Supervised aerobic exercise is more effective than home aerobic exercise in female chinese patients with rheumatoid arthritis.
OBJECTIVE
To compare the effectiveness and safety of supervised aerobic exercise and home aerobic exercise in female Chinese patients with rheumatoid arthritis.


DESIGN
Single-blind randomized controlled trial.


SUBJECTS
Thirty female Chinese patients with rheumatoid arthritis were assigned to either supervised aerobic exercise or home aerobic exercise groups.


METHODS
The supervised aerobic exercise programme was supervised by a physical therapist, while the home aerobic exercise programme was performed at home after one session of exercise instruction. Each programme consisted of 1 h of aerobic exercise conducted 3 times per week for 8 weeks. Aerobic capacity and disease-related variables, including pain intensity, functional ability, psychological status and joint function, were measured.


RESULTS
Significant difference in changed score between pre- and post-exercise data was observed between the supervised aerobic exercise and home aerobic exercise groups regarding aerobic capacity (p < 0.0001). Pre- and post-exercise within-group comparisons showed significant improvement (20%) in aerobic capacity only in the supervised aerobic exercise group. Pre- and post-exercise within-group comparison showed significant improvement in 5 and 3 items of disease-related variables in supervised aerobic exercise and home aerobic exercise groups, respectively.


CONCLUSION
An 8-week supervised aerobic exercise programme induced significant improvement in the aerobic capacity of female Chinese patients with rheumatoid arthritis, and was superior to a home aerobic exercise programme. Both programmes of aerobic exercise were safe for female Chinese patients with rheumatoid arthritis.