{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T11:33:49Z","timestamp":1787830429593,"version":"build-2784847793"},"reference-count":46,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2013,11,30]],"date-time":"2013-11-30T00:00:00Z","timestamp":1385769600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Afyon Kocatepe University the Scientific Research Projects Committee","award":["11.SAG.BIL.03"],"award-info":[{"award-number":["11.SAG.BIL.03"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Rheum Dis"],"published-print":{"date-parts":[[2016,8]]},"abstract":"Abstract<\/jats:title>Aim<\/jats:title>The purpose of this study was to investigate the physical fitness parameters (maximal aerobic capacity, muscle strength and flexibility), daily physical activity, resting metabolic rate (RMR<\/jats:styled-content>), pulmonary function tests (PFT<\/jats:styled-content>s), body composition, depression, anxiety and health\u2010related quality of life (HRQ<\/jats:styled-content>oL<\/jats:styled-content>) changes as well as the associations among these parameters in patients with fibromyalgia and to compare them with healthy controls.<\/jats:p><\/jats:sec>Methods<\/jats:title>Thirty\u2010nine women with fibromyalgia and 40 controls were included in this study. Physical measurements,HRQ<\/jats:styled-content>oL<\/jats:styled-content>questionnaire,B<\/jats:styled-content>eckD<\/jats:styled-content>epressionI<\/jats:styled-content>nventory (BDI<\/jats:styled-content>) score andB<\/jats:styled-content>eckA<\/jats:styled-content>nxietyI<\/jats:styled-content>nventory (BAI<\/jats:styled-content>) score were applied to all participants.<\/jats:p><\/jats:sec>Results<\/jats:title>Maximal aerobic capacity, trunk flexibility, daily step numbers, total energy expenditure,RMR<\/jats:styled-content>andPFT<\/jats:styled-content>values were not significantly different between the patients and the controls. Fibromyalgia patients had higher daily moderate activity times, active energy expenditure values, andBDI<\/jats:styled-content>andBAI<\/jats:styled-content>scores, while their lower handgrip strength and back\u2010leg strength values and Short\u2010form health survey (SF<\/jats:styled-content>)\u201036 scores were comparable to controls. Handgrip strength and back\u2010leg strength values showed moderately positive correlations withSF<\/jats:styled-content>\u201036 scores (total, physical health, mental health) and moderately negative correlations withBDI<\/jats:styled-content>andBAI<\/jats:styled-content>scores in patients with fibromyalgia.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Our results suggested that muscle strength,HRQ<\/jats:styled-content>oL<\/jats:styled-content>, depression and anxiety symptomatology were impaired in fibromyalgia patients compared to healthy controls. Low muscle strength is related to reducedHRQ<\/jats:styled-content>oL<\/jats:styled-content>and increased depression and anxiety symptomatology in patients with fibromyalgia. Also we suggest that performing daily exercises, including aerobic and strength training, as part of one's lifestyle may have beneficial effects in fibromyalgia patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1756-185x.12237","type":"journal-article","created":{"date-parts":[[2013,11,30]],"date-time":"2013-11-30T20:22:23Z","timestamp":1385842943000},"page":"763-772","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":60,"title":["Evaluation of health\u2010related physical fitness parameters and association analysis with depression, anxiety, and quality of life in patients with fibromyalgia"],"prefix":"10.1111","volume":"19","author":[{"given":"Umit","family":"Sener","sequence":"first","affiliation":[{"name":"Department of Physiology Faculty of Medicine Namik Kemal University Tekirdag 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