2021 EULAR recommendations regarding lifestyle behaviours and work participation to prevent progression of rheumatic and musculoskeletal diseases.

Autor:	Gwinnutt JM; Centre for Epidemiology Versus Arthritis, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK., Wieczorek M; EA 4360 Apemac, Université de Lorraine, Nancy, France., Balanescu A; Department of Internal Medicine and Rheumatology, 'Sf. Maria' Hospital, 'Carol Davila' University of Medicine and Pharmacy, Bucharest, Romania., Bischoff-Ferrari HA; Department of Aging Medicine and Aging Research, University Hospital Zurich and University of Zurich, Zurich, Switzerland.; Center on Aging and Mobility, University of Zurich, Zurich, Switzerland.; University Clinic for Aging Medicine, City Hospital Zurich - Waid, Zurich, Switzerland., Boonen A; Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands.; Department of Internal Medicine, Division of Rheumatology, Maastricht University Medical Center, Maastricht, The Netherlands., Cavalli G; Unit of Immunology, Rheumatology, Allergy and Rare Diseases, IRCCS San Raffaele Hospital and Vita-Salute San Raffaele University, Milan, Italy., de Souza S; Centre for Rheumatic Diseases, King's College London, London, UK., de Thurah A; Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.; Department of Rheumatology, Aarhus University Hospital, Aarhus, Denmark., Dorner TE; Centre for Public Health, Department of Social and Preventive Medicine, Medical University of Vienna, Vienna, Austria.; Social Insurance Fund for Public Service, Railway and Mining Industries, Sitzenberg-Reidling, Austria.; Karl-Landsteiner Institute for Health Promotion Research, Sitzenberg-Reidling, Austria., Moe RH; National Advisory Unit for Rehabilitation in Rheumatology, Division of Rheumatology and Research, Diakonhjemmet Hospital, Oslo, Norway., Putrik P; Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands.; Department of Internal Medicine, Division of Rheumatology, Maastricht University Medical Center, Maastricht, The Netherlands., Rodríguez-Carrio J; Area of Immunology, Department of Functional Biology, Universidad de Oviedo, Oviedo, Spain.; Department of Metabolism, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Oviedo, Spain., Silva-Fernández L; Rheumatology Department, Hospital Universitari Son Espases, Palma de Mallorca, Spain., Stamm T; Section for Outcomes Research, Center for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Vienna, Austria.; Ludwig Boltzmann Institute for Arthritis and Rehabilitation, Vienna, Austria., Walker-Bone K; MRC Versus Arthritis Centre for Musculoskeletal Health and Work, University of Southampton, Southampton, UK., Welling J; NVLE Dutch Patient Organization for Systemic Autoimmune Diseases, Utrecht, The Netherlands., Zlatković-Švenda MI; Institute of Rheumatology, University of Belgrade School of Medicine, Belgrade, Serbia.; Department of Internal Medicine, University of East Sarajevo Faculty of Medicine Foča, Republika Srpska, Bosnia and Herzegovina., Guillemin F; EA 4360 Apemac, Université de Lorraine, Nancy, France.; Inserm, CHRU Nancy, CIC-1433 Epidémiologie Clinique, Université de Lorraine, Nancy, France., Verstappen SMM; Centre for Epidemiology Versus Arthritis, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK Suzanne.Verstappen@manchester.ac.uk.; MRC Versus Arthritis Centre for Musculoskeletal Health and Work, University of Southampton, Southampton, UK.; NIHR Manchester Biomedical Research Centre, Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK.
Jazyk:	angličtina
Zdroj:	Annals of the rheumatic diseases [Ann Rheum Dis] 2023 Jan; Vol. 82 (1), pp. 48-56. Date of Electronic Publication: 2022 Mar 08.
DOI:	10.1136/annrheumdis-2021-222020
Abstrakt:	Objectives: A European League Against Rheumatism taskforce was convened to review the literature and develop recommendations on lifestyle behaviours for rheumatic and musculoskeletal diseases (RMDs). Methods: Six lifestyle exposures (exercise, diet, weight, alcohol, smoking, work participation) and seven RMDs (osteoarthritis, rheumatoid arthritis, axial spondyloarthritis, psoriatic arthritis, systemic lupus erythematosus, systemic sclerosis, gout) were considered. The taskforce included health professionals in rheumatology, geriatricians, epidemiologists, public health experts, people with RMDs and exposure domain experts. Systematic reviews were conducted to gather available evidence, from which recommendations were developed. Results: Five overarching principles and 18 specific recommendations were defined based on available evidence. The overarching principles define the importance of a healthy lifestyle, how lifestyle modifications should be implemented, and their role in relation to medical treatments. Exercise recommendations highlight the safety and benefits of exercise on pain and disability, particularly among people with osteoarthritis and axial spondyloarthritis. The diet recommendations emphasise the importance of a healthy, balanced diet for people with RMDs. People with RMDs and health professionals should work together to achieve and maintain a healthy weight. Small amounts of alcohol are unlikely to negatively affect the outcomes of people with RMDs, although people with rheumatoid arthritis and gout may be at risk of flares after moderate alcohol consumption. Smokers should be supported to quit. Work participation may have benefits on RMD outcomes and should be discussed in consultations. Conclusions: These recommendations cover a range of lifestyle behaviours and can guide shared decision making between people with RMDs and health professionals when developing and monitoring treatment plans. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2023. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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