{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T22:19:10Z","timestamp":1790806750697,"version":"4.1.0"},"reference-count":122,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T00:00:00Z","timestamp":1736726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Pain"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Objective<\/jats:title>\n                    <jats:p>Fibromyalgia is a condition characterised by disabling levels of pain of varying intensity. Aerobic exercise may play a role in reducing pain in these patients. The aim of this review is to assess the dose of aerobic exercise needed, based on the frequency, intensity, type, time, volume and progression (FITT\u2010VP) model, to obtain clinically relevant reductions in pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Databases and Data Treatment<\/jats:title>\n                    <jats:p>A systematic review and meta\u2010analysis of randomised clinical trials was conducted in the Web of Science (WoS), PEDro, PubMed and Scopus databases, the search having been conducted between July and October of 2023. Risk of bias was assessed with the Cochrane Risk of Bias assessment tool 2.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Seventeen studies were included. The risk of bias varied, with six studies showing low risk; five, some concerns; and six, high risk. Aerobic exercise interventions were analysed using the FITT\u2010VP model. Frequency ranged from 1 to 10 times per week, intensity varied from light to vigorous, and the types of exercise included music\u2010based exercise, interval training, pool\u2010based exercise, stationary cycling, swimming and walking. The intervention durations ranged from 3 to 24\u2009weeks, with session lengths ranging from 10 to 45\u2009min. Most of the studies presented significant differences, favouring aerobic exercise (MD \u22120.49; CI [\u22120.90, \u22120.08;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02]), with moderate to low heterogeneity in subgroup analyses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The study findings underscore the efficacy of aerobic exercise in alleviating pain among fibromyalgia patients, advocating for tailored exercise dosing to optimise adherence and outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Significance Statement<\/jats:title>\n                    <jats:p>Individuals with fibromyalgia should engage in aerobic exercises two to three times weekly, for twenty\u2010five to forty minutes in each session, aiming for more than a hundred minutes per week. They should start at low intensity, gradually increasing to higher intensities over six to twelve weeks, for optimal pain management. Exercise types should be selected in collaboration with the patient and based on personal preferences and accessibility, such as walking, and swimming, to ensure long\u2010term adherence to the regimen.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ejp.4783","type":"journal-article","created":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T22:09:12Z","timestamp":1736806152000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Aerobic Exercise Prescription for Pain Reduction in Fibromyalgia: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1002","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-4922-8550","authenticated-orcid":false,"given":"David","family":"Casanova\u2010Rodr\u00edguez","sequence":"first","affiliation":[{"name":"Department of Nursing, Pharmacology and Physiotherapy, Faculty of Medicine and Nursing University of Cordoba  Cordoba Spain"},{"name":"Department of 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