{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T09:17:15Z","timestamp":1787995035193,"version":"build-2784847793"},"reference-count":44,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100018817","name":"LUPUS UK","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100018817","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Clin Rheumatol"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Physical activity (PA) may play an important role as a non-pharmacological addition to the management of SLE for disease control and reduction of cardiovascular risk factors. Those with SLE have been reported to engage in PA less than the general population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To describe PA patterns and patient-reported barriers to PA for people with SLE in the UK.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An online survey was conducted of adults aged\u2009\u2265\u200918 years. Participants were recruited from posters in outpatient clinics, newsletters and Lupus UK social media platforms. Survey questions included demographic information, perception of disease activity, the International Physical Activity Questionnaire (IPAQ) and specific leisure time questions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Two hundred sixty-eight patients participated, with a median (IQR) age of 51 (39\u201359) years and SLE disease duration of 10 (4\u201320) years\u00a0were included. SLE-diagnosis was collected by self-report. In those with complete IPAQ data, 178\/228 (79.1%) were in a moderate\/high activity group. Participants in this group were more likely to be in employment and had lower levels of fatigue and pain. Fatigue was the most reported barrier to PA, irrespective of activity levels. Participants in the low PA group were more likely to have SLE-specific barriers such as higher disease activity and higher pain scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Perceptions and preferences in relation to PA differ greatly between individuals with SLE. The most common self-reported barrier to PA was fatigue. Exploration of individual perceptions of PA should form part of consultations, to address perceived barriers.\n                      <jats:table-wrap>\n                        <jats:table>\n                          <jats:tbody>\n                            <jats:tr>\n                              <jats:td align=\"left\" colspan=\"2\">\n                                <jats:bold>Key Points<\/jats:bold>\n                                \u2022\n                                <jats:italic>Some patients with self-reported SLE can meet WHO physical activity targets, especially those who remain in work.<\/jats:italic>\n                                \u2022\n                                <jats:italic>Fatigue is the most frequently reported barrier to physical activity for patients, irrespective of their activity levels.<\/jats:italic>\n                                \u2022\n                                <jats:italic>People are less likely to engage in PA if they believe it will negatively affect their SLE.<\/jats:italic>\n                              <\/jats:td>\n                            <\/jats:tr>\n                          <\/jats:tbody>\n                        <\/jats:table>\n                      <\/jats:table-wrap>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10067-026-08324-3","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T21:47:57Z","timestamp":1785275277000},"page":"5481-5490","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Barriers to physical activity in patients with systemic lupus erythematosus in the UK"],"prefix":"10.1007","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-0863-2635","authenticated-orcid":false,"given":"Aliaksandra","family":"Baranskaya","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-5893-6987","authenticated-orcid":false,"given":"Lauren","family":"Franklin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1820-8446","authenticated-orcid":false,"given":"Alex