Resistance Exercise in Woman With Primary Sjörgen Syndrome.

NCT03130062 | Completed DMC

• 1 other identifier: 13041978
• Study Type: interventional
• Target: 51
• Locations: 0 countries
• Sites: N/A

Brief Summary

To analyze the effectiveness of 16-week resistance exercise in daily motor behavior and functional fitness in women with Primary Sjögren's Syndrome. The present study presents as hypothesis that a supervised resistance exercise program is effective and safe in improving the functional fitness and quality of life of patients with Primary Sjögren's Syndrome, making them more physically active, contributing positively to the capacity to perform daily life activities as household and / or professional tasks.

Conditions

Primary Sjögren Syndrome

Keywords

Resistance Exercise; Functional Fitness; Actigraphy; Primary Sjögren Syndrome

Outcome Measures

Primary Outcomes (2)

• Change in functional fitness

  The protocol consists of a sequence of 7 tests that aim to mimic the neuromotor and cardiorespiratory needs involved in the daily life activities. This battrey test was designed and validated to evaluate the elderly without a ceiling effect, ensuring that the physical aspect measured represents the maximum of the individual. The physiological components evaluated, based on the physical abilities performed in the daily activities are: upper and lower limb strength, aerobic capacity, upper and lower limb flexibility, as well as motor agility / dynamic balance. In addition, the authors added the body mass index (BMI), to estimate the body composition.

  The subjects were assessed in 2 moments: before entering the resistance training program and after 16 weeks of intervention.

• Change in daily motor activity index

  To verify the daily movement index of the subjects we used a device called an actigraphy or actimeter.

  The subjects were assessed for 15 consecutive days belonging to the habitual routine of the volunteers. It was used in 2 moments: before entering the resistance training program and after 16 weeks of intervention.

Secondary Outcomes (2)

• Quality of life estimate

  The subjects were assessed in 2 moments: before entering the resistance training program and after 16 weeks of intervention.

• Estimates of disease activity

  The subjects were assessed in 2 moments: before entering the resistance training program and after 16 weeks of intervention.

Study Arms (2)

Exercise

EXPERIMENTAL

Volunteers underwent a supervised resistance exercise program for 16 weeks. The subjects performed 10 exercises with 3 sets of 10 maximum repetitions in each. The training sessions were held twice a week.

Other: Exercise

Control

NO INTERVENTION

Volunteers in this group were instructed not to perform systematic physical exercises for 16 weeks (the same period of the GEX group training program), and only the SSP medication treatment was maintained, and they were followed up during the study period.

Interventions

Exercise OTHER

The following muscular clusters were exerted: latissimus dorsi, deltoid, pectoralis major , triceps brachialis, biceps brachialis, quadriceps, hamstring, thigh adductor muscles, thigh abductor muscles and gastrocnemius.

Exercise

Eligibility Criteria

• Age: 18 Years+
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients with a diagnosis of PSS - according to the criteria of the American-European Society for the classification of Primary Sjögren's Syndrome (Vitali et al., 2002);
• Female gender
• Aged above 18 years

You may not qualify if:

• Patients who had cognitive difficulties, with diagnosis of Secondary Sjögren's Syndrome,
• A regular physical exercise practitioner or who were practicing physical exercise regularly up to 2 months before the interview.
• Patients in clinical conditions that prevented the practice of physical exercise according to previous medical evaluation, such as decompensated diabetes mellitus, decompensated thyroid disease, severe cardiorespiratory diseases, etc. - Use of medications that interfere with physical aspects, especially in response to the sensation of fatigue.

Sponsors & Collaborators

• Federal University of São Paulo: lead

Related Publications (16)

• Baillet A, Vaillant M, Guinot M, Juvin R, Gaudin P. Efficacy of resistance exercises in rheumatoid arthritis: meta-analysis of randomized controlled trials. Rheumatology (Oxford). 2012 Mar;51(3):519-27. doi: 10.1093/rheumatology/ker330. Epub 2011 Nov 24.

  PMID: 22120463 RESULT

• Booth FW, Roberts CK, Laye MJ. Lack of exercise is a major cause of chronic diseases. Compr Physiol. 2012 Apr;2(2):1143-211. doi: 10.1002/cphy.c110025.

  PMID: 23798298 RESULT

• Cook DB, Nagelkirk PR, Poluri A, Mores J, Natelson BH. The influence of aerobic fitness and fibromyalgia on cardiorespiratory and perceptual responses to exercise in patients with chronic fatigue syndrome. Arthritis Rheum. 2006 Oct;54(10):3351-62. doi: 10.1002/art.22124.

  PMID: 17009309 RESULT

• O'Grady M, Fletcher J, Ortiz S. Therapeutic and physical fitness exercise prescription for older adults with joint disease: an evidence-based approach. Rheum Dis Clin North Am. 2000 Aug;26(3):617-46. doi: 10.1016/s0889-857x(05)70159-9.

  PMID: 10989515 RESULT

• Hakkinen A, Sokka T, Kautiainen H, Kotaniemi A, Hannonen P. Sustained maintenance of exercise induced muscle strength gains and normal bone mineral density in patients with early rheumatoid arthritis: a 5 year follow up. Ann Rheum Dis. 2004 Aug;63(8):910-6. doi: 10.1136/ard.2003.013003.

