Physical activity correlates in people with fibromyalgia: a systematic review 2022 Vancampfort et al

Abstract

Purpose
Understanding the enablers of and barriers to physical activity (PA) participation in people with fibromyalgia (PwF) is an essential first step to developing effective PA interventions. This systematic review examined correlates of PA across the socio-ecological model (i.e., intra-personal, inter-personal, environmental, and policy level) in PwF.

Materials and methods
PubMed, Embase, and CINAHL were searched from inception until 12 July 2022. Keywords included “physical activity” or “exercise” and “fibromyalgia” or “fibrositis.” Summary coding was used to quantify the PA correlates.

Results
Out of 74 PA correlates retrieved from 39 articles (n = 9426), co-morbid depression and higher pain intensity were found to be consistent (i.e., reported in four or more articles) barriers to PA in PwF, while higher self-efficacy and better endurance were found to be consistent enablers to PA. Despite the abundance of evidence for the PA benefits for PwF, we only found consistent evidence for PA correlates at the intrapersonal level.

Conclusions
Health professionals should consider mental and physical health barriers when promoting PA in PwF. There remains a need to better understand social, environmental, and policy-related factors associated with PA participation in PwF

• Implications for rehabilitation
• Co-morbid depression is a notable barrier to physical activity participation in people with fibromyalgia.
  
  
• Experienced pain intensity should be considered as a barrier when promoting physical activity for people with fibromyalgia.
  
  
• Rehabilitation professionals should facilitate self-efficacy in physical activity interventions for people with fibromyalgia.
  
  
• Rehabilitation professionals should promote endurance when motivating people with fibromyalgia towards an active lifestyle.
  

Paywall, https://www.tandfonline.com/doi/full/10.1080/09638288.2022.2146911

 

We should screen people with Fibro for PEM before telling them to exercise because comorbid ME is so common.

 

This is really all why the whole "correlation is not causation" is so important. Especially using such loose criteria that they miss 90%+ of the features.

Building an entire discipline out of "akshualy" predictably leads to absurdity and failure. This is seriously beyond absurd and into excessive dark satire.

Because this is basically like an economic theory that teaches poor people to buy expensive stuff to get rich, since this is what rich people do. It's exactly as ridiculous and no one seems to care that the obvious direction of causality is ignored.

Yeah, either AI gets us out of this nightmare or this is it. The medical profession cannot do this, they're stuck in loops and unable to get out. It's literally getting worse with time, the massive failure of Long Covid actively fueled the pseudoscience. Failure is success. Success is failure.