An April 2021 article by University of São Paulo's Medical School said,
"Our analysis of the results showed that exercise improved small and large vessel endothelial function to a clinically significant extent. Accordingly, we suggested that exercise can be considered 'medication' for these patients because of its potential to reduce the incidence of cardiovascular events,”
"Treatment doesn't prevent patients from developing certain co-morbidities. Cardiovascular disease is the most worrisome,”
"The risk of heart attack is twice as high for people with rheumatoid arthritis as for healthy people. For people with lupus or psoriatic arthritis, the incidence of ischemic events [heart attack, angina and stroke] is between twice and five times as high."
"It all begins with changes in blood vessel structure and function,"
"The arteries gradually harden and stop being able to dilate when necessary. Changes occur above all in the endothelium [the layer of cells lining the interior surface of blood vessels]. Alterations in vascular function, especially endothelial function, are considered initial markers of atherosclerosis for this reason."
"This area [physical activity in rheumatology] is still new, so more research is needed to identify the best exercise protocols and investigate such aspects as safety and adherence,"
"In any event, the data in our study underlines the importance of regular exercise to prevent and treat cardiovascular disease in these patients."