  PMID: 15249317 RESULT

• Peterson MD, Rhea MR, Sen A, Gordon PM. Resistance exercise for muscular strength in older adults: a meta-analysis. Ageing Res Rev. 2010 Jul;9(3):226-37. doi: 10.1016/j.arr.2010.03.004. Epub 2010 Apr 10.

  PMID: 20385254 RESULT

• Rooks DS, Silverman CB, Kantrowitz FG. The effects of progressive strength training and aerobic exercise on muscle strength and cardiovascular fitness in women with fibromyalgia: a pilot study. Arthritis Rheum. 2002 Feb;47(1):22-8. doi: 10.1002/art1.10180.

  PMID: 11932874 RESULT

• Stenstrom CH, Minor MA. Evidence for the benefit of aerobic and strengthening exercise in rheumatoid arthritis. Arthritis Rheum. 2003 Jun 15;49(3):428-34. doi: 10.1002/art.11051. No abstract available.

  PMID: 12794800 RESULT

• Champey J, Corruble E, Gottenberg JE, Buhl C, Meyer T, Caudmont C, Berge E, Pellet J, Hardy P, Mariette X. Quality of life and psychological status in patients with primary Sjogren's syndrome and sicca symptoms without autoimmune features. Arthritis Rheum. 2006 Jun 15;55(3):451-7. doi: 10.1002/art.21990.

  PMID: 16739213 RESULT

• Barendregt PJ, Visser MR, Smets EM, Tulen JH, van den Meiracker AH, Boomsma F, Markusse HM. Fatigue in primary Sjogren's syndrome. Ann Rheum Dis. 1998 May;57(5):291-5. doi: 10.1136/ard.57.5.291.

  PMID: 9741313 RESULT

• Belenguer R, Ramos-Casals M, Brito-Zeron P, del Pino J, Sentis J, Aguilo S, Font J. Influence of clinical and immunological parameters on the health-related quality of life of patients with primary Sjogren's syndrome. Clin Exp Rheumatol. 2005 May-Jun;23(3):351-6.

  PMID: 15971423 RESULT

• Dassouki T, Benatti FB, Pinto AJ, Roschel H, Lima FR, Augusto K, Pasoto S, Pereira RMR, Gualano B, de Sa Pinto AL. Objectively measured physical activity and its influence on physical capacity and clinical parameters in patients with primary Sjogren's syndrome. Lupus. 2017 Jun;26(7):690-697. doi: 10.1177/0961203316674819. Epub 2016 Oct 26.

  PMID: 27798360 RESULT

• d'Elia HF, Rehnberg E, Kvist G, Ericsson A, Konttinen Y, Mannerkorpi K. Fatigue and blood pressure in primary Sjogren's syndrome. Scand J Rheumatol. 2008 Jul-Aug;37(4):284-92. doi: 10.1080/03009740801907995.

  PMID: 18612929 RESULT

• Hackett KL, Newton JL, Frith J, Elliott C, Lendrem D, Foggo H, Edgar S, Mitchell S, Ng WF. Impaired functional status in primary Sjogren's syndrome. Arthritis Care Res (Hoboken). 2012 Nov;64(11):1760-4. doi: 10.1002/acr.21738.

  PMID: 23111856 RESULT

• Lendrem D, Mitchell S, McMeekin P, Bowman S, Price E, Pease CT, Emery P, Andrews J, Lanyon P, Hunter J, Gupta M, Bombardieri M, Sutcliffe N, Pitzalis C, McLaren J, Cooper A, Regan M, Giles I, Isenberg D, Vadivelu S, Coady D, Dasgupta B, McHugh N, Young-Min S, Moots R, Gendi N, Akil M, Griffiths B, Ng WF; UK primary Sjogren's Syndrome Registry. Health-related utility values of patients with primary Sjogren's syndrome and its predictors. Ann Rheum Dis. 2014 Jul;73(7):1362-8. doi: 10.1136/annrheumdis-2012-202863. Epub 2013 Jun 12.

  PMID: 23761688 RESULT

• Minali PA, Pimentel C, de Mello MT, Lima G, Dardin LP, Garcia A, Goni T, Trevisani V. Effectiveness of resistance exercise in functional fitness in women with primary Sjogren's syndrome: randomized clinical trial. Scand J Rheumatol. 2020 Jan;49(1):47-56. doi: 10.1080/03009742.2019.1602880. Epub 2019 Jun 27.

  PMID: 31244376 DERIVED

MeSH Terms

Interventions

Exercise

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• PAULO A MINALI

  Federal University of São Paulo

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: The collaborators who carried out these evaluations were unaware of the allocation of volunteers.
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Physical Education Professor

Model Details: The division of the groups was obtained through randomization through a computer program. An opaque envelope containing the group allocation was given to the volunteer by the blind evaluator. After randomization, the sequential numbers were kept in opaque and closed envelopes and, as patients passed the initial evaluations, were allocated to one of the groups.

Study Record Dates

• First Submitted: April 16, 2017
• First Posted: April 26, 2017
• Study Start: January 1, 2014
• Primary Completion: September 1, 2015
• Study Completion: September 1, 2015
• Last Updated: April 27, 2017

Record last verified: 2017-04

Data Sharing

• IPD Sharing: Will share