BMJ open · 2026
What is known about fitness, physical activity, health-related quality of life and muscle-strengthening activities in adults with fibromyalgia? A scoping review.
СтатьяScoping ReviewНазвание и аннотация: Перевод в очереди
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Mounter Darcie, Rogerson David, De Vivo Marlize, Thompson Steve W
Аннотация
OBJECTIVE: To map the current evidence on components of fitness, physical activity and health-related quality of life, in addition to common fitness and health-related quality of life outcomes and assessment tools, explore existing evidence on the design and effects of muscle-strengthening activities on health-related quality of life, and map the research on the barriers and facilitators to engagement in physical activities, specifically muscle-strengthening activities, in adults living with fibromyalgia.
DESIGN: Scoping review of published articles.
DATA SOURCES: Electronic databases (PubMed, SPORTDiscus, SCOPUS, CINAHL, Cochrane Library, MedLine and Google Scholar) and reference searching were included from the earliest date to March 2025.
ELIGIBILITY CRITERIA: Studies were included if they assessed components of fitness, physical activity, health-related quality of life and/or muscle-strengthening activities in relation to fibromyalgia and were published in English. Articles containing reviews, case reports, protocols, editorials or opinion pieces were excluded.
RESULTS: 79 articles were included in the scoping review. Compared with healthy controls, individuals with fibromyalgia have decreased muscle strength, cardiovascular fitness, agility, balance and flexibility levels of physical activity and health-related quality of life. The fibromyalgia impact questionnaire, 36-item short-form health survey and visual analogue scale were predominant tools used to assess health-related quality of life, though methods varied considerably across studies. Muscle-strengthening activity intervention study designs were heterogeneous, although progressions during resistance-based strength exercise emerged as a promising modality to improve health-related quality of life. Currently, the barriers to and facilitators of muscle-strengthening activities are underexplored.
CONCLUSION: This scoping review highlights substantial heterogeneity in health-related quality of life assessment tools and muscle-strengthening activity intervention design in adults with fibromyalgia. While muscle-strengthening activities appear beneficial, the absence of standardised protocols limits the comparability of studies. Moreover, further work is needed within qualitative research to understand the barriers to engagement in muscle-strengthening activities to further inform the development of tailored, patient-centred muscle-strengthening programmes.
OSF REGISTRATION: 10.17605/OSF.IO/DJWBQ.
DESIGN: Scoping review of published articles.
DATA SOURCES: Electronic databases (PubMed, SPORTDiscus, SCOPUS, CINAHL, Cochrane Library, MedLine and Google Scholar) and reference searching were included from the earliest date to March 2025.
ELIGIBILITY CRITERIA: Studies were included if they assessed components of fitness, physical activity, health-related quality of life and/or muscle-strengthening activities in relation to fibromyalgia and were published in English. Articles containing reviews, case reports, protocols, editorials or opinion pieces were excluded.
RESULTS: 79 articles were included in the scoping review. Compared with healthy controls, individuals with fibromyalgia have decreased muscle strength, cardiovascular fitness, agility, balance and flexibility levels of physical activity and health-related quality of life. The fibromyalgia impact questionnaire, 36-item short-form health survey and visual analogue scale were predominant tools used to assess health-related quality of life, though methods varied considerably across studies. Muscle-strengthening activity intervention study designs were heterogeneous, although progressions during resistance-based strength exercise emerged as a promising modality to improve health-related quality of life. Currently, the barriers to and facilitators of muscle-strengthening activities are underexplored.
CONCLUSION: This scoping review highlights substantial heterogeneity in health-related quality of life assessment tools and muscle-strengthening activity intervention design in adults with fibromyalgia. While muscle-strengthening activities appear beneficial, the absence of standardised protocols limits the comparability of studies. Moreover, further work is needed within qualitative research to understand the barriers to engagement in muscle-strengthening activities to further inform the development of tailored, patient-centred muscle-strengthening programmes.
OSF REGISTRATION: 10.17605/OSF.IO/DJWBQ.