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Physical activity as a promising alternative for young people with juvenile idiopathic arthritis: Towards an evidence-based prescription
Juvenile idiopathic arthritis (JIA) is the most common rheumatic disease in young people. Although biologics now enable most children and adolescents with JIA to enjoy clinical remission, patients present lower physical activity and spend more time in sedentary behavior than their healthy counterpar...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9969142/ https://www.ncbi.nlm.nih.gov/pubmed/36860845 http://dx.doi.org/10.3389/fimmu.2023.1119930 |
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author | Rochette, Emmanuelle Saidi, Oussama Merlin, Étienne Duché, Pascale |
author_facet | Rochette, Emmanuelle Saidi, Oussama Merlin, Étienne Duché, Pascale |
author_sort | Rochette, Emmanuelle |
collection | PubMed |
description | Juvenile idiopathic arthritis (JIA) is the most common rheumatic disease in young people. Although biologics now enable most children and adolescents with JIA to enjoy clinical remission, patients present lower physical activity and spend more time in sedentary behavior than their healthy counterparts. This impairment probably results from a physical deconditioning spiral initiated by joint pain, sustained by apprehension on the part of both the child and the child’s parents, and entrenched by lowered physical capacities. This in turn may exacerbate disease activity and lead to unfavorable health outcomes including increased risks of metabolic and mental comorbidities. Over the past few decades, there has been growing interest in the health benefits of increased overall physical activity as well as exercise interventions in young people with JIA. However, we are still far from evidence-based physical activity and / or exercise prescription for this population. In this review, we give an overview of the available data supporting physical activity and / or exercise as a behavioral, non-pharmacological alternative to attenuate inflammation while also improving metabolism, disease symptoms, poor sleep, synchronization of circadian rhythms, mental health, and quality of life in JIA. Finally, we discuss clinical implications, identify gaps in knowledge, and outline a future research agenda. |
format | Online Article Text |
id | pubmed-9969142 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-99691422023-02-28 Physical activity as a promising alternative for young people with juvenile idiopathic arthritis: Towards an evidence-based prescription Rochette, Emmanuelle Saidi, Oussama Merlin, Étienne Duché, Pascale Front Immunol Immunology Juvenile idiopathic arthritis (JIA) is the most common rheumatic disease in young people. Although biologics now enable most children and adolescents with JIA to enjoy clinical remission, patients present lower physical activity and spend more time in sedentary behavior than their healthy counterparts. This impairment probably results from a physical deconditioning spiral initiated by joint pain, sustained by apprehension on the part of both the child and the child’s parents, and entrenched by lowered physical capacities. This in turn may exacerbate disease activity and lead to unfavorable health outcomes including increased risks of metabolic and mental comorbidities. Over the past few decades, there has been growing interest in the health benefits of increased overall physical activity as well as exercise interventions in young people with JIA. However, we are still far from evidence-based physical activity and / or exercise prescription for this population. In this review, we give an overview of the available data supporting physical activity and / or exercise as a behavioral, non-pharmacological alternative to attenuate inflammation while also improving metabolism, disease symptoms, poor sleep, synchronization of circadian rhythms, mental health, and quality of life in JIA. Finally, we discuss clinical implications, identify gaps in knowledge, and outline a future research agenda. Frontiers Media S.A. 2023-02-13 /pmc/articles/PMC9969142/ /pubmed/36860845 http://dx.doi.org/10.3389/fimmu.2023.1119930 Text en Copyright © 2023 Rochette, Saidi, Merlin and Duché https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Immunology Rochette, Emmanuelle Saidi, Oussama Merlin, Étienne Duché, Pascale Physical activity as a promising alternative for young people with juvenile idiopathic arthritis: Towards an evidence-based prescription |
title | Physical activity as a promising alternative for young people with juvenile idiopathic arthritis: Towards an evidence-based prescription |
title_full | Physical activity as a promising alternative for young people with juvenile idiopathic arthritis: Towards an evidence-based prescription |
title_fullStr | Physical activity as a promising alternative for young people with juvenile idiopathic arthritis: Towards an evidence-based prescription |
title_full_unstemmed | Physical activity as a promising alternative for young people with juvenile idiopathic arthritis: Towards an evidence-based prescription |
title_short | Physical activity as a promising alternative for young people with juvenile idiopathic arthritis: Towards an evidence-based prescription |
title_sort | physical activity as a promising alternative for young people with juvenile idiopathic arthritis: towards an evidence-based prescription |
topic | Immunology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9969142/ https://www.ncbi.nlm.nih.gov/pubmed/36860845 http://dx.doi.org/10.3389/fimmu.2023.1119930 |
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