Profile of Colombian women with fibromyalgia, sedentary behavior and physical fitness levels
DOI:
https://doi.org/10.28957/rcmfr.v30n1a4Keywords:
Fibromyalgia, female, physical function, fat mass, muscle strength.Abstract
Introduction. Fibromyalgia is a syndrome characterized by the presence of persistent and generalized musculoskeletal pain associated with clinical symptoms such as fatigue, sleep disorders, depressed mood, functional limitation, and decreased quality of life.
Objective. To describe the level of physical activity as well as the physical fitness qualities of a group of Colombian women with Fibromyalgia. Understanding these things is not only important to the clinical world but also to the interest of public health.
Methods. Descriptive cross-sectional study in 22 females enrolled in a rehabilitation program, the main outcome measures were: self-reported level of physical activity, body composition by electric bioimpedance, cardiorespiratory fitness quantified by a six-minute walk and the measurement of isometric grip strength in hand.
Results. In the population group there was predominantly sedentary behavior. Excess fat weight and muscle percentage were evidenced. This was associated with a reduction in aerobic capacity and grip strength.
Conclusion. Fibromyalgia patients are characterized by sedentary behavior and low physical condition; this information can be used by health professionals in the approach and design of therapeutic strategies in order to improve health status and quality of life.
Author Biographies
Nelson Fernelly Gonzalez, Posgrado Medicina del Deporte y la Actividad Física, Universidad de Boyacá. Grupo de Investigación de la Mujer - Kinet Medical, Sogamoso (Boyacá), olombia. Grupo de Investigación y Rehabilitación, Hospital Regional de Sogamoso, Colombia.
Docente Posgrado Medicina del Deporte y la Actividad física de la Universidad de Boyacá
Mauricio Hernández Forero, Asociación Colombiana de Medicina Física y Rehabilitación. Docente del Posgrado Medicina del Deporte y la Actividad Física, Universidad de Boyacá. Grupo de Investigación y Rehabilitación, Hospital Regional de Sogamoso, Colombia.
Docente Posgrado Medicina del Deporte y la Actividad física de la Universidad de Boyacá; Medico Especialista en Medicina Fisica y Rehabilitaciòn
Andrea Rivas Plazas, Grupo de Investigación de la Mujer - Kinet Medical, Sogamoso (Boyacá), Colombia
Medico Especialista en Medicina Fisica y Rehabilitaciòn
Angela Navarro Ramírez, Posgrado en Medicina del Deporte y la Actividad Física, Universidad de Boyacá. Grupo de Investigación y Rehabilitación, Hospital Regional de Sogamoso, Colombia.
Médico Residente Posgrado Medicina del Deporte y la Actividad Física
Martin Bonilla Obando, Posgrado en Medicina del Deporte y la Actividad Física, Universidad de Boyacá. Grupo de Investigación y Rehabilitación, Hospital Regional de Sogamoso, Colombia.
Médico Residente Posgrado Medicina del Deporte y la Actividad Física
References
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8. Soriano-Maldonado A, Ruiz JR, Aparicio VA, Estévez-López F, Segura-Jiménez V, Álvarez-Gallardo IC, et al. Association of Physical Fitness with Pain in Women with Fibromyalgia: The al-Ándalus Project. Arthritis Care Res. 2015;67(11):1561–1570. Disponible en: https://doi.org/10.1002/acr.22610.
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11. American College of Sports Medicine. ACSM’s Guidelines for Exercise Testing and Prescription. 10th edition. Filadelfia (PA, USA): Wolters Kluwer Health; 2018. Disponible en: https://www.acsm.org/read-research/books/acsms-guidelines-for-exercise-testing-and-prescription. p. 134-135.
12. Organización Mundial de la Salud [OMS]. Recomendaciones mundiales de actividad física para la salud. Ginebra: OMS; 2010 [citado 05 de abril de 2020]. Disponible en: http://whqlibdoc.who.int/publications2010/9789243599977_spa.pdf
13. McLoughlin MJ, Colbert LH, Stegner AJ, Cook DB. Are women with fibromyalgia less physically active than healthy women?. Med Sci Sports Exerc. 2011;43(5):905–912. Disponible en: https://doi.org/10.1249/MSS.0b013e3181fca1ea.
14. Segura-Jiménez V, Aparicio VA, Álvarez-Gallardo IC, Carbonell-Baeza A, Tornero-Quinones I, Delgado-Fernández M. Does body composition differ between fibromyalgia patients and controls? The al-Ándalus Project. Clin Exp Rheumatol. 2015;33(1, Suppl. 88):s25–s32. Disponible en: https://www.clinexprheumatol.org/abstract.asp?a=8376. PMID: 25664957 [PubMed].
