间歇性肺病患者的体力活动测量:系统性审查和元分析
Masahiro Iwakura1, Atsuyoshi Kawagoshi2, Akira Tamaki3
1Department of Rehabilitation, Akita City Hospital, Akita City, Japan masa.iwaku.91@gmail.com.
概括
在间歇性肺病 (ILD) 中测量体力活动 (PA) 缺乏标准化. 这次审查强调了不一致的方法和报告质量差,特别是活动监测器,影响了ILD患者的PA评估.
科学领域:
- 肺部医学 肺部医学
- 运动生理学 运动生理学
- 医疗器械 医疗器械
背景情况:
- 身体活动 (PA) 测量越来越多地用于间歇性肺病 (ILD) 研究和临床实践.
- 目前在ILD中的PA测量方法缺乏标准化,这阻碍了数据的一致解释.
- 需要审查现有的PA测量技术,并建立ILD的最佳实践.
研究的目的:
- 系统地审查用于在ILD患者中测量PA的方法.
- 在ILD人群中报告的当前PA水平.
- 为在ILD中标准化PA测量提供实际建议.
主要方法:
- 在四个数据库中进行了系统的文献搜索,直到2022年11月,用于测量ILD中的PA.
- 提取了研究特征,参与者人口统计,PA测量设备和指标的数据.
- 活动监控器使用的报告质量使用12项检查清单进行评估.
主要成果:
- 四十项研究使用了各种PA测量工具,包括活动监测器和问卷,具有各种指标.
- 在使用活动监测器的33项研究中,12项报告项目中平均有5项被遗漏,最常见的是无磨损时间的定义.
- 分析揭示了每天步骤 (5215),中度至强度PA (82分钟),总能耗 (2130卡路里) 和久坐时间 (605分钟) 的汇总平均值,所有这些都具有显著的异质性.
结论:
- 目前在ILD中的PA测量方法,包括活动监测器和问卷,显示出相当大的不一致性.
- 提高PA测量方法的报告质量,特别是关于活动监测器的使用,对于推进ILD研究和患者护理至关重要.
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