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https://www.frontiersin.org/journals/physiology/articles/10.3389/fphys.2024.1441076/full
ORIGINAL RESEARCH article
Front. Physiol., 09 December 2024
Sec. Exercise Physiology
Volume 15 - 2024 | https://doi.org/10.3389/fphys.2024.1441076
Effectiveness of a brief multicomponent intervention to improve physical activity level and functional capacity in fibromyalgia and chronic fatigue syndrome (Synchronize+)
Methods: randomized controlled trial was conducted in primary healthcare in Catalonia. A total of 143 individuals with FM or FM and CFS concomitantly (age 50.8, SD 8.1; 94.4% women) were randomly allocated to the intervention (IG, n = 69) or control (CG, n = 74) groups. The IG participated in a brief multicomponent (PA, nutrition, and chronobiology) group-based intervention (4 sessions, 3 h/session) while the CG received usual primary care practice. Primary outcome measure was PA measured by the REGICOR-Short Physical Activity Questionnaire. Secondary outcomes were sedentary (International Physical Activity Questionnaire) and sleep time (Pittsburgh Sleep Quality Index), upper- and lower-body muscle strength (handgrip and sit-to-stand test, respectively), and aerobic capacity (6-min walk test). Data were collected at baseline and 3 months post-intervention.
Results: The IG showed positive differences at 3-month follow-up, with highly appreciably PA levels, less sedentary time, and significantly improved sleep time. Significant between-group differences were also observed at 3 months, with better health values in the IG: PA and sleep time (370.3 ± 307.0 vs. 195.9 ± 289.1 min/week and 6.1 ± 1.6 vs. 5.5 ± 1.8 h/night, respectively) and less sedentary time (266.2 ± 153.3 vs. 209.4 ± 199.9 min/day). The IG also showed higher upper limb strength and significant lower-body strength both between and within groups, as well as significantly improved cardiorespiratory capacity.
Conclusion: The Synchronize + multicomponent program implemented at primary healthcare has shown short-term effectiveness in improving 24-h movement behaviors and health outcomes in individuals with FM, with or without CFS. This intervention may be a first step in educating and motivating people with FM and CFS to adopt an active lifestyle, leading to improved health. Long-term follow-up will determine whether the changes are maintained over time and their impact on quality of life and healthcare costs.
ORIGINAL RESEARCH article
Front. Physiol., 09 December 2024
Sec. Exercise Physiology
Volume 15 - 2024 | https://doi.org/10.3389/fphys.2024.1441076
Effectiveness of a brief multicomponent intervention to improve physical activity level and functional capacity in fibromyalgia and chronic fatigue syndrome (Synchronize+)
Carme Martín-Borràs1,2,3,4
Gemma González Serra2,5Noèlia Carrasco-Querol1*
Oriol Sansano-Nadal1,3,4Nerea Bueno Hernández1Pau Bestraten del Pino1,2Marta Pastor Cazalla1,2Rosa Caballol Angelats6,7Pilar Montesó-Curto6,7,8Elisabet Castro Blanco1Macarena Pozo Ariza1José Fernández-Sáez1,9
M. Rosa Dalmau Llorca6,7Alessandra Queiroga Gonçalves1,10
Carina Aguilar Martín1,11
- 1Unitat de Suport a la Recerca Terres de l’Ebre, Fundació Institut Universitari d’Investigació en Atenció Primària Jordi Gol i Gurina (IDIAP JGol), Tortosa, Spain
- 2Servei de Rehabilitació d’Atenció Primària Terres de l’Ebre i Hospital Verge de la Cinta Tortosa, Institut Català de la Salut (ICS), Tortosa, Spain
- 3Departament d’Activitat Física i Salut, Facultat de Ciències de la Salut (FCS) i Facultat en Psicologia, Ciències de l’Educació i l’Esport (FPCEE) Blanquerna, Universitat Ramon Llull, Barcelona, Spain
- 4Departament d’Activitat Física i Fisioteràpia, EUSES Terres de l’Ebre, Universitat Rovira i Virgili, Tortosa, Spain
- 5Departament de Medicina i Cirurgia, Programa de doctorat de Biomedicina, Facultat de Medicina i Ciències de la Salut, Universitat Rovira i Virgili (URV), Reus, Spain
- 6Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain
- 7Servei d’Atenció Primària Terres de l’Ebre, Institut Català de la Salut (ICS), Tortosa, Spain
- 8Departament de Medicina i Cirurgia, Facultat de Medicina i Ciències de la Salut, Universitat Rovira i Virgili (URV), Reus, Spain
- 9Departament d’Infermeria, Facultat d’Infermeria Campus Terres de l’Ebre, Universitat Rovira i Virgili (URV), Tortosa, Spain
- 10Red de Investigación en Cronicidad, Atención Primaria y Promoción de la Salud (RICAPPS), Barcelona, Spain
- 11Unitat d’Avaluació i Recerca, Direcció d’Atenció Primària Terres de l’Ebre i Gerència Territorial Terres de l’Ebre, Institut Català de la Salut (ICS), Tortosa, Spain
Methods: randomized controlled trial was conducted in primary healthcare in Catalonia. A total of 143 individuals with FM or FM and CFS concomitantly (age 50.8, SD 8.1; 94.4% women) were randomly allocated to the intervention (IG, n = 69) or control (CG, n = 74) groups. The IG participated in a brief multicomponent (PA, nutrition, and chronobiology) group-based intervention (4 sessions, 3 h/session) while the CG received usual primary care practice. Primary outcome measure was PA measured by the REGICOR-Short Physical Activity Questionnaire. Secondary outcomes were sedentary (International Physical Activity Questionnaire) and sleep time (Pittsburgh Sleep Quality Index), upper- and lower-body muscle strength (handgrip and sit-to-stand test, respectively), and aerobic capacity (6-min walk test). Data were collected at baseline and 3 months post-intervention.
Results: The IG showed positive differences at 3-month follow-up, with highly appreciably PA levels, less sedentary time, and significantly improved sleep time. Significant between-group differences were also observed at 3 months, with better health values in the IG: PA and sleep time (370.3 ± 307.0 vs. 195.9 ± 289.1 min/week and 6.1 ± 1.6 vs. 5.5 ± 1.8 h/night, respectively) and less sedentary time (266.2 ± 153.3 vs. 209.4 ± 199.9 min/day). The IG also showed higher upper limb strength and significant lower-body strength both between and within groups, as well as significantly improved cardiorespiratory capacity.
Conclusion: The Synchronize + multicomponent program implemented at primary healthcare has shown short-term effectiveness in improving 24-h movement behaviors and health outcomes in individuals with FM, with or without CFS. This intervention may be a first step in educating and motivating people with FM and CFS to adopt an active lifestyle, leading to improved health. Long-term follow-up will determine whether the changes are maintained over time and their impact on quality of life and healthcare costs.
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