15. Gobierno de Colombia, Ministerio de Salud y Protección Social. Encuesta Nacional de la Situación Nutricional ENSIN [Internet]. 2015 [citado 05 de abril de 2020] Disponible en: https://www.icbf.gov.co bienestar/nutricion/encuesta-nacional-situacion-nutricional#ensin3.
16. Mork PJ, Vasseljen O, Nilsen TIL. Association between physical exercise, body mass index, and risk of fibromyalgia: Longitudinal data from the Norwegian Nord-Trøndelag Health Study. Arthritis Rheum. 2010;62:611–617. Disponible en: https://doi.org/10.1002/acr.20118.
17. Gavilán-Carrera B, Acosta-Manzano P, Soriano-Maldonado A, Borges-Cosic M, Aparicio VA, Delgado-Fernández, M, et al. Sedentary Time, Physical Activity, and Sleep Duration: Associations with Body Composition in Fibromyalgia. The Al-Andalus Project. J Clin Med. 2019;8(8):1260. Disponible en: https://doi.org/10.3390/jcm8081260.
18. Jones KD, Horak FB, Winters-Stone K, Irvine JM, Bennett RM, Winters KS, et al. Fibromyalgia is associated with impaired balance and falls. J Clin Rheumatol. 2009;15(1):16–21. Disponible en: https://doi.org/10.1097/RHU.0b013e318190f991.
19. Hernández-Petro AM, Cardona-Arias JA. Effect of fibromyalgia on health status and health related quality of life, 2004-2014. Rev Colomb Reumatol. 2015;22(2):110–118. Disponible en: https://doi.org/10.1016/j.rcreu.2015.03.005.
20. Kaleth AS, Slaven JE, Ang DC. Determining the Minimal Clinically Important Difference for 6- Minute Walk Distance in Fibromyalgia. Am J Phys Med Rehabil. 2016;95(10):738–745. Disponible en: https://doi.org/10.1097/PHM.0000000000000485.
21. Breda CA, Rodacki ALF, Leite N, Homann D, Goes S., Stefanello JMF. Physical activity level and physical performance in the 6-minute walk test in women with fibromialgia. Rev Bras Reumatol. 2013;53(3):276-281. https://doi.org/10.1590/S0482-50042013000300005.
22. Homann D, Stefanello J, Góes S, Leite N. Impaired functional capacity and exacerbation of pain and exertion during the 6-minute walk test in women with fibromyalgia. Rev Bras Fisioter. 2011;15(6):474-480. Disponible en: https://doi.org/10.1590/S1413-35552011000600008.
23. Forti M, Zamunér AR, Andrade CP, Silva E. Lung Function, Respiratory Muscle Strength, and Thoracoabdominal Mobility in Women with Fibromyalgia Syndrome. Respir. Care. 2016;61:1384–1390. Disponible en: https://doi.org/10.4187/respcare.04401.
24. Sener U, Ucok K, Ulasli AM, Genc A, Karabacak H, Coban NF, et al. Evaluation of health- related physical fitness parameters and association analysis with depression, anxiety, and quality of life in patients with fibromyalgia. Int J Rheum Dis. 2016; 19(8):763–772. Disponible en: https://doi.org/10.1111/1756-185X.12237.
25. Koca I, Savas E, Ozturk ZA, Boyaci A, Tutoglu A, Alkan S, et al. The evaluation in terms of sarcopenia of patients with fibromyalgia syndrome. Wien. Klin. Wochenschr. 2016;128:816–821. Disponible en: https://doi.org/10.1007/s00508-015-0821-8.
26. Jones J, Rutledge DN, Jones KD, Matallana L, Rooks DS. Self-assessed physical function levels of women with fibromyalgia: A national sur vey. Women’s Health Issues. 2008;18(5):406–412. Disponible en: https://doi.org/10.1016/j.whi.2008.04.005.
27. Gerdle B, Grönlund C, Karlsson SJ, Holtermann A, Roeleveld K. Altered neuromuscular control mechanisms of the trapezius muscle in fibromyalgia. BMC Musculoskelet Disord. 2010;11:42. Dispo- nible en: https://doi.org/10.1186/1471-2474-11-42.
28. Sempere-Rubio N, Aguilar-Rodríguez M, Inglés M., Izquierdo-Alventosa R, Serra-Añó P. Physical Condition Factors that Predict a Better Quality of Life in Women with Fibromyalgia. Int J Environ Res Public Health. 2019;16(17): 3173. Disponible en: https://doi.org/10.3390/ijerph16173173.
29. Köklü K, Sarigül M, Özişler Z, Şirzai H, Özel S. (2015). Handgrip Strength in Fibromyalgia. Arch Rheumatol. 2015;31(2): 158–161. Disponible en: https://doi.org/ 10.5606/ ArchRheumatol.2016.5736.
