About this trial
This study aims to evaluate the effects of aerobic exercise therapy on quality of life, functional capacity, mood, and fatigue in patients with rheumatoid arthritis. Additionally, the study investigates the impact of aerobic exercise on inflammatory markers, pain, and disease activity.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosed with RA according to ACR/EULAR 2010 criteria
Female patients aged 30-70 years
Low disease activity (DAS-28 < 3.2)
Voluntary participation
Disqualifiers
Cardiovascular diseases (CAD, heart failure, etc.)
Respiratory diseases
Neurological disorders
BMI > 35
Trial design
Parallel
Treatments tested in this trial
Standard Medical Care (SMC)
Other interventionStandard medical treatment
Patient Education
Other interventionPatient education
Aerobic Exercise Group
Other interventionFrequency: 5 days/week Duration: 6 weeks (30 sessions) Exercise intensity: 50-70% of Wmax Includes warm-up, aerobic phase, and cool-down
Treatment groups
Trial outcomes
Primary outcomes
Rheumatoid Arthritis Quality of Life Questionnaire
RAQoL is a disease-specific instrument consisting of 30 items scored as yes/no. Total scores range from 0 to 30, with higher scores indicating poorer quality of life. The Turkish version has established validity and reliability.
Health Assessment Questionnaire (HAQ)
HAQ evaluates functional ability in daily living activities using 20 items. Each item is scored from 0 (no difficulty) to 3 (unable to perform). The final score is calculated as the average of item scores, ranging from 0 to 3, with higher scores indicating worse functional status.
Functional Capacity (Cardiopulmonary Fitness)
VO₂ max (mL/kg/min) is measured using cardiopulmonary exercise testing (CPET) on a cycle ergometer. It is considered the gold standard for assessing aerobic capacity.
6-Minute Walk Test (6MWT)
The 6MWT evaluates submaximal exercise capacity. Participants are instructed to walk as far as possible within 6 minutes on a 30-meter corridor. Total walking distance (meters) is recorded. Higher distances indicate better functional capacity.
Secondary outcomes
Beck Depression Inventory (BDI)
BDI is a 21-item self-reported questionnaire assessing depressive symptoms. Scores range from 0 to 63, with higher scores indicating more severe depression.
Fatigue Severity Scale (FSS)
FSS is a 9-item scale assessing fatigue severity using Likert-type responses. Higher scores indicate greater fatigue severity.
Visual analogue Scale for pain
Pain intensity is measured on a 10 cm visual analog scale, where 0 indicates no pain and 10 indicates worst possible pain.
Disease Activity Score-28 (DAS-28)
DAS-28 is a composite index including tender/swollen joint count, ESR or CRP levels, and patient global assessment. Lower scores indicate lower disease activity.
Sponsors and contacts
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