TY - JOUR
T1 - 2021 EULAR recommendations regarding lifestyle behaviours and work participation to prevent progression of rheumatic and musculoskeletal diseases
AU - Gwinnutt, J.M.
AU - Wieczorek, M.
AU - Balanescu, A.
AU - Bischoff-Ferrari, H.A.
AU - Boonen, A.
AU - Cavalli, G.
AU - de Souza, S.
AU - de Thurah, A.
AU - Dorner, T.E.
AU - Moe, R.H.
AU - Putrik, P.
AU - Rodriguez-Carrio, J.
AU - Silva-Fernandez, L.
AU - Stamm, T.
AU - Walker-Bone, K.
AU - Welling, J.
AU - Zlatkovic-Svenda, M.I.
AU - Guillemin, F.
AU - Verstappen, S.M.M.
PY - 2023/1
Y1 - 2023/1
N2 - Objectives A European League Against Rheumatism taskforce was convened to review the literature and develop recommendations on lifestyle behaviours for rheumatic and musculoskeletal diseases (RMDs). Methods Six lifestyle exposures (exercise, diet, weight, alcohol, smoking, work participation) and seven RMDs (osteoarthritis, rheumatoid arthritis, axial spondyloarthritis, psoriatic arthritis, systemic lupus erythematosus, systemic sclerosis, gout) were considered. The taskforce included health professionals in rheumatology, geriatricians, epidemiologists, public health experts, people with RMDs and exposure domain experts. Systematic reviews were conducted to gather available evidence, from which recommendations were developed. Results Five overarching principles and 18 specific recommendations were defined based on available evidence. The overarching principles define the importance of a healthy lifestyle, how lifestyle modifications should be implemented, and their role in relation to medical treatments. Exercise recommendations highlight the safety and benefits of exercise on pain and disability, particularly among people with osteoarthritis and axial spondyloarthritis. The diet recommendations emphasise the importance of a healthy, balanced diet for people with RMDs. People with RMDs and health professionals should work together to achieve and maintain a healthy weight. Small amounts of alcohol are unlikely to negatively affect the outcomes of people with RMDs, although people with rheumatoid arthritis and gout may be at risk of flares after moderate alcohol consumption. Smokers should be supported to quit. Work participation may have benefits on RMD outcomes and should be discussed in consultations. Conclusions These recommendations cover a range of lifestyle behaviours and can guide shared decision making between people with RMDs and health professionals when developing and monitoring treatment plans.
AB - Objectives A European League Against Rheumatism taskforce was convened to review the literature and develop recommendations on lifestyle behaviours for rheumatic and musculoskeletal diseases (RMDs). Methods Six lifestyle exposures (exercise, diet, weight, alcohol, smoking, work participation) and seven RMDs (osteoarthritis, rheumatoid arthritis, axial spondyloarthritis, psoriatic arthritis, systemic lupus erythematosus, systemic sclerosis, gout) were considered. The taskforce included health professionals in rheumatology, geriatricians, epidemiologists, public health experts, people with RMDs and exposure domain experts. Systematic reviews were conducted to gather available evidence, from which recommendations were developed. Results Five overarching principles and 18 specific recommendations were defined based on available evidence. The overarching principles define the importance of a healthy lifestyle, how lifestyle modifications should be implemented, and their role in relation to medical treatments. Exercise recommendations highlight the safety and benefits of exercise on pain and disability, particularly among people with osteoarthritis and axial spondyloarthritis. The diet recommendations emphasise the importance of a healthy, balanced diet for people with RMDs. People with RMDs and health professionals should work together to achieve and maintain a healthy weight. Small amounts of alcohol are unlikely to negatively affect the outcomes of people with RMDs, although people with rheumatoid arthritis and gout may be at risk of flares after moderate alcohol consumption. Smokers should be supported to quit. Work participation may have benefits on RMD outcomes and should be discussed in consultations. Conclusions These recommendations cover a range of lifestyle behaviours and can guide shared decision making between people with RMDs and health professionals when developing and monitoring treatment plans.
KW - smoking
KW - patient reported outcome measures
KW - arthritis
KW - epidemiology
KW - VITAMIN-D SUPPLEMENTATION
KW - HEALTHY EATING INDEX
KW - ALL-CAUSE MORTALITY
KW - KNEE OSTEOARTHRITIS
KW - ANKYLOSING-SPONDYLITIS
KW - ALCOHOL-CONSUMPTION
KW - PHYSICAL-ACTIVITY
KW - AEROBIC EXERCISE
KW - ARTHRITIS METAANALYSIS
KW - PSORIATIC-ARTHRITIS
U2 - 10.1136/annrheumdis-2021-222020
DO - 10.1136/annrheumdis-2021-222020
M3 - Article
C2 - 35260387
SN - 0003-4967
VL - 82
SP - 48
EP - 56
JO - Annals of the Rheumatic Diseases
JF - Annals of the Rheumatic Diseases
IS - 1
ER -