Pediatric rheumatology

Effect of exercise training on heath, quality of life, exercise capacity in juvenile idiopathic arthritis: a meta-analysis of randomized controlled trials

Pediatr Rheumatol Online JPublished Systematic review and meta-analysis of randomised trials

Pooled result · Health (Child Health Assessment Questionnaire, CHAQ)Result — go to the resultSMD −0.32 95% CI −0.83 to 0.19

Authors' conclusion

Exercise does not significantly affect the quality of life and exercise capacity in JIA patients but may relieve pain.

Study context

Population
Individuals with juvenile idiopathic arthritis (JIA); Randomized controlled trials (RCTs) from Medline, Embase, Web of Science and Cochrane Library, inception to October 20235 RCTs
Comparison
Exercise training in JIA
Outcome
Effect of exercise on health, quality of life and exercise capacities
Methodological detailsrandom or fixed effects models, Cochrane risk of bias tool, Grading of Recommendations Assessment, Development, and Evaluation (GRADE), Quality of evidence by GRADE moderate to very low
  • Random or fixed effects models
  • Cochrane risk of bias tool
  • GRADE
  • Quality of evidence by GRADE moderate to very low

Pooled result

As reported in the abstract

Health (Child Health Assessment Questionnaire, Child Health Assessment Questionnaire (CHAQ))

SMD

−0.32

95% CI −0.83 to 0.19

P = 0.011

Exercise
SMD −0.32 (95% CI −0.83 to 0.19); P = 0.011

Further pooled results

Quality of Life (QoL)

SMD (95% CI)P value
ExerciseHeterogeneity I2 = 29.4%; no significant effect0.27 (−0.04 to 0.58)P = 0.243
OutcomeSMD (95% CI)P value
VAS pain scores0.50 (−0.90 to −0.10)P = 0.134
  • Visual analog scale (VAS) pain scores: heterogeneity I2 = 50.2%; exercise significantly reduced pain

Peak oxygen uptake (VO2peak)

No significant effect on VO2peak

Original publication

Effect of exercise training on heath, quality of life, exercise capacity in juvenile idiopathic arthritis: a meta-analysis of randomized controlled trials. Pediatr Rheumatol Online J. Published 4 March 2024. doi:10.1186/s12969-024-00967-3

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