title: Land- and water-based exercise intervention in women with fibromyalgia: the al-Andalus physical activity randomised controlled trial.
abstract: BACKGROUND
  The al-Andalus physical activity intervention study is a randomised control trial to investigate the effectiveness of a land- and water-based exercise intervention for reducing the overall impact of fibromyalgia (primary outcome), and for improving tenderness and pain-related measures, body composition, functional capacity, physical activity and sedentary behaviour, fatigue, sleep quality, health-related quality of life, and cognitive function (secondary outcomes) in women with fibromyalgia.
  
  
  METHODS
  One hundred eighty women with fibromyalgia (age range: 35-65 years) will be recruited from local associations of fibromyalgia patients in Andalucía (Southern Spain). Patients will be randomly assigned to a usual care (control) group (n = 60), a water-based exercise intervention group (n = 60) or a land-based exercise intervention group (n = 60). Participants in the usual care group will receive general physical activity guidelines and participants allocated in the intervention groups will attend three non-consecutive training sessions (60 min each) per week during 24 weeks. Both exercise interventions will consist of aerobic, muscular strength and flexibility exercises. We will also study the effect of a detraining period (i.e., 12 weeks with no exercise intervention) on the studied variables.
  
  
  CONCLUSIONS
  Our study attempts to reduce the impact of fibromyalgia and improve patients' health status by implementing two types of exercise interventions. Results from this study will help to assess the efficacy of exercise interventions for the treatment of fibromyalgia. If the interventions would be effective, this study will provide low-cost and feasible alternatives for health professionals in the management of fibromyalgia. Results from the al-Andalus physical activity intervention will help to better understand the potential of regular physical activity for improving the well-being of women with fibromyalgia.
  
  
  BACKGROUND
  ClinicalTrials.gov ID: NCT01490281.
authors.affiliation: Department of Physical Education and Sport, School of Sport Sciences, University of Granada, Granada, Spain. anellba@ugr.es
authors.forename: Ana
authors.initials: A
authors.lastname: Carbonell-Baeza
authors.forename: Jonatan R
authors.initials: JR
authors.lastname: Ruiz
authors.forename: Virginia A
authors.initials: VA
authors.lastname: Aparicio
authors.forename: Francisco B
authors.initials: FB
authors.lastname: Ortega
authors.forename: Diego
authors.initials: D
authors.lastname: Munguía-Izquierdo
authors.forename: Inmaculada C
authors.initials: IC
authors.lastname: Alvarez-Gallardo
authors.forename: Víctor
authors.initials: V
authors.lastname: Segura-Jiménez
authors.forename: Daniel
authors.initials: D
authors.lastname: Camiletti-Moirón
authors.forename: Alejandro
authors.initials: A
authors.lastname: Romero
authors.forename: Fernando
authors.initials: F
authors.lastname: Estévez-López
authors.forename: Blanca
authors.initials: B
authors.lastname: Samos
authors.forename: Antonio J
authors.initials: AJ
authors.lastname: Casimiro
authors.forename: Ángela
authors.initials: Á
authors.lastname: Sierra
authors.forename: Pedro A
authors.initials: PA
authors.lastname: Latorre
authors.forename: Manuel
authors.initials: M
authors.lastname: Pulido-Martos
authors.forename: Pedro
authors.initials: P
authors.lastname: Femia
authors.forename: Isaac J
authors.initials: IJ
authors.lastname: Pérez-López
authors.forename: Palma
authors.initials: P
authors.lastname: Chillón
authors.forename: María J
authors.initials: MJ
authors.lastname: Girela-Rejón
authors.forename: Pablo
authors.initials: P
authors.lastname: Tercedor
authors.forename: Alejandro
authors.initials: A
authors.lastname: Lucía
authors.forename: Manuel
authors.initials: M
authors.lastname: Delgado-Fernández
mesh_terms: D000328:Adult; D000368:Aged; D003071:Cognition; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D005356:Fibromyalgia / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D006304:Health Status; D006305:Health Status Indicators; D006801:Humans; D007101:Immersion; D008875:Middle Aged; D010147:Pain Measurement; D011788:Quality of Life; D020127:Recovery of Function; D012107:Research Design; D013030:Spain; D011795:Surveys and Questionnaires; D013551:Swimming Pools; D013997:Time Factors; D016896:Treatment Outcome; D014867:Water
chemical_list: D014867:Water