Fwd: Arthritic Joints Stand Up to Intensive Exercise

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Arthritic Joints Stand Up to Intensive Exercise

NEW YORK (Reuters Health) - Long-term high-intensity exercise does not

accelerate the progression of joint damage in the hands and feet of people with

rheumatoid arthritis, according to a Dutch report.

Exercise known to benefit arthritis patients, increasing their physical

capacity, functional ability, and emotional, the researchers explain in the

ls

of the Rheumatic Diseases. However, little is known about the effects of

exercise on damage to the small joints of the hands and feet.

Dr. Z. de Jong from Leiden University Medical Center and colleagues studied a

total of 309 patients with rheumatoid arthritis who were divided randomly

into a high-intensity exercise group or a regular physical exercise. After two

years, 136 participants in the high-intensity and 145 in the control exercise

group were still in the trial.

At that point, the number of damaged joints in the hands and feet increased

in both groups and did not differ between them, the team reports.

For those who did experience a rapid increase in damage to these joints,

three factors seemed to be key -- worse existing damage before the study

started,

higher disease activity during the study, and decreases rather than increases

in aerobic fitness, the researchers note.

" This is the first time that improvement in aerobic fitness has been shown to

predict, independently of other factors, a decrease in the rate of local bone

damage, " they point out.

In conclusion, " We provide evidence that participation in a long-term

high-intensity weight-bearing exercise program comprising improvement in aerobic

fitness and impact-generating activities does not increase the rate of

radiological joint damage of the hands and feet in patients with rheumatoid

arthritis, "

the team writes.

" On the contrary, it seems that these exercises have a protective effect for

the joints of the feet, " they say.

" I think the next step will be to see how safe these exercises are for people

with prostheses and/or extensive damage to the large weight-bearing joints, "

de Jong told Reuters Health. " Also, the effectiveness of cheaper alternatives

like (partly) home-based training will be explored. "

His advice to doctors who care for patients with rheumatoid arthritis: " Do

not be afraid to advise your patients to exercises vigorously! Trust that they

are able to do it. "

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[Guest guest]

Arthritic Joints Stand Up to Intensive Exercise

NEW YORK (Reuters Health) - Long-term high-intensity exercise does not

accelerate the progression of joint damage in the hands and feet of people with

rheumatoid arthritis, according to a Dutch report.

Exercise known to benefit arthritis patients, increasing their physical

capacity, functional ability, and emotional, the researchers explain in the

ls

of the Rheumatic Diseases. However, little is known about the effects of

exercise on damage to the small joints of the hands and feet.

Dr. Z. de Jong from Leiden University Medical Center and colleagues studied a

total of 309 patients with rheumatoid arthritis who were divided randomly

into a high-intensity exercise group or a regular physical exercise. After two

years, 136 participants in the high-intensity and 145 in the control exercise

group were still in the trial.

At that point, the number of damaged joints in the hands and feet increased

in both groups and did not differ between them, the team reports.

For those who did experience a rapid increase in damage to these joints,

three factors seemed to be key -- worse existing damage before the study

started,

higher disease activity during the study, and decreases rather than increases

in aerobic fitness, the researchers note.

" This is the first time that improvement in aerobic fitness has been shown to

predict, independently of other factors, a decrease in the rate of local bone

damage, " they point out.

In conclusion, " We provide evidence that participation in a long-term

high-intensity weight-bearing exercise program comprising improvement in aerobic

fitness and impact-generating activities does not increase the rate of

radiological joint damage of the hands and feet in patients with rheumatoid

arthritis, "

the team writes.

" On the contrary, it seems that these exercises have a protective effect for

the joints of the feet, " they say.

" I think the next step will be to see how safe these exercises are for people

with prostheses and/or extensive damage to the large weight-bearing joints, "

de Jong told Reuters Health. " Also, the effectiveness of cheaper alternatives

like (partly) home-based training will be explored. "

His advice to doctors who care for patients with rheumatoid arthritis: " Do

not be afraid to advise your patients to exercises vigorously! Trust that they

are able to do it. "

E-newsgroups are a free service provided

by Duke and the Doctor -we don't want you

to miss any important news on the health topics

of your choice.

Visit _www.dukeandthedoctor.com_ (http://www.dukeandthedoctor.com/) where

you can:

View and print E-newsgroups and E-newsletter archives

Sign-up to receive our free monthly E-newsletter

Listen to the show both live and archived

Review Dr. McBarron's natural recommendations

Shop online

Much, much more Duke and the Doctor 6065 Roswell Road N.E., Suite 2241

Atlanta, GA 30328

Your privacy is important to us. If you no longer wish to receive these

e-mails, _click here_

(http://www.dukeandthedoctor.com/optout.cfm?address=aclavern33aol) to

opt-out.

