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Exercise in SLE — SCE Rheumatology MCQ

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EasySLE & Antiphospholipid SyndromeExercise in SLESCE Rheumatology

A 35-year-old woman with stable systemic lupus erythematosus has no current cardiorespiratory or musculoskeletal contraindication to exercise. According to the 2023 EULAR recommendations for non-pharmacological management, which exercise advice is most appropriate?

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Correct answer: E — Offer tailored aerobic exercise, accounting for cardiorespiratory status and other risks, to improve aerobic capacity and fatigue

EULAR recommends that physical exercise be considered for people with SLE and tailored to the individual's health, cardiorespiratory status and potential risks. Aerobic exercise can increase aerobic capacity and reduce fatigue and depressive symptoms, making A the best answer. Exercise is not restricted to prolonged remission, although its type and intensity should be adapted to disease manifestations and comorbidity. Swimming is one possible activity but is not uniquely safe, while rest and exercise avoidance can worsen deconditioning. High-intensity exercise should not be prescribed indiscriminately; progression should reflect baseline fitness, functional capacity and clinical risk.

Reference: Parodis I, Girard-Guyonvarc'h C, Arnaud L, et al. EULAR recommendations for the non-pharmacological management of systemic lupus erythematosus and systemic sclerosis. Annals of the Rheumatic Diseases. 2023/2024. https://pubmed.ncbi.nlm.nih.gov/37433575/