• Ambulatory pain [ Time Frame: Daily ] [ Designated as safety issue: No ]
• Ambulatory fatigue [ Time Frame: Daily ] [ Designated as safety issue: No ]

• Ambulatory pain
• ambulatory fatigue

• Tenderness [ Time Frame: 5 minutes ] [ Designated as safety issue: No ]
• Physical activity (measured by an accelerometer) [ Time Frame: Daily ] [ Designated as safety issue: No ]
• Functional capacity [ Time Frame: 15-20 minutes ] [ Designated as safety issue: No ]
• Sleep quality [ Time Frame: Daily ] [ Designated as safety issue: No ]
• Pain perception [ Time Frame: 30-45 minutes ] [ Designated as safety issue: No ]
• Metabolic efficiency [ Time Frame: 20 minutes ] [ Designated as safety issue: No ]

• Physical performance (6-minute walk test)
• tenderness
• physical activity (measured by an accelerometer)
• functional capacity
• sleep quality
• pain perception
• metabolic efficiency

The purpose of this study is to determine the effect of 3 months of daily, 30-minute lifestyle physical activity on pain and fatigue in inactive adults with fibromyalgia (FM).

FM is characterized by muscle pain, fatigue, and "tender points," specific places on the body that hurt when pressure is applied. Individuals with FM may also experience trouble sleeping, morning stiffness, headaches, and mood disorders. The exact cause of FM is unknown, and currently, there is no cure. While exercise improves the symptoms of FM, pain and fatigue often prevent individuals from beginning an exercise regimen in the first place. Because of the known benefits of exercise on FM, it is important to find new ways for individuals with FM to increase their physical activity. Lifestyle physical activity, which involves any type of moderate-intensity activity such as walking, housecleaning, shopping, and gardening, may be more doable than structured exercise for individuals with FM. Also, lifestyle physical activity accumulated in short bouts over time can be as effective as single exercise sessions in producing health benefits. The purpose of this study is to determine the effect of daily 30-minute lifestyle physical activity performed throughout the day on pain and fatigue in sedentary adults with FM.

This study will last 12 weeks. Participants will be randomly assigned to one of two groups. Group 1 participants will take part in 30 minutes total of self-selected lifestyle physical activity throughout the day, 5 to 7 days per week. Twice a month, they will attend group sessions designed to help participants develop and maintain a more physically active lifestyle. Goal setting, self-monitoring, and pain management will be discussed at these sessions. Group 2 participants will attend monthly FM educational sessions, which will focus on understanding the symptoms of FM, learning to manage pain and fatigue, and developing self-help strategies.

Throughout the study, both Group 1 and 2 participants will wear a wristwatch-sized device that will track their physical activity and record pain and fatigue levels. Evaluations will occur at baseline, Week 12, and 6 and 12 months after Week 12 for all participants. At each of these time points, participants will complete questionnaires, and undergo pain evaluations, fitness testing, and a tender point examination.

• Behavioral: Lifestyle physical activity (LPA)
• Behavioral: Fibromyalgia education

• Experimental: Group 1 participants will take part in 30 minutes total of self-selected lifestyle physical activity throughout the day, 5 to 7 days per week. Twice a month, they will attend group sessions designed to help participants develop and maintain a more physically active lifestyle. Goal setting, self-monitoring, and pain management will be discussed at these sessions.
• Active Comparator: Group 2 participants will attend monthly fibromyalgia educational sessions, which will focus on understanding the symptoms of FM, learning to manage pain and fatigue, and developing self-help strategies.

• Culos-Reed SN, Brawley LR. Fibromyalgia, physical activity, and daily functioning: the importance of efficacy and health-related quality of life. Arthritis Care Res. 2000 Dec;13(6):343-51.
• Karper WB, Jannes CR, Hampton JL. Fibromyalgia syndrome: the beneficial effects of exercise. Rehabil Nurs. 2006 Sep-Oct;31(5):193-8.
• Oliver K, Cronan TA. Correlates of physical activity among women with fibromyalgia syndrome. Ann Behav Med. 2005 Feb;29(1):44-53.

Inclusion Criteria:

• Meets American College of Rheumatology (ACR) criteria for FM
• Inactive at study entry
• Willing to become more physically active
• Understands and willing to follow study recommendations regarding lifestyle modification
• Able to participate in the study for 2 years
• Agrees to not make any changes to current FM-related treatments

Exclusion Criteria:

• Any comorbidity that may worsen a participant's physical functioning, independent of FM (e.g., significant cardiovascular disease, history of arrhythmias, morbid obesity, autoimmune diseases, uncontrolled or untreated hypertension, significant renal or prostate disease, stroke, seizure disorder, any other significant neurological diseases)
• Significant peripheral neuropathy
• Any current psychiatric disorder that involves a history of psychosis, including schizophrenia, schizoaffective disorder, schizophreniform disorder, delusional disorder, bipolar disorder, or severe personality disorder. Participants with mood disorder are not excluded.
• Alcohol or substance abuse within the 2 years prior to study entry
• Current suicide risk or suicide attempt within the 2 years prior to study entry
• Severe physical disability that may interfere with physical activity
• Currently participates in structured exercise or plans to participate in an exercise program
• Any investigational medications or devices within 4 weeks prior to study entry
• Any expected life change, such as relocation, within the next 2 years that may prevent study participation