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A UPM researcher leads a study that analyzes the benefits of replacing sedentary time with intervals of physical activity in women with fibromyalgia. It shows that patients who replace 30 minutes of their sedentary time with light physical activity show improvements in their physical condition. The benefits are greater if they are replaced by 30 minutes of moderate physical activity. That the affected patients should not exercise was one of the 9 misconceptions disseminated.
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Related news Actsupm awards, boost to technology-based companies They design a pain reliever much better than morphine Ready to improve pain relievers against joint pain Confirm that the sport of embals heals fetus and motherFibromyalgia, explains the Polytechnic University of Madrid when giving the news of the investigation, is a disease that is characterized by a greater sensitivity to painful stimuli. Along with chronic pain, this medical condition often involves a series of physical and psychological symptoms such as, for example, an increase in physical fatigue and a decrease in well-being.
Cristina Maestre, a doctor and researcher at the Faculty of Physical Activity and Sports Sciences (INEF) of the Polytechnic University of Madrid (UPM), has led the study that analyzes the benefits of replacing sedentary time with intervals of physical activity mild, moderate or vigorous in a population diagnosed with fibromyalgia.
The objective, describes the researcher, was “to analyze the associations between the allocation of time dedicated to sedentary and physical activities, and the components of physical condition in women with fibromyalgia.”
Developed in collaboration with researchers from the universities of Granada, Almería, Cádiz, Ulster (Northern Ireland) and the University Medical Center of Rotterdam (Netherlands), the study shows that the theoretical replacement of 30 minutes per day of sedentary time (sitting , watch television, etc.) for 30 minutes of light physical activity may be associated with an improvement in the muscular strength of the upper body member and in cardiorespiratory capacity.
In addition, if that time is replaced by 30 minutes a day of moderate physical activity, “additional benefits can be obtained in the components of the physical condition and allow greater effects on the physical state, which will have a positive impact on the ability to carry carry out the tasks of daily life, ”says Cristina Maestre.
Physical activity in fibromyalgia patients
Although the findings suggest that moderate physical activity is the most beneficial for improving physical fitness, it does not mean that it is recommended for all people with fibromyalgia. In fact, only the replacement of sedentary time with light physical activity produces significant improvements in results.
“Patients with fibromyalgia,” explains the UPM researcher, “often value intense activities as frightening, which in turn can cause anxiety and a feeling of being forced beyond one’s ability or will.” Therefore, the study recommends a gradual approach in which people devote small continuous intervals of time (30 continuous minutes) or matches (15 minutes-15 minutes) to light physical activity and, when they feel safe, progress to moderate intensity activities.
The researchers conclude that, instead of the standard one-size physical activity programs, the objectives and progression of the programs could be better based on personalized approaches and the convenience of complementing physical activity with other therapeutic modalities could be considered.
Nine misconceptions about fibromyalgia, according to CuídatePlus
The fibromyalgia, around which circulate 9 misconceptions according CuídatePlus, is a rheumatic disease characterized by widespread pain in the musculoskeletal system which is accompanied by severe fatigue , decreased functional capacity, cognitive disorders and sleep, symptoms functional in various organs and bad mood .The unknowns about this pathology persist, although, as Carlos Bastida, head of the Working Group of the Locomotor System of the Spanish Society of General and Family Physicians (SEMG) , “is identified as an entity since 1904”.The big unanswered question is why fibromyalgia occurs, since, today, it is still a disease of unknown cause . However, more and more clues are available to specialists. “We know that there are many traumatic, psychological, infectious or emotional factors capable of triggering the appearance of a fibromyalgia,” says Javier Rivera, spokesman for the Spanish Society of Rheumatology (SER) and rheumatologist at the University Hospital Gregorio Marañón, Madrid. “We also know that in these patients there is a sensitization of the central nervous system with activation of certain brain nuclei, hypoactivity of others and numerous alterations of the brain neurotransmitters that explain the symptoms of the disease well ”.Likewise, the knowledge of the possible genetic factors involved has been expanded thanks to the identification of “several associated genetic