Title Tjelesna aktivnost i reumatoidni artritis Title (english) Physical activity and rheumatoid arthritis Author Dora Filipović Mentor Nadica Laktašić Žerjavić (mentor)Committee member Porin Perić (predsjednik povjerenstva)Committee member Jasenka Markeljević (član povjerenstva)Committee member Nadica Laktašić Žerjavić (član povjerenstva)Granter University of Zagreb Defense date and country 2020-07-17, Croatia Scientific / art field, BIOMEDICINE AND HEALTHCARE Abstract Reumatoidni artritis sustavna je upalna bolest koja primarno zahvaća zglobove. Danas predstavlja jedan od važnih uzroka smanjenja kvalitete i očekivanog trajanja života. Zahvaća pretežno ženski spol, s omjerom žene:muškarci 3:1, a u europskoj populaciji javlja se s učestalošću 0.8 – 1,0%. U liječenju se, osim farmakološke terapije, koristi i nefarmakološka terapija, u koju ubrajamo fizikalnu i radnu terapiju i posebne vježbe te kiruršku terapiju. Tjelesna aktivnost kao dio nefarmakološke terapije trebala bi biti važan dio života oboljelih od RA, ali problem je u tome što velik broj liječnika i bolesnika nije dovoljno osviješten o koristima koje donosi TA. Objavljene su smjernice za TA u svrhu očuvanja zdravlja u općoj populaciji, poput smjernica SZO iz 2011. godine i ACSM iz 2018. godine. Mali udio oboljelih od RA zna da one postoje i pridržava ih se. Štoviše, veliki udio bolesnika tjelesno je neaktivan. Dodatni problem je što su smjernice uglavnom namijenjene zdravoj odrasloj populaciji te ne daju dovoljno jasne upute za oboljele od RA. Tek su nedavno (2018. godine) objavljene smjernice EULAR-a za TA u odraslih oboljelih od upalnog artritisa i osteoartritisa koje naglašavaju da TA treba biti obavezan dio sveobuhvatne skrbi bolesnika s upalnim artritisom te se sastoji od areobne TA, vježbi snaženja, vježbi fleksibilnosti te neuromišićnog treninga ravnoteže i hoda. Učinci TA ovisni su o dozi i trajanju, stoga je potrebno uključiti bihevioralne tehnike kako bi se poboljšala dugotrajna adherencija bolesnika za TA. Brojne su koristi koje se mogu postići redovitom TA određenog intenziteta u bolesnika s RA: TA smanjuje rizik od razvoja bolesti, smanjuje aktivnost bolesti, poboljšava mišićno-koštani status i zglobni status, poboljšava funkcionalni status i, u konačnici, kvalitetu života koja je narušena u ovih bolesnika. Ostali pozitivni učinci TA u RA očituju se na kardiovaskularnom sustavu, boljoj regulaciji glikemije i tjelesne mase, mentalnom zdravlju, smanjenom obolijevanju od malignih bolesti te smanjenju općeg mortaliteta.
Abstract (english) Rheumatoid arthritis is a systemic inflammatory disease primarily affecting joints. It is a significant cause of decreased quality of life and life expectancy. It affects mostly women, the ratio women to men being 3:1. About 0.8 – 1% of European population is affected. There are various kinds of therapy, including pharmacological, nonpharmacological – physical and occupational therapy and special exercises – and surgical therapy. Physical activity (PA) should be implemented in patients' lives as a part of the nonpharmacological therapy, but there is a problem regarding a vast number of doctors and patients not being aware of the benefits of PA. The guidelines for PA for health maintenance in general population were published in 2011 by WHO and in 2018 by ACSM. A small number of patients diagnosed with RA is informed about the guidelines and performs PA according to the guidelines. Nevertheless, a great number of patients is physically inactive. Another problem is the guidelines being not specific for rheumatoid arthritis patients, as they are written for the healthy adult population. New guidelines were recently published (in 2018) specifically for the inflammatory arthritis and osteoarthritis patients and these guidelines emphasize that PA should be a mandatory part of care in these patients and that therapeutic PA should include aerobic PA, muscle strengthening exercises, flexibility exercises and neuromuscle training of balance and walking. The effects od PA are dependable on the dose and duration of PA, therefore it is necessary to include behavioral techniques to improve long-term adherence to PA. There are numerous benefits of regular PA of certain intensity that can be accomplished in the patients with RA: PA decreases the risk for RA development, it decreases disease activity level in RA patients, improves musculoskeletal status and joint status, improves functional status and, finally, improves quality of life, which is decreased in these patients. Other benefits of PA in RA can be seen in cardiovascular system, glycemia and bodyweight regulation, mental health, decreased incidence of malignant diseases and decreased all-cause mortality.
Keywords
reumatoidni artritis
tjelesna aktivnost
smjernice SZO
nefarmakološka terapija
terapijske vježbe
Keywords (english)
rheumatoid arthritis
physical activity
WHO guidelines
nonpharmacological therapy
therapeutic exercises
Language croatian URN:NBN urn:nbn:hr:105:934583 Study programme Title: Medicine Type of resource Text File origin Born digital Access conditions Open access Terms of use Created on 2021-08-24 09:13:18