J.","family":"Wadley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8962-4404","authenticated-orcid":false,"given":"John A.","family":"Reynolds","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"key":"8324_CR1","doi-asserted-by":"publisher","DOI":"10.1016\/j.autrev.2024.103646","volume":"23","author":"F Atzeni","year":"2024","unstructured":"Atzeni F, Rodr\u00edguez-Pint\u00f3 I, Cervera R (2024) Cardiovascular disease risk in systemic lupus erythematous: certainties and controversies. Autoimmun Rev 23:103646","journal-title":"Autoimmun Rev"},{"key":"8324_CR2","doi-asserted-by":"publisher","first-page":"84","DOI":"10.1016\/j.semarthrit.2019.06.017","volume":"50","author":"AT Moustafa","year":"2020","unstructured":"Moustafa AT, Moazzami M, Engel L, Bangert E, Hassanein M, Marzouk S, Kravtsenyuk M, Fung W, Eder L, Su J, Wither JE, Touma Z (2020) Prevalence and metric of depression and anxiety in systemic lupus erythematosus: a systematic review and meta-analysis. Semin Arthritis Rheum 50:84\u201394","journal-title":"Semin Arthritis Rheum"},{"issue":"Suppl 10","key":"8324_CR3","doi-asserted-by":"publisher","first-page":"717","DOI":"10.1002\/acr.24211","volume":"72","author":"EL Healey","year":"2020","unstructured":"Healey EL, Allen KD, Bennell K, Bowden JL, Quicke JG, Smith R (2020) Self-report measures of physical activity. Arthritis Care Res (Hoboken) 72(Suppl 10):717\u2013730","journal-title":"Arthritis Care Res (Hoboken)"},{"key":"8324_CR4","doi-asserted-by":"publisher","first-page":"1381","DOI":"10.1249\/01.MSS.0000078924.61453.FB","volume":"35","author":"CL Craig","year":"2003","unstructured":"Craig CL, Marshall AL, Sj\u00f6str\u00f6m M, Bauman AE, Booth ML, Ainsworth BE, Pratt M, Ekelund ULF, Yngve A, Sallis JF, Oja P (2003) International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 35:1381\u20131395","journal-title":"Med Sci Sports Exerc"},{"key":"8324_CR5","doi-asserted-by":"publisher","first-page":"4267","DOI":"10.1093\/rheumatology\/keaf150","volume":"64","author":"B Xu","year":"2025","unstructured":"Xu B, Ruan P, Wu H, Gao Y, Long H, Wu IXY, Lu Q (2025) Physical activity in relation to the risk of systemic lupus erythematosus: a prospective study including 401 745 individuals. Rheumatology (Oxford) 64:4267\u20134274","journal-title":"Rheumatology (Oxford)"},{"key":"8324_CR6","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2022.152128","volume":"58","author":"J Blaess","year":"2023","unstructured":"Blaess J, Goepfert T, Geneton S, Irenee E, Gerard H, Taesch F, Sordet C, Arnaud L (2023) Benefits & risks of physical activity in patients with systemic lupus erythematosus: a systematic review of the literature. Semin Arthritis Rheum 58:152128","journal-title":"Semin Arthritis Rheum"},{"key":"8324_CR7","doi-asserted-by":"publisher","first-page":"204","DOI":"10.1016\/j.semarthrit.2017.04.003","volume":"47","author":"T O'Dwyer","year":"2017","unstructured":"O\u2019Dwyer T, Durcan L, Wilson F (2017) Exercise and physical activity in systemic lupus erythematosus: a systematic review with meta-analyses. Semin Arthritis Rheum 47:204\u2013215","journal-title":"Semin Arthritis Rheum"},{"key":"8324_CR8","doi-asserted-by":"publisher","first-page":"1460","DOI":"10.1177\/09612033251394423","volume":"34","author":"B Caruso Mazzolani","year":"2025","unstructured":"Caruso Mazzolani B, Infante Smaira F, Mendes Sieczkowska S, Romero M, Gofinet Pasoto S, de S\u00e1 Pinto AL, Rodrigues Lima F, Braga Benatti F, Roschel H, Gualano B (2025) A randomized controlled trial of a lifestyle intervention on wellbeing in patients with systemic lupus erythematosus: results from \u201cLiving well with lupus.