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增加全谱慢性病患者身体活动水平的干预措施:系统性审查和元分析
Huachun Zhang1, Hui Wang2, Liuyan Huang3
1Department of Nursing, Longhua Hospital Shanghai University of Traditional Chinese Medicine, Shanghai, P.R. China.
Renal failure
|September 19, 2023
概括
促进身体活动的干预措施显著有利于慢性病 (CKD) 患者. 运动和实时反是提高CKD患者身体活动水平的有效策略.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
- 运动科学 运动科学
背景情况:
- 有限的知识存在于有效的干预措施,以增加慢性病 (CKD) 患者的身体活动.
- 身体活动对于治疗CKD至关重要,但该群体的水平往往很低.
- 这项研究解决了需要基于证据的策略,以促进身体活动在CKD.
研究的目的:
- 系统地审查和元分析各种干预措施对全谱CKD患者体力活动水平的有效性.
- 确定在体育活动中取得最大改善的具体干预类型.
- 评估不同CKD阶段和研究持续时间的干预有效性.
主要方法:
- 从研究开始到2023年3月发表的综合系统审查和分析.
- 搜索了包括PubMed,Embase和Web of Science在内的主要数据库,寻找相关的临床干预研究.
- 包括35项研究与2,156名参与者,分析身体活动结果,如每日步骤和使用标准化平均差异 (SMD) 活跃的时间.
主要成果:
- 针对身体活动的干预措施显著增加了CKD患者的活动水平 (SMD = 0.22;95%CI:0.08至0.36).
- 基于炼的干预措施 (SMD = 0.26) 和实时步骤反 (SMD = 0.36) 显示出显著的积极效应.
- 在CKD的各个阶段和研究持续时间中,有效性是一致的,尽管注意到了潜在的出版偏差.
结论:
- 旨在改变体力活动的干预策略有效地提高了慢性脏病患者的体力活动水平.
- 运动和实时反是特别有前途的干预措施,以提高这一群体的体力活动.
- 可能需要进一步的研究来解决潜在的出版偏见,并优化干预交付.
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