Mij
Senior Member (Voting Rights)
Opinion article
Front. Sports Act. Living, 16 April 2026
Sec. Physical Activity in the Prevention and Management of Disease
Conclusion
Exercise prescription in fibromyalgia must move beyond the exclusive focus on planned FITT parameters to embrace a more comprehensive and clinically grounded understanding of exercise dose. Across this Opinion, we highlight that meaningful interpretation of exercise effects depends on transparent reporting of planned prescription, explicit documentation of clinical decision-making, systematic monitoring of the executed dose, and rigorous assessment of adherence. Recognizing exercise dose as a dynamic construct—shaped by symptom fluctuations, individual responses, and real-world adaptations—is essential to strengthen dose–response interpretation, improve reproducibility, and enhance clinical translation. Ultimately, advancing exercise research and practice in fibromyalgia requires frameworks that capture not only what is prescribed, but what is actually delivered, tolerated, and sustained by patients.
Front. Sports Act. Living, 16 April 2026
Sec. Physical Activity in the Prevention and Management of Disease
Conclusion
Exercise prescription in fibromyalgia must move beyond the exclusive focus on planned FITT parameters to embrace a more comprehensive and clinically grounded understanding of exercise dose. Across this Opinion, we highlight that meaningful interpretation of exercise effects depends on transparent reporting of planned prescription, explicit documentation of clinical decision-making, systematic monitoring of the executed dose, and rigorous assessment of adherence. Recognizing exercise dose as a dynamic construct—shaped by symptom fluctuations, individual responses, and real-world adaptations—is essential to strengthen dose–response interpretation, improve reproducibility, and enhance clinical translation. Ultimately, advancing exercise research and practice in fibromyalgia requires frameworks that capture not only what is prescribed, but what is actually delivered, tolerated, and sustained by patients.