheumatoid arthritis
  • spondyloarthritis

Cite this

Rausch Osthoff, A-K., Niedermann, K., Braun, J., Adams, J., Brodin, N., Dagfinrud, H., ... 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, Anne-Kathrin ; Niedermann, Karin ; Braun, Jürgen ; Adams, Jo ; Brodin, Nina ; Dagfinrud, Hanne ; Duruoz, Tuncay ; Esbensen, Bente Appel ; Günther, Klaus-Peter ; Hurkmans, Emailie ; Juhl, Carsten Bogh ; Kennedy, Norelee ; Kiltz, Uta ; Knittle, Keegan ; Nurmohamed, Michael ; Pais, Sandra ; Severijns, Guy ; Swinnen, Thijs Willem ; Pitsillidou, Irene A ; Warburton, Louise ; Yankov, Zhivko ; Vliet Vlieland, Theodora P M. / 2018 EULAR recommendations for physical activity in people with inflammatory arthritis and osteoarthritis. In: Annals of the Rheumatic Diseases. 2018 ; Vol. 77, No. 9. pp. 1251-1260.
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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.",
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Rausch Osthoff, A-K, Niedermann, K, Braun, J, Adams, J, Brodin, N, Dagfinrud, H, Duruoz, T, Esbensen, BA, Günther, K-P, 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

2018 EULAR recommendations for physical activity in people with inflammatory arthritis and osteoarthritis. / Rausch Osthoff, Anne-Kathrin; Niedermann, Karin; Braun, Jürgen; Adams, Jo; Brodin, Nina; Dagfinrud, Hanne; Duruoz, Tuncay; Esbensen, Bente Appel; Günther, Klaus-Peter; Hurkmans, Emailie; Juhl, Carsten Bogh; Kennedy, Norelee; Kiltz, Uta; Knittle, Keegan; Nurmohamed, Michael; Pais, Sandra; Severijns, Guy; Swinnen, Thijs Willem; Pitsillidou, Irene A; Warburton, Louise; Yankov, Zhivko; Vliet Vlieland, Theodora P M.

In: Annals of the Rheumatic Diseases, Vol. 77, No. 9, 09.2018, p. 1251-1260.

Research output: Contribution to journalJournal articleResearchpeer-review

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T1 - 2018 EULAR recommendations for physical activity in people with inflammatory arthritis and osteoarthritis

AU - Rausch Osthoff, Anne-Kathrin

AU - Niedermann, Karin

AU - Braun, Jürgen

AU - Adams, Jo

AU - Brodin, Nina

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

AU - Vliet Vlieland, Theodora P M

N1 - © Author(s) (or their employer(s)) 2018. No commercial re-use. See rights and permissions. Published by BMJ.

PY - 2018/9

Y1 - 2018/9

N2 - 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.

AB - 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.

KW - Hip osteoarthritis

KW - knee osteoarthritis

KW - rehabilitation

KW - rheumatoid arthritis

KW - spondyloarthritis

U2 - 10.1136/annrheumdis-2018-213585

DO - 10.1136/annrheumdis-2018-213585

M3 - Journal article

C2 - 29997112

VL - 77

SP - 1251

EP - 1260

JO - Annals of the Rheumatic Diseases

JF - Annals of the Rheumatic Diseases

SN - 0003-4967

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