针对45种不同长期疾病的基于运动的干预措施的证据:系统性审查的概述
Grace O Dibben1, Lucy Gardiner2, Hannah M L Young3,4
1MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK.
EClinicalMedicine
|July 16, 2024
概括
运动干预措施在许多长期疾病 (LTC) 中显著改善与健康相关的生活质量和运动能力. 然而,需要对死亡率,住院和多病症影响进行更多的研究.
科学领域:
- 运动科学 运动科学
- 公共卫生 公共卫生
- 老年学是指老年学的学科.
背景情况:
- 长期疾病 (LTC) 影响全球近一半的人口,造成严重的健康和社会经济负担.
- 练习是有效管理LTC的关键干预措施.
- 本研究概述了对LTC运动干预措施的系统审查.
研究的目的:
- 综合来自系统审查的证据,以运动为基础的干预措施的有效性,长期条件的成年人.
- 确定健康结果并评估现有系统审查的方法质量.
- 确定LTC运动干预措施的证据缺口,包括多病症.
主要方法:
- 进行了系统审查 (SRs) 的概述,从2000年1月到2023年10月搜索了六个数据库.
- 包括SRs评估的健康结果 (死亡率,住院,运动能力,残疾,虚弱,HRQoL,身体活动) 运动干预措施的成年人45LTCs.
- 使用AMSTAR-2进行了方法质量评估;PROSPERO ID:CRD42022319214.
主要成果:
- 包括42个SR和3个RCT,包括990个RCT和39个LTC中的936825名参与者.
- 证据支持25个LTC的运动干预措施,13个不清楚,并建议1个没有效果;没有证据发现6个LTC.
- 与健康相关的生活质量 (HRQoL) 和运动能力是最常见的结果;死亡率和住院数据有限. 方法质量各不相同,其中33%的方法质量极低,12%的方法质量极高.
结论:
- 基于运动的干预措施在许多LTC中证明了HRQoL和运动能力的好处.
- 关于运动对死亡率和住院率的影响存在重大证据差距.
- 未来的研究应该解决多病症在运动干预中对LTC的作用.
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