{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:18:30Z","timestamp":1787318310763,"version":"build-2736575974"},"reference-count":49,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"AFM-T\u00e9l\u00e9thon"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Neuromuscular Diseases"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Knowledge about facilitators and barriers to exercise among individuals with MG is limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim of this study was to identify factors that influence exercise participation for adults with MG and to explore beliefs and perceptions with respect to exercise.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a cross-sectional observational study via an online questionnaire. Adults with MG residing in France were eligible.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Responses from 455 participants were analysed. The majority were between 50 and 69 years, 71% were female, 80% had generalised MG, and half had early-onset MG. Participants reported reduced MG-specific QoL (MGQOL-15F-r), a moderate-to-high impact of MG on activities of daily living (MG-ADL), and mild-to-moderate fatigue levels (NeuroQoL fatigue). Overall, 54% of respondents reported engaging in exercise (\u201cexercisers\u201d), while 47% did not (\u201cnon-exercisers\u201d). Exercisers had a lower BMI, reported less fatigue, better HRQoL and a lower impact of MG on ADLs compared to non-exercisers. Fear of exercising was reported by one-third of participants, including half of non-exercisers versus 19% of exercisers (p &lt; 0.001). Non-exercisers reported significantly more barriers to exercise (mean 3.5 (1.8)) than exercisers (mean 2.6 (1.9), p &lt; 0.001). Health\/symptoms was the most frequently reported barrier in both groups (59% of non-exercisers, 39% of exercisers). Non-exercisers also reported fewer facilitators (mean 2.1 (1.4)) than for exercisers (mean 2.5 (1.3), p=0.004). The most frequently cited facilitator for non-exercisers was specialised supervision\/coaching (59%), while exercisers most frequently cited health\/symptom improvement (57%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Several barriers and facilitators influencing exercise participation for individuals with MG could be addressed with tailored programmes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/22143602261463887","type":"journal-article","created":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T19:08:51Z","timestamp":1782414531000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Facilitators and barriers to exercise in autoimmune myasthenia gravis: A cross-sectional survey study"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2358-788X","authenticated-orcid":false,"given":"Simone","family":"Birnbaum","sequence":"first","affiliation":[{"name":"Institute of Myology"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annie","family":"Archer","sequence":"additional","affiliation":[{"name":"AFM-T\u00e9l\u00e9thon, Evry, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Lejeune","sequence":"additional","affiliation":[{"name":"AFM-T\u00e9l\u00e9thon, Evry, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Yves","family":"Hogrel","sequence":"additional","affiliation":[{"name":"Institute of Myology"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Stalens","sequence":"additional","affiliation":[{"name":"AFM-T\u00e9l\u00e9thon, Evry, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,25]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2022.120268"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40120-021-00285-w"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40120-022-00408-x"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-021-10891-1"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.nmd.2021.05.002"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.17161\/rrnmf.v4i3.18699"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/mus.25552"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/mus.25493"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/bs.irn.2025.04.022"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.3233\/JND-210722"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.3233\/JND-210693"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.3233\/JND-210637"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.3233\/JND-180355"},{"key":"e_1_3_5_15_2","first-page":"1","article-title":"Exploring the issues that influence how people with rare neurological conditions engage in physical activity","volume":"46","author":"Buscemi V","year":"2023","unstructured":"Buscemi V, Boaz A, Dawes H, et al. 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