Copyright © 1999-2004, _Duke and the Doctor_

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Comments:

[Guest guest]

Arthritic Joints Stand Up to Intensive Exercise NEW YORK (Reuters Health) - Long-term high-intensity exercise does not accelerate the progression of joint damage in the hands and feet of people with rheumatoid arthritis, according to a Dutch report. Exercise known to benefit arthritis patients, increasing their physical capacity, functional ability, and emotional, the researchers explain in the ls of the Rheumatic Diseases. However, little is known about the effects of exercise on damage to the small joints of the hands and feet. Dr. Z. de Jong from Leiden University Medical Center and colleagues studied a total of 309 patients with rheumatoid arthritis who were divided randomly into a high-intensity exercise group or a regular physical exercise. After two years, 136 participants in the high-intensity and 145 in the control exercise group were still in the trial. At that point, the number of damaged joints in the hands and feet increased in both groups and did not differ between them, the team reports. For those who did experience a rapid increase in damage to these joints, three factors seemed to be key -- worse existing damage before the study started, higher disease activity during the study, and decreases rather than increases in aerobic fitness, the researchers note. "This is the first time that improvement in aerobic fitness has been shown to predict, independently of other factors, a decrease in the rate of local bone damage," they point out. In conclusion, "We provide evidence that participation in a long-term high-intensity weight-bearing exercise program comprising improvement in aerobic fitness and impact-generating activities does not increase the rate of radiological joint damage of the hands and feet in patients with rheumatoid arthritis," the team writes. "On the contrary, it seems that these exercises have a protective effect for the joints of the feet," they say. "I think the next step will be to see how safe these exercises are for people with prostheses and/or extensive damage to the large weight-bearing joints," de Jong told Reuters Health. "Also, the effectiveness of cheaper alternatives like (partly) home-based training will be explored." His advice to doctors who care for patients with rheumatoid arthritis: "Do not be afraid to advise your patients to exercises vigorously! Trust that they are able to do it." E-newsgroups are a free service provided by Duke and the Doctor -we don't want you to miss any important news on the health topics of your choice. Visit www.dukeandthedoctor.com where you can: View and print E-newsgroups and E-newsletter archives Sign-up to receive our free monthly E-newsletter Listen to the show both live and archived Review Dr. McBarron's natural recommendations Shop online Much, much more

Duke and the Doctor

6065 Roswell Road N.E., Suite 2241

Atlanta, GA 30328

Your privacy is important to us. If you no longer wish to receive these e-mails, click here to opt-out.

Copyright © 1999-2004, Duke and the Doctor All rights reserved.Comments:

Arthritic Joints Stand Up to Intensive Exercise

NEW YORK (Reuters Health) - Long-term high-intensity exercise does not accelerate the progression of joint damage in the hands and feet of people with rheumatoid arthritis, according to a Dutch report.

Exercise known to benefit arthritis patients, increasing their physical capacity, functional ability, and emotional, the researchers explain in the ls of the Rheumatic Diseases. However, little is known about the effects of exercise on damage to the small joints of the hands and feet.

Dr. Z. de Jong from Leiden University Medical Center and colleagues studied a total of 309 patients with rheumatoid arthritis who were divided randomly into a high-intensity exercise group or a regular physical exercise. After two years, 136 participants in the high-intensity and 145 in the control exercise group were still in the trial.

At that point, the number of damaged joints in the hands and feet increased in both groups and did not differ between them, the team reports.

For those who did experience a rapid increase in damage to these joints, three factors seemed to be key -- worse existing damage before the study started, higher disease activity during the study, and decreases rather than increases in aerobic fitness, the researchers note.

"This is the first time that improvement in aerobic fitness has been shown to predict, independently of other factors, a decrease in the rate of local bone damage," they point out.

In conclusion, "We provide evidence that participation in a long-term high-intensity weight-bearing exercise program comprising improvement in aerobic fitness and impact-generating activities does not increase the rate of radiological joint damage of the hands and feet in patients with rheumatoid arthritis," the team writes.

"On the contrary, it seems that these exercises have a protective effect for the joints of the feet," they say.

"I think the next step will be to see how safe these exercises are for people with prostheses and/or extensive damage to the large weight-bearing joints," de Jong told Reuters Health. "Also, the effectiveness of cheaper alternatives like (partly) home-based training will be explored."

His advice to doctors who care for patients with rheumatoid arthritis: "Do not be afraid to advise your patients to exercises vigorously! Trust that they are able to do it."

E-newsgroups are a free service provided by Duke and the Doctor -we don't want you to miss any important news on the health topics

of your choice.

Visit www.dukeandthedoctor.com where you can:

View and print E-newsgroups and E-newsletter archives

Sign-up to receive our free monthly E-newsletter

Listen to the show both live and archived

Review Dr. McBarron's natural recommendations

Shop online

Much, much more

Duke and the Doctor

6065 Roswell Road N.E., Suite 2241

Atlanta, GA 30328

Your privacy is important to us. If you no longer wish to receive these e-mails, click here to opt-out.

Copyright © 1999-2004, Duke and the Doctor All rights reserved.

Comments: