Recommendations for physical activity and exercise in persons living with Systemic Lupus Erythematosus (SLE): consensus by an international task force
Laurent Arnaud,
Savino Sciascia,
Karen Hambly,
Ioannis Parodis,
Md Yuzaiful Md Yusof,
Ivan Padjen,
Anselm Mak,
Manuel F Ugarte-Gil,
Saira Z Sheikh,
Linda Li,
Alexandra Legge,
Alberto Soriano-Maldonado,
Dominique Kinnett-Hopkins,
Thomas Davergne,
Sophie Geneton,
Julien Blaess,
Thibaut Goepfert,
Gabriel Bordier,
Yurilis Fuentes,
Håvard Haglo,
Kuei-Ying Su
Affiliations
Laurent Arnaud
Department of Rheumatology, National Reference Center for Rare Autoimmune Diseases (RESO), Hôpitaux Universitaires de Strasbourg, Strasbourg, France
Savino Sciascia
University Center of Excellence on Nephrological, Rheumatological and Rare Diseases (ERK-net, ERN-Reconnect and RITA-ERN Member) including Nephrology and Dialysis Unit and Center of Immuno-Rheumatology and Rare Diseases (CMID), Coordinating Center of the Interregional Network for Rare Diseases of Piedmont and Aosta Valley (North-West Italy), San Giovanni Bosco Hub Hospital, ASL Città di Torino and Department of Clinical and Biological Sciences of the University of Turin, Turin, Italy
Karen Hambly
School of Sport and Exercise Sciences, University of Kent, Canterbury, UK
Ioannis Parodis
Division of Rheumatology, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden
Md Yuzaiful Md Yusof
Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK
Ivan Padjen
School of Medicine, Division of Clinical Immunology and Rheumatology, National Referral Centre for SLE and Related Disorders, University of Zagreb, Zagreb, Croatia
Anselm Mak
Division of Rheumatology, Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
Manuel F Ugarte-Gil
Grupo Peruano de Estudio de Enfermedades Autoinmunes Sistémicas, Universidad Cientifica del Sur, Lima Peru and Rheumatology Department, Hospital Guillermo Almenara Irigoyen - EsSalud, Lima, Peru
Saira Z Sheikh
Department of Medicine, Division of Rheumatology, Allergy & Immunology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
Linda Li
Arthritis Research Canada, Vancouver, British Columbia, Canada
Alexandra Legge
Division of Rheumatology, Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada
Alberto Soriano-Maldonado
Department of Education, Faculty of Education Sciences, and SPORT Research Group (CTS-1024), CIBIS (Centro de Investigación para el Bienestar y la Inclusión Social) Research Center, University of Almería, Almería, Spain
Dominique Kinnett-Hopkins
School of Kinesiology, University of Michigan, Ann Arbor, Michigan, USA
Thomas Davergne
School of physiotherapy Boris Dolto, DUS2R, University of Paris Cité, Paris, France
Sophie Geneton
Department of Rheumatology, National Reference Center for Rare Autoimmune Diseases (RESO), Hôpitaux Universitaires de Strasbourg, Strasbourg, France
Julien Blaess
Department of Physiology and Functional Exploration, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
Thibaut Goepfert
Department of Rheumatology, National Reference Center for Rare Autoimmune Diseases (RESO), Hôpitaux Universitaires de Strasbourg, Strasbourg, France
Gabriel Bordier
Service de rhumatologie, CHU d’Angers, Angers, France
Yurilis Fuentes
Departamento de Medicina, Universidad de Oriente, Ciudad Bolívar, Venezuela
Håvard Haglo
Treningsklinikken, Medical Rehabilitation Clinic, Trondheim, Norway
Kuei-Ying Su
Division of Allergy,Immunology and Rheumatology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan
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.Conclusion 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.
