Fibromyalgia & musculoskeletal pain

Effects of exercise-based interventions on inflammatory markers in patients with fibromyalgia: A systematic review and meta-analysis

Semin Arthritis RheumPublished Systematic review and meta-analysis of clinical trials

Pooled result · Pro-inflammatory biomarkers (19 comparisons)Result — go to the resultSMD 1.74 95 % CI 0.85–2.62

Authors' conclusion

EBIs are effective in inducing an immunomodulatory response in FM, characterized by decreased pro-inflammatory signaling. However, there was no evidence of an increase in anti-inflammatory biomarkers.

Study context

Population
Patients with fibromyalgia (FM)11 studies
Comparison
Exercise-based interventions in FM
Outcome
Pro-inflammatory and anti-inflammatory biomarkers
Methodological detailsCochrane Risk of Bias Tool, GRADE
  • Cochrane Risk of Bias Tool
  • GRADE

Pooled result

Pro-inflammatory biomarkers (19 comparisons)

SMD

1.74

95 % CI 0.85–2.62

P < 0.05

EBIs
SMD 1.74 (95 % CI 0.85–2.62); P < 0.05

As reported in the abstract

Further pooled results

Anti-inflammatory biomarkers (IL10), 6 comparisons

No statistically significant increase by EBIs; very low certainty of evidence

Type and modality of exercise

Evidence for acute and maintained effects; aerobic and aquatic modalities better than resistance exercise

Original publication

Effects of exercise-based interventions on inflammatory markers in patients with fibromyalgia: A systematic review and meta-analysis. Semin Arthritis Rheum. Published 13 January 2024. doi:10.1016/j.semarthrit.2024.152377

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