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Rheumatology Advance Access published online on April 16, 2003

Rheumatology, doi:10.1093/rheumatology/keg289
Rheumatology © British Society for Rheumatology 2003; all rights reserved
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© 2003 British Society for Rheumatology2003; all rights reserved

Original Papers

Fatigue in systemic lupus erythematosus: a randomized controlled trial of exercise

C. M. Tench 1*, J. McCarthy 2, I. McCurdie 3, P. D. White 4, D. P. D'Cruz 1

1 Bone and Joint Research Unit
2 National Sports Medicine Institute
3 Barts and The London NHS Trust, London, UK
4 Department of Psychological Medicine, Barts and The London, Queen Mary's School of Medicine and Dentistry

* Corresponding author. E-mail: colin.tench3{at}which.net.

Received 29 April 2002 ; accepted 28 January 2003

Abstract

Objective. To test the efficacy of a graded aerobic exercise programme in treating fatigue in systemic lupus erythematosus.

Methods. Ninety-three patients with systemic lupus erythematosus without active disease in any major organ were randomized, using a minimization protocol, to 12 weeks of graded exercise therapy, relaxation therapy or no intervention.

Results. Analysis by intention to treat showed that 16 of the 33 (49%) patients in the exercise group rated themselves as ‘much' or ‘very much' better compared with eight out of 29 (28%) in the relaxation group and five out of 32 (16%) in the control group ({chi}2=8.3, df=2, P=0.02). Fatigue improved significantly on one out of three measures after exercise therapy and there was a trend for fatigue to improve on all measures after exercise.

Conclusion. These findings support the use of appropriately prescribed graded aerobic exercise in the management of patients with fatigue and systemic lupus erythematosus.

Key words: Fatigue, Exercise, SLE, Randomized controlled trial.
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