Resumen:
Background: The al-Andalus physical activity intervention study is a randomised control trial to investigate the
effectiveness of a land- and water-based exercise intervention for reducing the overall impact of fibromyalgia
(primary outcome), and for improving tenderness and pain-related measures, body composition, functional
capacity, physical activity and sedentary behaviour, fatigue, sleep quality, health-related quality of life, and cognitive
function (secondary outcomes) in women with fibromyalgia.
Methods/Design: One hundred eighty women with fibromyalgia (age range: 35-65 years) will be recruited from local
associations of fibromyalgia patients in Andalucía (Southern Spain). Patients will be randomly assigned to a usual care
(control) group (n = 60), a water-based exercise intervention group (n = 60) or a land-based exercise intervention group
(n = 60). Participants in the usual care group will receive general physical activity guidelines and participants allocated
in the intervention groups will attend three non-consecutive training sessions (60 min each) per week during 24 weeks.
Both exercise interventions will consist of aerobic, muscular strength and flexibility exercises. W...