The Potential of Established Fitness Cut-off Points for Monitoring Women with Fibromyalgia: The al-Ándalus Project

José Castro-Piñero; Virginia A. Aparicio; Fernando Estévez-López; Inmaculada C. Álvarez-Gallardo; Milkana Borges-Cosic; Alberto Soriano-Maldonado; Manuel Delgado-Fernández; Víctor Segura-Jiménez

doi:10.1055/s-0043-101912

International Journal of Sports Medicine, Table of Contents

Int J Sports Med 2017; 38(05): 359-369
DOI: 10.1055/s-0043-101912

Training & Testing

The Potential of Established Fitness Cut-off Points for Monitoring Women with Fibromyalgia: The al-Ándalus Project

Authors

José Castro-Piñero^*

¹Department of Physical Education, School of Education Sciences, University of Cádiz, Puerto Real, Spain
Virginia A. Aparicio^*

²Department of Phisiology, Faculty of Pharmacy and Institute of Nutrition, University of Granada, Granada, Spain
Fernando Estévez-López

³Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, Spain

⁴Department of Psychology, Faculty of Social and Behavioural Sciences, Utrecht University, Utrecht, The Netherlands
Inmaculada C. Álvarez-Gallardo^*

¹Department of Physical Education, School of Education Sciences, University of Cádiz, Puerto Real, Spain
Milkana Borges-Cosic

³Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, Spain
Alberto Soriano-Maldonado

⁵Department of Education, Faculty of Education Sciences, University of Almería, Almería, Spain
Manuel Delgado-Fernández^*

³Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, Spain
Víctor Segura-Jiménez

¹Department of Physical Education, School of Education Sciences, University of Cádiz, Puerto Real, Spain

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.

Key words

fitness tests threshold - pain - fatigue - health-related quality of life - depression - anxiety and diagnosis criteria

Full Text

References

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