心脏衰竭患者运动对疲劳的有效性:系统性审查和元分析
Ping Hsiung1, Pei-Chao Lin2,3,4, Tzu-Yu Lin5
1Department of Nursing, Zuoying Branch of Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan (R.O.C.).
概括
运动干预显著改善心力衰竭 (HF) 患者的疲劳. 然而,目前的证据并没有显示运动对与健康相关的生活质量 (HR-QoL) 的显著改善.
科学领域:
- 心脏病学 心脏病学
- 康复医学 康复医学 康复医学
- 系统审查方法论 系统审查方法论
背景情况:
- 运动是治疗心力衰竭 (HF) 的基石治疗.
- 患者报告的疲劳和与健康有关的生活质量 (HR-QoL) 是HF管理的关键结果.
- 运动干预对HF患者疲劳和HR-QoL的具体影响需要系统评估.
研究的目的:
- 系统地审查和分析运动干预措施对心力衰竭 (HF) 患者疲劳和HR-QoL的影响.
- 综合基于PRISMA指南的随机对照试验 (RCT) 的证据.
主要方法:
- 在2021年10月31日之前进行系统的文献搜索,遵循Cochrane手册和PRISMA指南.
- 包括在HF患者中评估运动干预对疲劳和HR-QoL的RCT.
- 综合运动训练和启发性肌肉训练 (IMT) 效应的元分析.
主要成果:
- 综合运动训练显示,疲劳的显著改善 (SMD = -0.51,p = .001).
- 启发性肌肉训练 (IMT) 也显著减少了疲劳 (MD = -11.36,p < .00001).
- 然而,运动干预措施并没有给HR-QoL带来统计学上显著的改善 (SMD = -0.04,p = .83).
结论:
- 运动干预措施,包括联合训练和IMT,在缓解心力衰竭患者的疲劳方面是有效的.
- 目前的证据表明,运动可能不会显著提高该人口的与健康有关的生活质量.
- 需要进一步的研究来探索可以改善高频疲劳和HR-QoL的运动策略.
更多相关视频
04:20Integration of Brain Tissue Saturation Monitoring in Cardiopulmonary Exercise Testing in Patients with Heart Failure
Published on: October 1, 2019
5.8K
05:38The Effect of Anti-Fatigue Decoction on the Behaviors and Serological Indicators in a Central Fatigue Rat Model
Published on: April 12, 2024
278
相关概念视频
01:20Exercise and Cardiovascular Response
750
Exercise significantly impacts cardiovascular response, which is crucial for understanding patient health and designing effective treatment plans.
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
750
01:17Pathophysiology of Heart Failure
1.5K
Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
1.5K
01:22Heart Failure Drugs: β-Blockers
322
β-adrenergic antagonists, commonly known as β-blockers, block the effects of sympathetic neurotransmitters such as noradrenaline (NA) and adrenaline (ADR). They have several beneficial effects in heart failure treatment. They reduce heart rate, the force of contraction, and cardiac muscle relaxation. They also slow the atrial-ventricular conduction rate and raise the threshold for arrhythmias. The concentration of β-blockers determines their effects on bronchodilation,...
322
01:26Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
404
The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
404
01:17Exercise and Cardiac Output
946
Regular physical activity is essential for maintaining cardiovascular health, with aerobic exercises being particularly effective. According to the American Heart Association, 150 minutes of moderate to intense aerobic exercise per week is recommended for a healthy heart. Aerobic activities may include brisk walking, running, bicycling, cross-country skiing, and swimming, ideally performed three to five times per week.
Sustained exercise increases the muscles' oxygen demand, which can be...
Sustained exercise increases the muscles' oxygen demand, which can be...
946
01:24Muscle Recovery and Fatigue
2.0K
Muscle fatigue refers to the decline in a muscle's ability to maintain the force of contraction after prolonged activity. It primarily stems from changes within muscle fibers. Even before experiencing muscle fatigue, one may feel tired and have the urge to stop the activity. This response, known as central fatigue, occurs due to changes in the central nervous system, namely the brain and spinal cord. While there is no single mechanism that induces fatigue, it may serve as a protective...
2.0K