帕金森病患者的身体活动和久坐行为相关的因素:系统性审查和元分析
Vitoria L Domingues1, Marina P Makhoul1, Tatiana B de Freitas1
1Motor Behavior Laboratory (LACOM), Department of Pedagogy of Human Body Movement, School of Physical Education and Sport, University of São Paulo (USP), São Paulo, SP, Brazil.
Physical therapy
|August 10, 2024
概括
功能性步行和手工敏捷性是帕金森病 (PD) 身体活动的关键. 了解这些因素可以改善PD患者的康复和福祉.
科学领域:
- 神经学 神经学
- 康复科学 康复科学 康复科学
- 公共卫生 公共卫生
背景情况:
- 帕金森病 (PD) 显著影响着人的流动性和生活质量.
- 身体活动和久坐行为至关重要,但在PD管理中没有得到充分研究.
- 了解影响因素对于有效的康复策略至关重要.
研究的目的:
- 系统地审查与PD患者的身体活动和久坐行为相关的因素.
- 使用国际功能,残疾和健康分类 (ICF) 框架量化这些协会的规模.
主要方法:
- 在四个主要数据库 (PubMed,EMBASE,Web of Science,Scopus) 进行了系统的文献审查,直到2023年2月.
- 数据提取和偏差风险评估由两个独立研究人员进行.
- 使用元分析来确定关联的大小,并补充了显著回归模型的描述.
主要成果:
- 42项研究确定了21个与PD体育活动相关的因素.
- 发现了与认知,体重指数,自我效能,身体功能,移动性,生活质量,年龄和PD症状的公平关联.
- 对于功能性步行和手工敏捷度,观察到与体育活动的最强相关性.
- 环境因素,不包括体重指数,主导了显著的回归模型.
结论:
- 功能性步行和手工敏捷度是PD患者体力活动水平的最重要的预测因素.
- 需要进一步的研究来阐明影响PD体育活动强度和久坐行为的因素.
- 一种整体的方法,将上下文因素与身体功能,活动和参与相结合,对于优化PD康复至关重要.
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