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Pecanha, T, Bannell, D, Sieczkowska, SM, Roschel, H, Goodson, N, Sprung, VS and Low, DA (2021) EFFECTS OF PHYSICAL ACTIVITY ON VASCULAR FUNCTION IN AUTOIMMUNE RHEUMATIC DISEASES: A SYSTEMATIC REVIEW AND META-ANALYSIS. Rheumatology, 60 (7). pp. 3107-3120. ISSN 1462-0324
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EFFECTS OF PHYSICAL ACTIVITY ON VASCULAR FUNCTION IN AUTOIMMUNE RHEUMATIC DISEASES A SYSTEMATIC REVIEW AND META-ANALYSIS.pdf - Accepted Version Download (1MB) | Preview |
Abstract
Objectives: To summarise existing evidence and quantify the effects of physical activity on vascular function and structure in autoimmune rheumatic diseases (ARDs).
Methods: Databases were searched (up to March 2020) for clinical trials evaluating the effects of physical activity interventions on markers of micro- and macrovascular function and macrovascular structure in ARDs. Studies were combined using random-effects meta-analysis, which was conducted using the Hedge's g. Meta-analyses were performed on each of the following outcomes: (1) microvascular function (i.e., skin blood flow or responses to acetylcholine [ACh] or sodium nitropusside [SNP] administration); (2) macrovascular function (i.e., brachial flow-mediated dilation [FMD%] or brachial responses to glyceryl trinitrate [GTN%]; and (3) macrovascular structure (i.e., aortic pulse wave velocity [PWV]).
Results: Ten studies (11 trials), with a total of 355 participants, were included in this review. Physical activity promoted significant improvements in micro- (skin blood flow responses to ACh [g = 0.92; 0.42 to 1.42]) and macrovascular function (FMD% [g = 0.94; 0.56 to 1.02]; GTN% [g = 0.53; 0.09 to 0.98]). Conversely, there was no evidence for beneficial effects of physical activity on macrovascular structure (PWV [g = -0.41; -1.13 to 0.32]).
Conclusions: Overall, the available clinical trials demonstrated a beneficial effect of physical activity on markers of micro- and macrovascular function, but not on macrovascular structure, in patients with ARDs. The broad beneficial impact of physical activity across the vasculature identified in this review support its role as an effective non-pharmacological management strategy for patients with ARD.
| Item Type: | Article |
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| Additional Information: | This is a pre-copyedited, author-produced version of an article accepted for publication in Rheumatology following peer review. The version of record Tiago Peçanha, Daniel J Bannell, Sofia Mendes Sieczkowska, Nicola Goodson, Hamilton Roschel, Victoria S Sprung, David A Low, Effects of physical activity on vascular function in autoimmune rheumatic diseases: a systematic review and meta-analysis, Rheumatology, Volume 60, Issue 7, July 2021, Pages 3107–3120, is available online at: https://doi.org/10.1093/rheumatology/keab094 |
| Uncontrolled Keywords: | 1103 Clinical Sciences, 1107 Immunology, 1117 Public Health and Health Services |
| Subjects: | R Medicine > RC Internal medicine > RC1200 Sports Medicine |
| Divisions: | Sport & Exercise Sciences |
| Publisher: | Oxford University Press |
| Date Deposited: | 02 Feb 2021 12:49 |
| Last Modified: | 30 Jan 2022 00:50 |
| URI: | https://researchonline.ljmu.ac.uk/id/eprint/14388 |
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