2021 EULAR recommendations regarding lifestyle behaviours and work participation to prevent progression of rheumatic and musculoskeletal diseases

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dc.citation.epage56
dc.citation.spage48
dc.citation.volume82
dc.contributor.authorGwinnutt, James M
dc.contributor.authorWieczorek, Maud
dc.contributor.authorBalanescu, Andra
dc.contributor.authorBischoff-Ferrari, Heike A
dc.contributor.authorBoonen, Annelies
dc.contributor.authorCavalli, Giulio
dc.contributor.authorDe Souza, Savia
dc.contributor.authorDe Thurah, Annette
dc.contributor.authorDorner, Thomas E
dc.contributor.authorMoe, Rikke Helene
dc.contributor.authorPutrik, Polina
dc.contributor.authorRodríguez-Carrio, Javier
dc.contributor.authorSilva-Fernández, Lucía
dc.contributor.authorStamm, Tanja
dc.contributor.authorWalker-Bone, Karen
dc.contributor.authorWelling, Joep
dc.contributor.authorZlatković-Švenda, Mirjana I
dc.contributor.authorGuillemin, Francis
dc.contributor.authorVerstappen, Suzanne M M
dc.date.accessioned2024-12-19T11:46:43Z
dc.date.available2024-12-19T11:46:43Z
dc.date.issued2023
dc.description.abstractObjectives: 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.
dc.identifier.doi10.1136/annrheumdis-2021-222020
dc.identifier.urihttps://vaseljena.ues.rs.ba/handle/123456789/1419
dc.language.isoen
dc.publisherBMJ
dc.sourceAnnals of the Rheumatic Diseases
dc.subjectarthritis; epidemiology; patient reported outcome measures; smoking.
dc.title2021 EULAR recommendations regarding lifestyle behaviours and work participation to prevent progression of rheumatic and musculoskeletal diseases
dc.typeArticle
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