\u201d Lupus 34:1460\u20131471","journal-title":"Lupus"},{"key":"8324_CR9","doi-asserted-by":"publisher","DOI":"10.3390\/jcm14197031","volume":"14","author":"V Zouganeli","year":"2025","unstructured":"Zouganeli V, Dimopoulos S, Briasoulis A, Karkamanis A, Panagiotopoulos P, Karatzanos E, Boumpas DT, Vasileiadis I, Nanas S, Kourek C (2025) The effects of exercise training on functional aerobic capacity and quality of life in patients with systemic lupus erythematosus: a systematic review of randomized controlled trials. J Clin Med 14:7031","journal-title":"J Clin Med"},{"key":"8324_CR10","first-page":"601","volume":"42","author":"H Wohland","year":"2024","unstructured":"Wohland H, Aringer M, Leuchten N (2024) Physical exercise is associated with less fatigue, less pain and better sleep in patients with systemic erythematosus. Clin Exp Rheumatol 42:601\u2013607","journal-title":"Clin Exp Rheumatol"},{"key":"8324_CR11","doi-asserted-by":"publisher","DOI":"10.1136\/lupus-2022-000778","volume":"9","author":"S Hasni","year":"2022","unstructured":"Hasni S, Feng LR, Chapman M, Gupta S, Ahmad A, Munday A, Mazhar MA, Li X, Lu S, Tsai WL, Gadina M, Davis M, Chu J, Manna Z, Nakabo S, Kaplan MJ, Saligan L, Keyser R, Chan L, Chin LMK (2022) Changes in cardiorespiratory function and fatigue following 12 weeks of exercise training in women with systemic lupus erythematosus: a pilot study. Lupus Sci Med 9:e000778","journal-title":"Lupus Sci Med"},{"key":"8324_CR12","doi-asserted-by":"publisher","first-page":"1863","DOI":"10.1080\/09638288.2020.1808904","volume":"44","author":"B Gavil\u00e1n-Carrera","year":"2022","unstructured":"Gavil\u00e1n-Carrera B, Vargas-Hitos JA, Morillas-de-Laguno P, Rosales-Castillo A, Sola-Rodr\u00edguez S, Callejas-Rubio JL, Sabio JM, Soriano-Maldonado A (2022) Effects of 12-week aerobic exercise on patient-reported outcomes in women with systemic lupus erythematosus. Disabil Rehabil 44:1863\u20131871","journal-title":"Disabil Rehabil"},{"key":"8324_CR13","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1620\/tjem.237.193","volume":"237","author":"G Bogdanovic","year":"2015","unstructured":"Bogdanovic G, Stojanovich L, Djokovic A, Stanisavljevic N (2015) Physical activity program is helpful for improving quality of life in patients with systemic lupus erythematosus. Tohoku J Exp Med 237:193\u2013199","journal-title":"Tohoku J Exp Med"},{"key":"8324_CR14","doi-asserted-by":"publisher","first-page":"1050","DOI":"10.1093\/rheumatology\/keg289","volume":"42","author":"CM Tench","year":"2003","unstructured":"Tench CM, McCarthy J, McCurdie I, White PD, D\u2019Cruz DP (2003) Fatigue in systemic lupus erythematosus: a randomized controlled trial of exercise. Rheumatology (Oxford) 42:1050\u20131054","journal-title":"Rheumatology (Oxford)"},{"key":"8324_CR15","doi-asserted-by":"publisher","DOI":"10.1136\/rmdopen-2024-004171","volume":"10","author":"J Blaess","year":"2024","unstructured":"Blaess J, Geneton S, Goepfert T, Appenzeller S, Bordier G, Davergne T, Fuentes Y, Haglo H, Hambly K, Kinnett-Hopkins D, Su K-Y, Legge A, Li L, Mak A, Padjen I, Sciascia S, Sheikh SZ, Soriano-Maldonado A, Ugarte-Gil MF, Md Yusof MY, Parodis I, Arnaud L (2024) Recommendations for physical activity and exercise in persons living with systemic lupus erythematosus (SLE): consensus by an international task force. RMD Open 10:e004171","journal-title":"RMD Open"},{"key":"8324_CR16","doi-asserted-by":"publisher","first-page":"1451","DOI":"10.1136\/bjsports-2020-102955","volume":"54","author":"FC Bull","year":"2020","unstructured":"Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, Carty C, Chaput JP, Chastin S, Chou R, Dempsey PC, DiPietro L, Ekelund U, Firth J, Friedenreich CM, Garcia L, Gichu M, Jago R, Katzmarzyk PT, Lambert E, Leitzmann M, Milton K, Ortega FB, Ranasinghe C, Stamatakis E, Tiedemann A, Troiano RP, van der Ploeg HP, Wari V, Willumsen JF (2020) World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med 54:1451\u20131462","journal-title":"Br J Sports Med"},{"key":"8324_CR17","doi-asserted-by":"publisher","first-page":"258","DOI":"10.1016\/S0140-6736(12)60735-1","volume":"380","author":"AE Bauman","year":"2012","unstructured":"Bauman AE, Reis RS, Sallis JF, Wells JC, Loos RJF, Martin BW (2012) Correlates of physical