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Rheumatoid Arthritis is defined a chronic disorder as a result of inflammation, affecting mostly the flexible (synovial) joints and tissues and organs in the body. The disease affects more women than in men and genrally occurs after the ages of 40 and diminishes the quality of life of many elders, leading to slowing joint damage progression(4).
According to research, In Europe, the disease has a social consequences in constituted limitations in performing roles relating to working life as well as family and social life(3).
According to the School of Physiotherapy, University of Otago, Walking is a low-cost and low-impact activity, requiring little supervision and regular walking improved Quality of Life in managing pain symptoms for people with Rheumatoid Arthritis, such as pain(1), depending to walking route shape and the length of the walk(1).
On physical activity among patients with early RA, Dr. Silva CR and research team in the investigation of the Consensus of the Brazilian Society of (SBR) for the treatment of Rheumatoid Arthritis (RA) suggested, walking is one of the most often practiced exercise (80.64%) recommended(2).
In fact, regular walking also reduces risk of early onset of Rheumatoid Arthritis through long-term anti-inflammatory effect but a single bout of walking as it does not lead to a change in various markers of inflammation or lymphocyte adherence to cultured endothelial cells.(6).
Nordic walking, in the study of overweight and obesity postmenopausal women not only reduced inflammatory states but also led to favorable hormonal responses, as well as improvement in muscle integrity and nutritional benefits(7).
Dr. Dopheide JF and the research team at the University Medical Center of the Johannes Gutenberg-University Mainz said, "a reduced inflammatory state might be achieved by regular walking exercise, possibly in a dimension proportionately to changes in walking distance"(8).
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References
(1) Walking is a Feasible Physical Activity for People with Rheumatoid Arthritis: A Feasibility Randomized Controlled Trial by Baxter SV1,2, Hale LA1, Stebbings S3, Gray AR3, Smith CM1, Treharne GJ2.(PubMed)
(2) Physical activity among patients from the Brasília cohort of early rheumatoid arthritis.
[Article in English, Portuguese] by Silva CR, Costa TF, de Oliveira TT, Muniz LF, da Mota LM.(PubMed)
(2) Physical activity among patients from the Brasília cohort of early rheumatoid arthritis.
[Article in English, Portuguese] by Silva CR, Costa TF, de Oliveira TT, Muniz LF, da Mota LM.(PubMed)
(3) Social implications of rheumatic diseases by Kłak A1, Raciborski F1, Samel-Kowalik P2.(PubMed)
(4) Joint damage progression in patients with rheumatoid arthritis in clinical remission: do biologics perform better than synthetic antirheumatic drugs? by Ciubotariu E1, Gabay C2, Finckh A1; Physicians of the Swiss Clinical Quality Management Program for Rheumatoid Arthritis.(PubMed)
(5) Indicators of walking speed in rheumatoid arthritis: relative influence of articular, psychosocial, and body composition characteristics by Lusa AL1, Amigues I, Kramer HR, Dam TT, Giles JT.(PubMed)
(6) Acute moderate-intensity exercise in middle-aged men has neither an anti- nor proinflammatory effect by Markovitch D1, Tyrrell RM, Thompson D.(PubMed)
(7) The effect of a 10-week Nordic walking training program on the level of GH and LH in elderly women by Hagner-Derengowska M1, Kałużny K2, Hagner W2, Plaskiewicz A2, Bronisz A3, Borkowska A1, Budzyński J4.(PubMed)
(8) Change of walking distance in intermittent claudication: impact on inflammation, oxidative stress and mononuclear cells: a pilot study by Dopheide JF1, Scheer M, Doppler C, Obst V, Stein P, Vosseler M, Abegunewardene N, Gori T, Münzel T, Daiber A, Radsak MP, Espinola-Klein C.(PubMed)
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