肺部康复后身体活动,久坐行为和睡眠的变化:系统性审查和网络元分析
James Manifield1,2, Yousuf Chaudhry3, Sally J Singh3,2
1Department of Respiratory Sciences, University of Leicester, Leicester, UK jm937@leicester.ac.uk.
概括
在肺部康复 (PR) 中增加体育活动促进可以提高每天的步伐和中度至强度的活动量. 然而,证据质量较低,在解释PR干预结果时需要谨慎.
科学领域:
- 肺部康复治疗 肺部康复治疗
- 慢性呼吸道疾病管理
- 运动生理学 运动生理学
背景情况:
- 肺部康复 (PR) 交付和辅助方面的创新可能会对患者的身体活动,久坐行为和睡眠产生多种影响.
- 了解这些差异性反应对于优化患者的治疗结果至关重要.
研究的目的:
- 系统地比较各种基于公共关系的干预措施对身体活动,久坐行为和睡眠的有效性.
- 确定哪些PR策略最有效地改善慢性呼吸道疾病患者的关键健康行为.
主要方法:
- 对调查基于PR的干预措施的随机试验进行了系统的搜索.
- 网络元分析被用来比较身体活动,久坐行为和睡眠变化的干预措施,特别是在慢性阻塞性肺病 (COPD) 患者中.
主要成果:
- 分析了46项研究,重点关注每天的步骤,中度至强度的体力活动 (MVPA) 和久坐时间. 睡眠数据有限.
- 基于中心的肺部康复 (CBPR) 改善了每天的步骤,MVPA,并减少了久坐时间与通常护理相比.
- 与常规护理和CBPR相比,CBPR加体力活动促进显示出每天步数的最大增加,以及改善的MVPA和减少的久坐时间与常规护理相比.
- 与通常的护理相比,在家的PR也增加了每天的步伐,减少了久坐时间.
结论:
- 添加到PR的体育活动促进增加了体育活动的数量,但不是其强度,相对于单独的CBPR.
- 支持这些发现的证据具有高偏差风险和低确定性,需要谨慎解释.
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