There is ' gold ' level evidence ( www.cochranemsk.org ) that supervised aerobic exercise training has beneficial effects on physical capacity and FMS symptoms .
Strength training may also have benefits on some FMS symptoms .
BACKGROUND Fibromyalgia ( FMS ) is a syndrome expressed by chronic widespread body pain which leads to reduced physical function and frequent use of health care services .
Exercise training is commonly recommended as a treatment .
This is an up date of a review published in Issue 2 , 2002 .
OBJECTIVES The primary objective of this systematic review was to evaluate the effects of exercise training including cardiorespiratory ( aerobic ) , muscle strengthening , and /or flexibility exercise on global well-being , selected signs and symptoms , and physical function in individuals with FMS .
Six-month and one-year followup of 23 weeks of aerobic exercise for individuals with fibromyalgia.
OBJECTIVE To measure mood and physical function of individuals with fibromyalgia , 6 and 12 months following 23 weeks of supervised aerobic exercise . METHODS This is a followup report of individuals who were previously enrolled in 23 weeks of l and -based and water-based aerobic exercise classes .  Outcomes included the 6-minute walk test , Beck Depression Inventory ( BDI ) , State-Trait Anxiety Inventory , Arthritis Self-Efficacy Scale ( ASES ) , Fibromyalgia Impact Question naire ( FIQ ) , tender point count , patient global assessment score , and exercise compliance . Outcomes were measured at the start and end of the exercise classes and 6 and 12 months later . RESULTS Analyses were conducted on 29 ( intent-to-treat ) or 18 ( efficacy ) subjects .  Six-minute walk distances and BDI total scores were improved at followup ( all analyses ) . BDI cognitive/affective scores were improved at the end of 23 weeks of exercise ( both analyses ) and at the 12-month followup ( efficacy analysis only ) . BDI somatic scores were improved at 6-month ( both analyses ) and 12-month followup ( intent-to-treat only ) . FIQ and ASES function were improved at all followup points . ASES pain was improved in efficacy analyses only ( all followup points ) . Tender points were unchanged after 23 weeks of exercise and at followup . Exercise duration at followup ( total minutes of aerobic plus anaerobic exercise in the preceding week ) was related to gains in physical function ( 6- and 12-month followup ) and mood ( 6-month followup ) . CONCLUSION Exercise can improve physical function , mood , symptom severity , and aspects of self efficacy for at least 12 months . Exercising at followup was related to improvements in physical function and perhaps mood
There is ' gold ' level evidence ( www.cochranemsk.org ) that supervised aerobic exercise training has beneficial effects on physical capacity and FMS symptoms .
Strength training may also have benefits on some FMS symptoms .
BACKGROUND Fibromyalgia ( FMS ) is a syndrome expressed by chronic widespread body pain which leads to reduced physical function and frequent use of health care services .
Exercise training is commonly recommended as a treatment .
This is an up date of a review published in Issue 2 , 2002 .
OBJECTIVES The primary objective of this systematic review was to evaluate the effects of exercise training including cardiorespiratory ( aerobic ) , muscle strengthening , and /or flexibility exercise on global well-being , selected signs and symptoms , and physical function in individuals with FMS .