Effectiveness of aerobic exercise in fibromyalgia: A systematic review and network meta-analysis

Among single-form aerobic exercise interventions for fibromyalgia, swimming appeared to provide the greatest improvement in overall health status, while Liuzijue showed favorable effects on pain reduction and sleep quality. Walking ranked highest for depressive symptoms, but the evidence for its effect was uncertain. These findings support consideration of selected aerobic exercise modalities as complementary non-pharmacological options in fibromyalgia management, while further high-quality RCTs are needed to strengthen the evidence.