运动和体育活动计划对患有关节炎的人的疲劳和睡眠的有效性 - - 系统性审查与元分析
N Runge1, A Arribas-Romano2, C Labie3
1Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Belgium; Musculoskeletal Rehabilitation Research Group, Department of Rehabilitation Sciences, Faculty of Movement and Rehabilitation Sciences, KU Leuven, Belgium; Brain, Body and Cognition (BBCO), Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel (VUB), Brussels, Belgium.
Sleep medicine reviews
|August 17, 2023
概括
运动可能会在某些类型的关节炎中略微改善短期疲劳,但对睡眠益处和长期影响的证据有限. 需要更多关于关节炎管理最佳运动的研究.
科学领域:
- 类风湿病学 类风湿病学
- 运动科学 运动科学
- 睡眠医学 睡眠医学
背景情况:
- 疲劳和睡眠障碍是各种形式的关节炎中常见的衰弱症状.
- 对这些症状的有效管理策略对于改善患者的生活质量至关重要.
研究的目的:
- 系统地审查有关炼和体育活动计划对治疗关节炎患者疲劳和睡眠问题的有效性的证据.
- 评估有关不同类型关节炎的这些干预措施的证据的确定性.
主要方法:
- 在七个随机对照试验数据库中进行了系统的文献搜索.
- 包括36项涉及2281名参与者的研究,并使用Cochrane风险偏差工具2评估偏差风险.
- 随机效应的元分析和建议评估,发展和评价的分级 (GRADE) 用于综合发现并评估证据的确定性.
主要成果:
- 在骨关节炎和牛皮性关节炎中,运动对疲劳和睡眠的益处的证据缺乏或不确.
- 非常低到低的确定性证据表明,在结性脊髓炎和类风湿性关节炎中,运动对疲劳有轻微的短期益处.
- 在所有关节炎类型中,关于中长期对疲劳的影响以及对睡眠参数的任何影响的证据高度不确定.
结论:
- 运动和体育活动计划可能为患有关节炎的人提供一些短期的疲劳缓解,但最佳的运动类型仍然不清楚.
- 目前的证据不足以得出关于运动对改善关节炎患者睡眠效果的强有力的结论.
- 需要进一步进行高质量的研究,以阐明运动在不同关节炎患者群体的疲劳和睡眠障碍管理中的作用.
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