饮食和体育活动对炎症性关节疾病的综合影响:系统性审查和元分析
Petros C Dinas1,2, On Behalf Of The Students Of Module Introduction To Systematic Reviews1, Rikke Helene Moe3
1Department of Nutrition and Dietetics, School of Physical Education, Sport Science and Dietetics, University of Thessaly, 42130 Trikala, Greece.
Healthcare (Basel, Switzerland)
|May 27, 2023
概括
对炎症性关节疾病 (IJD) 进行饮食和运动干预的结合改善了患者报告的结果,但令人惊的是,在类风湿性关节炎 (RA) 中炎症标志物增加了. 需要更多高质量的研究.
科学领域:
- 类风湿病学 类风湿病学
- 临床营养学 临床营养学
- 运动生理学 运动生理学
背景情况:
- 饮食和体育活动单独减少炎症性关节疾病 (IJD) 中的炎症.
- 对于饮食和体力活动干预措施在IJD中的综合作用的了解有限.
- 类风湿性关节炎 (RA) 和脊椎骨关节病 (SpA) 是IJD的主要目标.
研究的目的:
- 系统地审查和对IJD联合饮食和体育活动干预措施的影响进行元分析.
- 特别研究对RA和SpA患者群体的影响.
- 评估联合干预对炎症标志物和患者报告结果的影响.
主要方法:
- 符合条件的研究的系统审查和元分析.
- 包括的研究集中在IJD的综合饮食/营养和体力活动/运动干预措施上.
- 数据综合包括健康评估问卷得分,红细胞沉积率,C反应蛋白和体重.
主要成果:
- 联合干预措施显著改善了RA患者的健康评估问卷得分 (SMD = -1.36).
- 令人惊的是,在RA患者中,红细胞沉积率增加 (MD = 0.20).
- 在RA患者中没有观察到对C-反应蛋白或体重的显著影响.
结论:
- 综合饮食和体力活动干预措施显示出改善RA患者报告结果的潜力.
- 红细胞沉率的意想不到的增加需要进一步调查.
- 目前的证据质量很低,这凸显了在这个领域需要强大,高质量的研究.
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