2. Gavilán-Carrera B, Segura-Jiménez V, Acosta-Manzano P, Borges-Cosic M, Álvarez-Gallardo IC, Delgado-Fernández M. Patterns of Sedentar y Time and Quality of Life in Women With Fibromyalgia: Cross-Sectional Study From the al-Ándalus Project. JMIR mHealth uHealth. 2020;8(3):e14538. Disponible en: https://doi.org/10.2196/14538.
3. Segura-Jiménez V, Estévez-López F, Castro-Piñero J, Álvarez-Gallardo IC, Soriano-Maldonado A, Borges- Cosic M, et al. Association of patterns of moderate-to-vigorous physical activity bouts with pain, physical fatigue, and disease severity in women with fibromyalgia: the al-Ándalus Project. Arch Phys Med Rehabil. 2019;100(7):1234–1242. Disponible en: https://doi.org/10.1016/j.apmr.2018.12.019.
4. Munguía-Izquierdo D, Pulido-Martos M, Acosta F, Acosta-Manzano P, Gavilán-Carrera B, Rodriguez- Ayllon M, et al. Objective and subjective measures of physical functioning in women with fibromyalgia: what type of measure is associated most clearly with subjective well-being?. Disabil Rehabil. 2019 octubre 22 [OnLine]. Disponible en https://doi.org/10.1080/09638288.2019.1671503.
5. Araújo FM, DeSantana JM. Physical therapy modalities for treating fibromyalgia. F1000Research. 2019;8(F1000 Faculty Rev):2030. Disponible en: https://doi.org/10.12688/f1000research.17176.1.
6. Cabo-Meseguer A, Cerdá-Olmedo G, Trillo-Mata JL. Fibromyalgia: Prevalence, epidemiologic profiles and economic costs. Med Clin (Barc). 2017;149(10):441–448. Disponible en: https://doi.org/10.1016/j.medcli.2017.06.008.
7. Mantilla-Toloza SC, Gómez-Conesa A. El Cuestionario Internacional de Actividad Física. Un instrumento adecuado en el seguimiento de la actividad física poblacional. Rev Iberoam Fisioter Kinesol 2007;10(1):48-52. Disponible en: https://doi: 10.1016/S1138-6045(07)73665-1.
8. Soriano-Maldonado A, Ruiz JR, Aparicio VA, Estévez-López F, Segura-Jiménez V, Álvarez-Gallardo IC, et al. Association of Physical Fitness with Pain in Women with Fibromyalgia: The al-Ándalus Project. Arthritis Care Res. 2015;67(11):1561–1570. Disponible en: https://doi.org/10.1002/acr.22610.
9. Gobierno de Colombia, Ministerio de Salud y Protección Social. Manual de medición de la caminata de seis minutos [Internet]. 2016 [citado 05 de abril de 2020]. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists BibliotecaDigital/RIDE/VS/PP/ENT/manual- medicion-caminata-6-mins.pdf.
10. Enright PL, Sherrill DL. Reference equations for the six-minute walk in healthy adults. Am J Respir Crit Care Med. 1998;158(5):1384–1387. Disponible en: https://doi.org/10.1164/ajrccm.158.5.9710086.
11. American College of Sports Medicine. ACSM’s Guidelines for Exercise Testing and Prescription. 10th edition. Filadelfia (PA, USA): Wolters Kluwer Health; 2018. Disponible en: https://www.acsm.org/read-research/books/acsms-guidelines-for-exercise-testing-and-prescription. p. 134-135.
12. Organización Mundial de la Salud [OMS]. Recomendaciones mundiales de actividad física para la salud. Ginebra: OMS; 2010 [citado 05 de abril de 2020]. Disponible en: http://whqlibdoc.who.int/publications2010/9789243599977_spa.pdf
13. McLoughlin MJ, Colbert LH, Stegner AJ, Cook DB. Are women with fibromyalgia less physically active than healthy women?. Med Sci Sports Exerc. 2011;43(5):905–912. Disponible en: https://doi.org/10.1249/MSS.0b013e3181fca1ea.
14. Segura-Jiménez V, Aparicio VA, Álvarez-Gallardo IC, Carbonell-Baeza A, Tornero-Quinones I, Delgado-Fernández M. Does body composition differ between fibromyalgia patients and controls? The al-Ándalus Project. Clin Exp Rheumatol. 2015;33(1, Suppl. 88):s25–s32. Disponible en: https://www.clinexprheumatol.org/abstract.asp?a=8376. PMID: 25664957 [PubMed].
15. Gobierno de Colombia, Ministerio de Salud y Protección Social. Encuesta Nacional de la Situación Nutricional ENSIN [Internet]. 2015 [citado 05 de abril de 2020] Disponible en: https://www.icbf.gov.co bienestar/nutricion/encuesta-nacional-situacion-nutricional#ensin3.
