1. The Potential of Established Fitness Cut-off Points for Monitoring Women with Fibromyalgia: The al-Ándalus Project.
- Author
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Castro-Piñero J, Aparicio VA, Estévez-López F, Álvarez-Gallardo IC, Borges-Cosic M, Soriano-Maldonado A, Delgado-Fernández M, and Segura-Jiménez V
- Subjects
- Adult, Age Factors, Aged, Anxiety diagnosis, Case-Control Studies, Cross-Sectional Studies, Depression diagnosis, Fatigue diagnosis, Female, Fibromyalgia psychology, Humans, Middle Aged, Severity of Illness Index, Surveys and Questionnaires, Fibromyalgia diagnosis, Fibromyalgia physiopathology, Physical Fitness physiology, Quality of Life
- Abstract
The aim of the present study was to determinate whether fitness cut-off points discriminate the severity of major fibromyalgia symptoms and health-related quality of life. Additionally, we investigated which American Colleague of Rheumatology (ACR) fibromyalgia criteria (1990 vs. modified 2010) better discriminate fibromyalgia symptomatology. A total of 488 women with fibromyalgia and 200 non-fibromyalgia (control) women participated. All participants underwent both the 1990 and the modified 2010 ACR preliminary criteria (hereinafter 1990c and m-2010c, respectively). We used fitness cut-off points (Senior Fitness Tests Battery plus handgrip strength test) to discriminate between presence and absence of fibromyalgia. Additionally, we employed several instruments to assess fibromyalgia symptoms. Fitness cut-off points discriminated between high and low levels of the main symptoms the disease in all age groups (P from <0.001 to 0.01). Overall, the arm-curl and the 30-s chair stand tests presented the highest effect sizes in all symptoms, reinforcing the inclusion of fitness testing as a complementary tool for fibromyalgia diagnosis and monitoring. Moreover, the effect size of the differences in symptoms between women with fibromyalgia and controls were overall larger using the m-2010c compared with the 1990c, except for the tender points count, reflecting better the polysymptomatic distress condition of fibromyalgia., (© Georg Thieme Verlag KG Stuttgart · New York.)
- Published
- 2017
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