Abstract

Background: Sitting time has negative effects on health, increasing the risk of obesity, osteoporosis, diabetes, and cancer. Thus, primary health care education interventions aimed to reduce sitting time and sedentary behavior could have beneficial effects on people’s health and wellbeing. The purpose of this study was to assess the effectiveness of an intervention based on reducing sitting time to decrease cardiometabolic risk on a sample of women diagnosed with fibromyalgia and moderate obesity. Methods: Randomized controlled trial to evaluate the effectiveness of an intervention to decrease cardiometabolic risk in 84 participants. Sedentary behavior was monitored using an accelerometer before and at 3-month follow-up. Results: Compared with the control group, body mass index decreased, and the number of steps taken increased, in the intervention group 3 months after the intervention. No significant differences were found in the rest of the variables measured. Conclusion: The intervention group decreased sitting time after the intervention. Group activities and support from primary care may be useful to improve treatment adherence. RCT registration: NCT01729936.

Highlights

  • Fibromyalgia (FM) is a chronic disorder characterized by chronic widespread musculoskeletal pain [1] and accompanied by fatigue, cognitive disturbances, psychiatric, and multiple somatic symptoms [2]

  • No significant differences were found between the women in the intervention group and those in the control group, except for their level of education

  • We found that the patients in the intervention group increased the number of steps taken (p = 0.000) and had a lower body mass index (BMI)

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Summary

Introduction

Fibromyalgia (FM) is a chronic disorder characterized by chronic widespread musculoskeletal pain [1] and accompanied by fatigue, cognitive disturbances, psychiatric, and multiple somatic symptoms [2]. SB is considered one of the major public health problems and it is a risk factor for the development of noncommunicable diseases [6] including obesity [7], diabetes [8], certain types of cancer [9], and sleep disturbances [10]. Sitting time has negative effects on health, increasing the risk of obesity, osteoporosis, diabetes, and cancer. Primary health care education interventions aimed to reduce sitting time and sedentary behavior could have beneficial effects on people’s health and wellbeing. The purpose of this study was to assess the effectiveness of an intervention based on reducing sitting time to decrease cardiometabolic risk on a sample of women diagnosed with fibromyalgia and moderate obesity. Methods: Randomized controlled trial to evaluate the effectiveness of an intervention to decrease cardiometabolic risk in 84 participants.

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