polymorphisms, which justifies the presence of families with several members affected by the disease and, therefore, with a greater predisposition to suffer from it ” , adds the rheumatologist.Prejudices about fibromyalgiaOne of the obstacles faced by those who treat those affected is that there is currently no imaging or laboratory test that serves to diagnose fibromyalgia, although several lines of research are open.Therefore, there are still those who still doubt its existence. Experts rebut the main misconceptions about fibromyalgia:1- Fibromyalgia is not a real disease“It is as real as it is one of the diseases with the worst quality of life indices , when compared to other diseases, both rheumatologic and general,” says Rivera. Bastida adds that “it is considered a disease by the World Health Organization (WHO) since 1992″.2- It is a psychological or psychiatric disorderIt is not a mental disorder, but “a disease caused by an alteration of the neurotransmitters of the nervous system, which will cause a series of clinical manifestations: generalized pain, symptoms of anxiety and depression , irritable bowel , sleep disorders, joint stiffness and who also perceive pain with non-painful stimuli and greater pain than normal with painful stimuli, ”says the family doctor.What often happens is that during the course of the disease psychological disorders and depression appear, produced by the burden of living with a chronic disease of these characteristics.3- There is a specific diet for fibromyalgiaThere is no evidence that some foods or additives worsen or improve fibromyalgia symptoms . What is certain, according to Bastida, “is that losing weight can help people who are overweight to reduce symptoms, so it is necessary to follow a balanced diet and avoid toxic substances such as tobacco or alcohol.”For Rivera, “the best diet that a patient with fibromyalgia can do is the Mediterranean diet , that is, the one we have done in our country all our lives.”4- Hypnosis and meditation help fight the symptoms of this diseaseThe cognitive-behavioral therapy and moderate aerobic exercise are, in the words of Bastida, “the only non – drug treatments that have shown its effectiveness in improving symptoms”.Rivera clarifies that relaxation techniques can have beneficial effects on the clinical manifestations of these patients, but considers it “a mistake to think that a few relaxation sessions are enough to combat the symptoms; using relaxation techniques should be part of the daily life of these patients and not only occasionally or in seasons. ”5- It is a disease that has no treatmentFrom clinical trials conducted in people with fibromyalgia it is known that different treatments achieve improvement in a third of patients and also in a third of the intensity of symptoms. In daily clinical practice, improvement occurs in up to 40% of patients.In addition, it has been proven that the treatment and follow-up of these patients prevent the progression of the disease towards more severe forms.The treatment is based on the use of antidepressant drugs, some anticonvulsants and analgesics to help improve sleep, fight fatigue and depression, muscle spasms and pain. In addition, aerobic physical exercise is scheduled gradually and psychological therapies are performed to teach the patient to cope with his illness.6- It affects only women and the elderlyThis disease affects men and women, although it is much more frequent in them. The rheumatologist explains how the diagnosis by sex has evolved in recent years: “We had the idea that fibromyalgia affected almost exclusively middle-aged women, around 50 years. However, with the introduction of the new classification criteria we have shown a 25% increase in diagnoses, especially in men . It also affects people over 65 and children under 18, but in both cases the diagnosis of fibromyalgia is usually masked by the presence of other diseases. ”7- It is an autoimmune diseaseThere are no data that suggest the autoimmune origin of this disease. “Lately, some works have appeared that suggest an intracerebral inflammatory process due to activation of glial cells, but there are still no data compatible with autoimmunity,” Rivera points out.8- Does not have a good prognosisFibromyalgia is a chronic disease that does not carry a vital risk. “There are changes in their symptoms, which may improve or worsen,” says Bastida. “The prognosis will depend largely on the treatment, especially the non-pharmacological,” he adds.Rivera is clear that a patient with fibromyalgia ” diagnosed in time , put on treatment and monitored periodically can achieve a good quality of life .”9- Those affected cannot exercisePerforming physical exercise on a regular basis is, according to the representative of the SER, “the treatment with better rates of improvement for these patients.” The SEMG spokesman adds that aerobic exercise should be “in a progressive, gradual and constant manner ”. Swimming, dancing, walking, walking, cycling and hot water exercises are some of the activities that can help improve symptoms. Everything will depend on the physical conditions of each patient.