16. Mork PJ, Vasseljen O, Nilsen TIL. Association between physical exercise, body mass index, and risk of fibromyalgia: Longitudinal data from the Norwegian Nord-Trøndelag Health Study. Arthritis Rheum. 2010;62:611–617. Disponible en: https://doi.org/10.1002/acr.20118.
17. Gavilán-Carrera B, Acosta-Manzano P, Soriano-Maldonado A, Borges-Cosic M, Aparicio VA, Delgado-Fernández, M, et al. Sedentary Time, Physical Activity, and Sleep Duration: Associations with Body Composition in Fibromyalgia. The Al-Andalus Project. J Clin Med. 2019;8(8):1260. Disponible en: https://doi.org/10.3390/jcm8081260.
18. Jones KD, Horak FB, Winters-Stone K, Irvine JM, Bennett RM, Winters KS, et al. Fibromyalgia is associated with impaired balance and falls. J Clin Rheumatol. 2009;15(1):16–21. Disponible en: https://doi.org/10.1097/RHU.0b013e318190f991.
19. Hernández-Petro AM, Cardona-Arias JA. Effect of fibromyalgia on health status and health related quality of life, 2004-2014. Rev Colomb Reumatol. 2015;22(2):110–118. Disponible en: https://doi.org/10.1016/j.rcreu.2015.03.005.
20. Kaleth AS, Slaven JE, Ang DC. Determining the Minimal Clinically Important Difference for 6- Minute Walk Distance in Fibromyalgia. Am J Phys Med Rehabil. 2016;95(10):738–745. Disponible en: https://doi.org/10.1097/PHM.0000000000000485.
21. Breda CA, Rodacki ALF, Leite N, Homann D, Goes S., Stefanello JMF. Physical activity level and physical performance in the 6-minute walk test in women with fibromialgia. Rev Bras Reumatol. 2013;53(3):276-281. https://doi.org/10.1590/S0482-50042013000300005.
22. Homann D, Stefanello J, Góes S, Leite N. Impaired functional capacity and exacerbation of pain and exertion during the 6-minute walk test in women with fibromyalgia. Rev Bras Fisioter. 2011;15(6):474-480. Disponible en: https://doi.org/10.1590/S1413-35552011000600008.
23. Forti M, Zamunér AR, Andrade CP, Silva E. Lung Function, Respiratory Muscle Strength, and Thoracoabdominal Mobility in Women with Fibromyalgia Syndrome. Respir. Care. 2016;61:1384–1390. Disponible en: https://doi.org/10.4187/respcare.04401.
24. Sener U, Ucok K, Ulasli AM, Genc A, Karabacak H, Coban NF, et al. Evaluation of health- related physical fitness parameters and association analysis with depression, anxiety, and quality of life in patients with fibromyalgia. Int J Rheum Dis. 2016; 19(8):763–772. Disponible en: https://doi.org/10.1111/1756-185X.12237.
25. Koca I, Savas E, Ozturk ZA, Boyaci A, Tutoglu A, Alkan S, et al. The evaluation in terms of sarcopenia of patients with fibromyalgia syndrome. Wien. Klin. Wochenschr. 2016;128:816–821. Disponible en: https://doi.org/10.1007/s00508-015-0821-8.
26. Jones J, Rutledge DN, Jones KD, Matallana L, Rooks DS. Self-assessed physical function levels of women with fibromyalgia: A national sur vey. Women’s Health Issues. 2008;18(5):406–412. Disponible en: https://doi.org/10.1016/j.whi.2008.04.005.
27. Gerdle B, Grönlund C, Karlsson SJ, Holtermann A, Roeleveld K. Altered neuromuscular control mechanisms of the trapezius muscle in fibromyalgia. BMC Musculoskelet Disord. 2010;11:42. Dispo- nible en: https://doi.org/10.1186/1471-2474-11-42.
28. Sempere-Rubio N, Aguilar-Rodríguez M, Inglés M., Izquierdo-Alventosa R, Serra-Añó P. Physical Condition Factors that Predict a Better Quality of Life in Women with Fibromyalgia. Int J Environ Res Public Health. 2019;16(17): 3173. Disponible en: https://doi.org/10.3390/ijerph16173173.
29. Köklü K, Sarigül M, Özişler Z, Şirzai H, Özel S. (2015). Handgrip Strength in Fibromyalgia. Arch Rheumatol. 2015;31(2): 158–161. Disponible en: https://doi.org/ 10.5606/ ArchRheumatol.2016.5736.
How to Cite
1.
Gonzalez NF, Hernández Forero M, Rivas Plazas A, Navarro Ramírez A, Bonilla Obando M. Profile of Colombian women with fibromyalgia, sedentary behavior and physical fitness levels. Rev. Colomb. Med. Fis. Rehabil. [Internet]. 2020 Sep. 9 [cited 2024 May 17];30(1):45-53. Available from: https://revistacmfr.org/index.php/rcmfr/article/view/241
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2020-09-09
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