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Exercise for Systemic Lupus Erythematosus
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Exercise for Systemic Lupus Erythematosus

Exercise for Systemic Lupus Erythematosus

This online activity will discuss the pathophysiology, common treatments, and evidence of exercise in systemic lupus erythematous (SLE) and provide you with practical exercise considerations for when you are working with someone with SLE.

Systemic lupus erythematosus (SLE) is a heterogenous multisystem autoimmune disease characterised by an immune response to self-antigens, resulting in inflammation and damage to joints, tissues, and/or internal organs. SLE is a rare disease with an estimated worldwide prevalence of 20 to 150 cases per 100,000 persons, with higher prevalence in women, particularly those of childbearing ages and certain ethnicities such as Hispanic and Asian populations. Management or “usual care” in SLE may include, but not limited to pharmacological measures such as conventional synthetic disease-modifying antirheumatic drugs (csDMARDs), biological disease-modifying antirheumatic drugs (bDMARDs), and/or nonsteroidal anti-inflammatory drugs (NSAIDS). It can also include non-pharmacological such as sun avoidance, Vitamin D supplementation, and physical activity (PA) and exercise. 

People with SLE are less physically active than people without SLE, with sixty percent of people with SLE not meeting the WHO recommendations for PA. Additionally, physical inactivity increases the risk of developing comorbidities such as osteoporosis, and cardiovascular disease (CVD), which are common in people with SLE due to long-term medication use and inherent risk of SLE. Furthermore, a significant inverse relationship between PA and fatigue has been identified in people with SLE, thus, it is proposed that exercise is a potential strategy for the management of fatigue in this population, reduce the risk of CVD, and improve overall health related quality of life (HRQOL). 

Overall, the available evidence of exercise in SLE suggests that exercise is safe, with no reported adverse effects, and is effective in reducing levels of fatigue and depression and improving physical fitness and physical functioning in people with SLE. However, the quality of the intervention studies is either poor or fair, with a high risk of bias and imprecision. More intervention studies, with more participants with SLE, are warranted to improve the evidence of exercise effectiveness and safety.

This is a recording of an ESSA webinar presented on 25 May 2023. 

Presented by Stephanie Frade, AES, AEP

Stephanie Frade is an Accredited Exercise Physiologist and director of Immune Exercise Physiology, a small business specialising in exercise for people with autoimmune disease. Stephanie also works as a research manager for the Rheumatology department at Liverpool hospital and sessional academic at the University of Technology Sydney. She volunteers as a committee member for Scleroderma NSW and Scleroderma Australia and is a person living with Systemic Lupus Erythematous herself, and amongst a family of Systemic Sclerosis, Rheumatoid arthritis and Celiac disease. Stephanie recently received her doctorate in the topic exercise for people with systemic sclerosis and systemic lupus erythematosus and is very passionate and knowledgeable in this area. 

Rates per person

ESSA Member        $33.00 
Non-Member
   $55.00
ESSA Student Member
   $16.50
Student Non-Member
   $27.50
ESSA Member PD+   Complimentary 
Non-Member PD+   Complimentary 
Please see terms & conditions for registration type definitions.

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Target Audience

Any Accredited Exercise Physiologist 

ESSA CPD Points


Successful completion of an assessment, within 60 days is required to earn applicable CPD Points

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Disclaimers

  • All accredited persons, regardless of any professional development completed/ attended must refer to their accreditation’s Scope of Practice/Standards, and only treat/practice within the same.  
  • ESSA confirms that at the date of release, this professional development meets the requirements of the ESSA Continuing Professional Development Points Guidelines. The information contained in this professional development is of a general nature only, and while every effort and care has been taken to ensure that all representations are accurate as at the date of its release, ESSA accepts no legal liability for any loss or damage suffered as a result of any information provided in this professional development. 
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  • All Professional Development logistics are correct at time of publication. Subject to change at anytime without notice.
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