Physical activity and training in sarcoidosis: review and experience-based recommendations

Bert Strookappe, Lesley Ann Saketkoo, Marjon Elfferich, Anne Holland, Jolanda De Vries, Ton Knevel, Marjolein Drent

Research output: Contribution to journalReview ArticleResearchpeer-review

26 Citations (Scopus)


Introduction: Sarcoidosis is a multisystemic inflammatory disorder with a great variety of symptoms, including fatigue, dyspnea, pain, reduced exercise tolerance and muscle strength. Physical training has the potential to improve exercise capacity and muscle strength, and reduce fatigue. The aim of this review and survey was to present information about the role of physical training in sarcoidosis and offer practical guidelines. Areas covered: A systematic literature review guided an international consensus effort among sarcoidosis experts to establish practice-basic recommendations for the implementation of exercise as treatment for patients with various manifestations of sarcoidosis. International sarcoidosis experts suggested considering physical training in symptomatic patients with sarcoidosis. Expert commentary: There is promising evidence of a positive effect of physical training. Recommendations were based on available data and expert consensus. However, the heterogeneity of these patients will require modification and program adjustment of the standard rehabilitation format for e.g. COPD or interstitial lung diseases. An optimal training program (types of exercise, intensities, frequency, duration) still needs to be defined to optimize training adjustments, especially reduction of fatigue. Further randomized controlled trials are needed to consolidate these findings and optimize the comprehensive care of sarcoidosis patients.

Original languageEnglish
Pages (from-to)1057-1068
Number of pages12
JournalExpert Review of Respiratory Medicine
Issue number10
Publication statusPublished - 2 Oct 2016
Externally publishedYes


  • Dyspnea
  • endurance
  • fatigue
  • muscle strength
  • physical training
  • pulmonary rehabilitation
  • quality of life
  • recommendations
  • sarcoidosis

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