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An international task force, made of experts from various disciplines, including rheumatology, internal medicine, and physiotherapy, has developed evidence-based recommendations for adding physical activity into the lives of people living with systemic lupus erythematosus (SLE). These recommendations aim to improve well-being while considering individual health conditions and disease severity.
15 Lupus Exercise Recommendations
- For people with osteonecrosis or Jaccoud’s syndrome: an evaluation by a specialist should be performed before physical activity.
- When outdoors, use sun protection and wear adequate clothing when cold if Raynaud’s Phenomenon is present.
- Physical activities at high risk of trauma should be done carefully when using anticoagulants or antiaggregant treatments.
- In case of lupus flare, exercise caution! Do not exercise if medications advise against.
- During joint-related flares, avoid physical activity involving the inflamed joints.
- Physical activity is recommended for all people with SLE.
- A person’s baseline level of physical activity should be assessed using validated questionnaires or measures.
- Physical activity should be adapted in terms of frequency and intensity on an individual basis. It should take into account abilities, preferences, and comorbidities.
- All people with inactive SLE or mild disease activity should follow the WHO's physical activity recommendations.
- A medical evaluation should be performed before starting exercise in SLE. This is to ensure safety and suitability of physical activity.
- Exercise programs should be supervised by qualified professionals for personalization.
- Implementation of exercise should be gradual. The the frequency and intensity should adapt to the person’s capabilities.
- Exercise should begin with a warm-up at low to moderate intensity. They should end with a cooling down period that includes stretching.
- Exercise programs should include both aerobic and resistance exercises. They should be done 3–5 times per week.
- Resistance training should be performed for 1–3 sets per exercise with 8–12 repetitions with 1–3 minute rest periods.
By following these tailored recommendations, people with SLE can safely engage in physical activity to improve their overall health and quality of life.
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