activity: why are some people physically active and others not? Lancet 380:258\u2013271","journal-title":"Lancet"},{"key":"8324_CR18","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-022-14385-1","volume":"22","author":"L Garcia","year":"2022","unstructured":"Garcia L, Mendon\u00e7a G, Benedetti TRB, Borges LJ, Streit IA, Christofoletti M, Silva-J\u00fanior FL, Papini CB, Binotto MA (2022) Barriers and facilitators of domain-specific physical activity: a systematic review of reviews. BMC Public Health 22:1964","journal-title":"BMC Public Health"},{"key":"8324_CR19","doi-asserted-by":"publisher","first-page":"231","DOI":"10.1177\/0961203310383737","volume":"20","author":"CA Mancuso","year":"2011","unstructured":"Mancuso CA, Perna M, Sargent AB, Salmon JE (2011) Perceptions and measurements of physical activity in patients with systemic lupus erythematosus. Lupus 20:231\u2013242","journal-title":"Lupus"},{"key":"8324_CR20","doi-asserted-by":"publisher","DOI":"10.1186\/1479-5868-6-21","volume":"6","author":"A Bauman","year":"2009","unstructured":"Bauman A, Bull F, Chey T, Craig CL, Ainsworth BE, Sallis JF, Bowles HR, Hagstromer H, Sjostrom M, Pratt M (2009) The International Prevalence Study on Physical Activity: results from 20 countries. Int J Behav Nutr Phys Act 6:21","journal-title":"Int J Behav Nutr Phys Act"},{"key":"8324_CR21","doi-asserted-by":"publisher","DOI":"10.1136\/lupus-2024-001382","volume":"12","author":"M Quickfall","year":"2025","unstructured":"Quickfall M, Green S, Hesketh K, Van Zanten JV, Cocks M, Reynolds J, Wadley AJ (2025) EXamining the feasibility of exerCisE to manage symptoms of lupus (EXCEL): a protocol for a randomised controlled pilot study. Lupus Sci Med 12:e001382","journal-title":"Lupus Sci Med"},{"key":"8324_CR22","doi-asserted-by":"publisher","first-page":"1799","DOI":"10.1007\/s00296-023-05370-x","volume":"43","author":"SM Sieczkowska","year":"2023","unstructured":"Sieczkowska SM, Smaira FI, Mazzolani BC, Romero M, Pasoto SG, de S\u00e1 Pinto AL, Lima FR, De Oliveira VR, Ueda S, Benatti FB, Roschel H, Gualano B (2023) A randomized controlled trial of an intervention promoting physical activity and healthy eating recommendations in systemic lupus erythematosus: the protocol study \u201cLiving Well with Lupus.\u201d Rheumatol Int 43:1799\u20131810","journal-title":"Rheumatol Int"},{"key":"8324_CR23","unstructured":"Noble S, McLennan D, Noble M, Plunkett E, Gutacker N, Silk M, Wright G (2019) The English indices of deprivation 2019. Ministry of Housing, communities and local government, London, United Kingdom"},{"key":"8324_CR24","doi-asserted-by":"publisher","DOI":"10.1136\/lupus-2020-000471","volume":"8","author":"E Svenungsson","year":"2021","unstructured":"Svenungsson E, Gunnarsson I, Illescas-B\u00e4ckelin V, Trysberg E, J\u00f6nsen A, Leonard D, Sj\u00f6wall C, Pettersson S (2021) Quick Systemic Lupus Activity Questionnaire (Q-SLAQ): a simplified version of SLAQ for patient-reported disease activity. Lupus Sci Med 8:e000471","journal-title":"Lupus Sci Med"},{"key":"8324_CR25","unstructured":"Sport E (2025) Active Lives Adult Survey November 2023\u201324 Report. In:Sport England, London, United Kingdom"},{"key":"8324_CR26","unstructured":"Sjostrom M, Ainsworth BE, Bauman A, Bull FC, Hamilton-Craig CR, Sallis JF (2005) Guidelines for data processing analysis of the International Physical Activity Questionnaire (IPAQ) - short and long forms. (https:\/\/sites.google.com\/view\/ipaq\/score)"},{"key":"8324_CR27","doi-asserted-by":"publisher","first-page":"1423","DOI":"10.1249\/mss.0b013e3180616b27","volume":"39","author":"H Wl","year":"2007","unstructured":"Wl H, Lee I-M, Pate RR, Powell KE, Blair SN, Franklin BA, Macera CA, Heath GW, Thompson PD, Bauman A (2007) Physical Activity and Public Health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc 39:1423\u20131434","journal-title":"Med Sci Sports Exerc"},{"key":"8324_CR28","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1016\/j.jshs.2023.10.010","volume":"13","author":"SD Herrmann","year":"2024","unstructured":"Herrmann SD, Willis EA, Ainsworth BE, Barreira TV, Hastert M, Kracht CL, Schuna JM Jr., Cai Z, Quan M, Tudor-Locke C, Whitt-Glover MC, Jacobs DR Jr. (2024) 2024 Adult compendium of physical activities: a third update of the energy costs of human activities. J Sport Health Sci 13:6\u201312","journal-title":"J Sport Health Sci"},{"key":"8324_CR29","unstructured":"Sport England. (2025). Active Lives Survey, 2018\u20132019 (4th ed.) [Data collection]. UK Data Service."