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Adherence During an Individualized Home Based 12-Week Exercise
Program in Women with Fibromyalgia
PATRICIA L. DOBKIN, DEBORAH DA COSTA, MICHAL ABRAHAMOWICZ, MARIA DRITSA, ROXANE DU BERGER, MARY-ANN FITZCHARLES, and ILKA LOWENSTEYN
ABSTRACT. Methods. Thirty-nine women kept exercise diaries for 12 weeks. Results. For both types of exercise, women who were less physically fit at baseline engaged in more exercise during the program. Yet for stretching, more lower body pain at baseline predicted engaging in less stretching exercise over time, whereas for aerobic exercise, more baseline upper body pain predicted more exercise over time. As time passed, participants with higher baseline physical fitness and/or older age were reducing their aerobic exercise practice at significantly faster rates, as were those women with higher baseline stress. Conclusion. Given that adequate levels of adherence were limited to about half of the participants for both types of exercise, steps to reduce barriers to exercise (e.g., stress) need to be taken when prescribing exercise in the treatment of FM. (J Rheumatol 2006;33:333-41) Key Indexing Terms:
EXERCISE From the Department of Medicine, McGill University, Montréal, Québec, Canada. Supported by The Arthritis Society. P.L. Dobkin, PhD, Associate Professor; D. Da Costa, PhD, Assistant Professor, Faculty of Medicine, Department of Medicine, McGill University and Division of Clinical Epidemiology, McGill University Health Center (MUHC); M. Abrahamowicz, James McGill Professor, Faculty of Medicine, Department of Epidemiology and Biostatistics, Division of Clinical Epidemiology, MUHC; M. Dritsa, MA, Research Associate, PhD Candidate, Université du Québec à Montréal, Division of Clinical Epidemiology, MUHC; R. Du Berger, MSc, Research Associate, Division of Clinical Epidemiology, MUHC; M-A. Fitzcharles, MD, Rheumatologist, Department of Medicine, McGill University; I. Lowensteyn, PhD, Exercise Physiologist, Cardiovascular Health Improvement Program, Montréal. Address reprint requests to Dr. P.L. Dobkin, Montreal General Hospital, 1650 Cedar Avenue, Montreal, Quebec H3G 1A4. E-mail: patricia.dobkin@mcgill.ca Accepted for publication September 22, 2005.
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