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June 10, 2026Sports MedicineOpen Access

Physical Exercise as an Adjuvant to Glucocorticoid Therapy: Clinical Recommendations and Evidence Review

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Authors

PEPaula Etayo-UrtasunNavarrabiomedMAMikel L. Sáez de AsteasuUniversidad Publica de NavarraMIMikel IzquierdoUniversidad Publica de Navarra

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Overview

Narrative review evaluates exercise impact on glucocorticoid treatment, suggesting tailored recommendations for patients.

Key Points

  • To assess the interplay between glucocorticoid therapy and physical exercise, providing clinical recommendations for this specific population.
  • Conducted a narrative and systematic review of 19 studies on exercise interventions in glucocorticoid-treated patients.
  • Included trials focused on populations with rheumatoid arthritis and systemic lupus erythematosus, totaling n=663, predominantly women.
  • Evaluated methodological quality using the Risk of Bias 2 tool.
  • Exercise interventions notably improved muscle performance and functional outcomes in glucocorticoid-treated patients.
  • Evidence for improvements in bone, cardiometabolic, cognitive, and mental health outcomes was limited or inconsistent.
  • Resistance training and aerobic exercise were highlighted as crucial elements for optimal exercise prescription.

Cite This Study

Etayo-Urtasun et al. (2026) studied this question.

synapsesocial.com/papers/6a2901536f82f25be989da1ehttps://doi.org/10.1007/s40279-026-02469-6
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Also Consider

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  1. 1THE ANALYSIS STUDY OF SAFETY AND LONG-TERM EFFECTS OF GLUCOCORTICOIDS IN TREATMENT OF INFLAMMATORY RHEUMATIC DISEASE: A COMPREHENSIVE SYSTEMATIC REVIEW2024 · 2 citations
  2. 2Managing Adverse Effects Associated with Long-Term Glucocorticoid Use2025 · 1 citations
  3. 3Can a 6-Month Exercise Training Program Improve Musculoskeletal Health in Individuals with Systemic Lupus Erythematosus post Glucocorticoid Pulsetherapy? Protocol for a Randomized Controlled Trial2024 · 1 citations
  4. 4Early recognition, prevention, and management of glucocorticoid toxicity in patients with rheumatic diseases2026
  5. 5Safety considerations and adverse events associated with exercise across medical disciplines2026