Lifestyle interventions in the management of systemic sclerosis: a systematic review of the literature.
| Autor: | Parodis I; Division of Rheumatology, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden.; Department of Gastroenterology, Dermatology and Rheumatology, Karolinska University Hospital, Stockholm, Sweden.; Department of Rheumatology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden., Tsoi A; Division of Rheumatology, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden.; Department of Gastroenterology, Dermatology and Rheumatology, Karolinska University Hospital, Stockholm, Sweden., Gomez A; Division of Rheumatology, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden.; Department of Gastroenterology, Dermatology and Rheumatology, Karolinska University Hospital, Stockholm, Sweden., Chow JW; Division of Rheumatology, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden.; Department of Gastroenterology, Dermatology and Rheumatology, Karolinska University Hospital, Stockholm, Sweden., Girard-Guyonvarc'h C; Division of Rheumatology, Department of Medicine, University Hospital of Geneva and Faculty of Medicine, University of Geneva, Geneva, Switzerland., 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., Boström C; Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.; Department of Occupational Therapy and Physiotherapy, Karolinska University Hospital, Stockholm, Sweden. |
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| Jazyk: | angličtina |
| Zdroj: | Rheumatology advances in practice [Rheumatol Adv Pract] 2024 Mar 09; Vol. 8 (2), pp. rkae037. Date of Electronic Publication: 2024 Mar 09 (Print Publication: 2024). |
| DOI: | 10.1093/rap/rkae037 |
| Abstrakt: | Objectives: We aimed to investigate the efficacy of lifestyle interventions for the management of SSc. Methods: We searched the MEDLINE, Embase, Web of Science and CINAHL databases in June 2021. We included studies conducted on five or more patients with SSc published between 1 January 2000 and the search date evaluating lifestyle interventions, excluding systematic reviews without meta-analyses. Critical appraisal was conducted using critical appraisal tools from the Joanna Briggs Institute. Thirty-six studies were included for full-text evaluation. Results: A total of 17 studies evaluated the effect of physical exercise alone, whereas 14 studies evaluated educational interventions for mental health management, often with physical exercise as a central component. At an aggregated level, these studies support patient education and physical exercise for the improvement of physical function, in particular hand and mouth function. Studies on diet and nutrition were few ( n = 5) and pertained to gastrointestinal as well as anthropometric outcomes; these studies were insufficient to support any conclusions. Conclusion: Physical exercise and patient education should be considered for improving physical function in patients with SSc. These interventions can be provided alongside pharmacotherapy, but there is no evidence supporting that they can be a substitute. Further research should aim at assessing the effects of reductions of harmful exposures, including tobacco smoking and alcohol, improving sleep and enhancing social relations, three hitherto underexplored facets of lifestyle in the context of SSc. (© The Author(s) 2024. Published by Oxford University Press on behalf of the British Society for Rheumatology.) |
| Databáze: | MEDLINE |
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