},{"key":"8324_CR30","unstructured":"NHS England. Health Survey for England, 2021 [Internet]. Leeds: NHS England; 2022"},{"key":"8324_CR31","doi-asserted-by":"publisher","first-page":"2172","DOI":"10.1093\/rheumatology\/key224","volume":"57","author":"MJ Cook","year":"2018","unstructured":"Cook MJ, Bellou E, Bowes J, Sergeant JC, O\u2019Neill TW, Barton A, Verstappen SMM (2018) The prevalence of co-morbidities and their impact on physical activity in people with inflammatory rheumatic diseases compared with the general population: results from the UK Biobank. Rheumatology (Oxford) 57:2172\u20132182","journal-title":"Rheumatology (Oxford)"},{"key":"8324_CR32","doi-asserted-by":"publisher","first-page":"290","DOI":"10.3109\/03009742.2011.624117","volume":"41","author":"K Eriksson","year":"2012","unstructured":"Eriksson K, Svenungsson E, Karreskog H, Gunnarsson I, Gustafsson J, M\u00f6ller S, Pettersson S, Bostr\u00f6m C (2012) Physical activity in patients with systemic lupus erythematosus and matched controls. Scand J Rheumatol 41:290\u2013297","journal-title":"Scand J Rheumatol"},{"key":"8324_CR33","doi-asserted-by":"publisher","first-page":"701","DOI":"10.1002\/acr.22480","volume":"67","author":"GE Ahn","year":"2015","unstructured":"Ahn GE, Chmiel JS, Dunlop DD, Helenowski IB, Semanik PA, Song J, Ainsworth B, Chang RW, Ramsey-Goldman R (2015) Self-reported and objectively measured physical activity in adults with systemic lupus erythematosus. Arthritis Care Res 67:701\u2013707","journal-title":"Arthritis Care Res"},{"key":"8324_CR34","doi-asserted-by":"publisher","DOI":"10.1136\/lupus-2024-001443","volume":"12","author":"T Mischler","year":"2025","unstructured":"Mischler T, Kawka L, Sarmiento-Monroy JC, Mertz P, Pijnenburg L, Rinagel M, Ugarte-Gil MF, Geneton S, Blaess J, Piga M, Sordet C, Arnaud L (2025) Levels of physical activity in a large international cohort of patients with systemic lupus erythematosus. Lupus Sci Med 12:e001443","journal-title":"Lupus Sci Med"},{"key":"8324_CR35","doi-asserted-by":"publisher","first-page":"1507242","DOI":"10.3389\/fmed.2024.1507242","volume":"11","author":"S Beider","year":"2024","unstructured":"Beider S, Stephan M, Seeliger T, Skripuletz T, Witte T, Ernst D (2024) A comparative cross-sectional study of psychological distress, fatigue, and physical activity in patients with rheumatoid arthritis, systemic lupus erythematosus, and Sj\u00f6gren\u2019s disease. Front Med (Lausanne) 11:1507242","journal-title":"Front Med (Lausanne)"},{"key":"8324_CR36","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1123\/jpah.1.3.227","volume":"1","author":"PC Hallal","year":"2004","unstructured":"Hallal PC, Victora CG, Wells JCK, Lima RC, Valle NJ (2004) Comparison of short and full-length International Physical Activity Questionnaires. J Phys Act Health 1:227\u2013234","journal-title":"J Phys Act Health"},{"key":"8324_CR37","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0193728","volume":"13","author":"DPE Margiotta","year":"2018","unstructured":"Margiotta DPE, Basta F, Dolcini G, Batani V, Lo Vullo M, Vernuccio A, Navarini L, Afeltra A (2018) Physical activity and sedentary behavior in patients with Systemic Lupus Erythematosus. PLoS ONE 13:e0193728","journal-title":"PLoS ONE"},{"key":"8324_CR38","doi-asserted-by":"publisher","first-page":"1190","DOI":"10.1177\/0961203316631632","volume":"25","author":"MA Mahieu","year":"2016","unstructured":"Mahieu MA, Ahn GE, Chmiel JS, Dunlop DD, Helenowski IB, Semanik P, Song J, Yount S, Chang RW, Ramsey-Goldman R (2016) Fatigue, patient reported outcomes, and objective measurement of physical activity in systemic lupus erythematosus. Lupus 25:1190\u20131199","journal-title":"Lupus"},{"key":"8324_CR39","doi-asserted-by":"publisher","first-page":"1474","DOI":"10.1136\/bjsports-2020-102587","volume":"54","author":"B Cillekens","year":"2020","unstructured":"Cillekens B, Lang M, van Mechelen W, Verhagen E, Huysmans MA, Holtermann A, van der Beek AJ, Coenen P (2020) How does occupational physical activity influence health? An umbrella review of 23 health outcomes across 158 observational studies. Br J Sports Med 54:1474\u20131481","journal-title":"Br J Sports Med"},{"key":"8324_CR40","doi-asserted-by":"publisher","DOI":"10.1136\/lupus-2020-000469","volume":"8","author":"A Cornet","year":"2021","unstructured":"Cornet A, Andersen J, Myllys K, Edwards A, Arnaud L (2021) Living with systemic lupus erythematosus in 2020: a European patient survey. Lupus Sci Med 8:e000469","journal-title":"Lupus Sci Med"},{"key":"8324_CR41","doi-asserted-by":"publisher","first-page":"1681780","DOI":"10.3389\/fmed.2025.1681780","volume":"12","author":"FI Smaira","year":"2025","unstructured":"Smaira FI, Mazzolani BC, Sieczkowska SM, Romero M, Pasoto S, de S\u00e1 Pinto AL, Lima FR, Benatti FB, Roschel H, Weber MB, Gualano B (2025) A qualitative analysis of follow-up interviews with SLE patients from the \u201cliving well with lupus\u201d study. Front Med (Lausanne) 12:1681780","journal-title":"Front Med (Lausanne)"},{"key":"8324_CR42","doi-asserted-by":"publisher","first-page":"492","DOI":"10.1177\/09612033251330116","volume":"34","author":"JM Barboza","year":"2025","unstructured":"Barboza JM, Esteves GP, Ribeiro WJ, Fickert VR, Franco AS, Seguro LPC, Roschel H, Gualano B, Dolan E (2025) Barriers and motivations to exercise participation among women with severe systemic lupus erythematosus who have recently undergone glucocorticoid pulse therapy: a qualitative analysis. Lupus 34:492\u2013499","journal-title":"Lupus"},{"key":"8324_CR43","doi-asserted-by":"publisher","first-page":"681","DOI":"10.1177\/0961203317749746","volume":"27","author":"C Morgan","year":"2018","unstructured":"Morgan C, Bland AR, Maker C, Dunnage J, Bruce IN (2018) Individuals living with lupus: findings from the LUPUS UK members survey 2014. Lupus 27:681\u2013687","journal-title":"Lupus"},{"key":"8324_CR44","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1016\/j.socscimed.2014.10.039","volume":"123","author":"L Farrell","year":"2014","unstructured":"Farrell L, Hollingsworth B, Propper C, Shields MA (2014) The socioeconomic gradient in physical inactivity: evidence from one million adults in England. Soc Sci Med 123:55\u201363","journal-title":"Soc Sci Med"}],"container-title":["Clinical Rheumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10067-026-08324-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10067-026-08324-3","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10067-026-08324-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T08:36:08Z","timestamp":1787992568000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10067-026-08324-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,28]]},"references-count":44,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["8324"],"URL":"https:\/\/doi.org\/10.1007\/s10067-026-08324-3","relation":{},"ISSN":["0770-3198","1434-9949"],"issn-type":[{"value":"0770-3198","type":"print"},{"value":"1434-9949","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,28]]},"assertion":[{"value":"3 June 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 July 2026","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 July 2026","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 July 2026","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"None.","order":1,"name":"Ethics","label":"Disclosures","group":{"name":"EthicsHeading","label":"Declarations"}}]}}