改变行为干预对间歇性关患者日常体力活动的影响:OPTIMA系统性审查和元分析
Ukachukwu O Abaraogu1,2,3, Philippa Dall1, Chris Seenan1
1Research Centre for Health (ReaCH), School of Health and Life Sciences, Glasgow Caledonian University, 70 Cowcadeens Road, Glasgow G4 0BA, UK.
European journal of preventive cardiology
|September 13, 2024
概括
基于行为改变技术 (BCT) 的干预措施有效地促进了周围动脉疾病 (PAD) 患者的短期日常体力活动 (PA). 长期的PA维护和与特定控制的比较需要进一步调查.
科学领域:
- 心血管健康 心血管健康
- 行为医学是一种行为医学.
- 运动科学 运动科学
背景情况:
- 周围动脉疾病 (PAD) 和间歇性关节障碍 (IC) 显著损害生活质量和流动性.
- 每日体力活动 (PA) 对于管理PAD/IC至关重要,但坚持干预措施可能具有挑战性.
- 行为改变技术 (BCT) 提供结构化的方法来促进持续的健康行为.
研究的目的:
- 综合证据,以BCT为基础的干预措施的有效性增加每日PA在个人与PAD/IC.
- 为了比较BCT干预措施对各种对照组的影响.
- 探索特定的BCT与PA改善的程度之间的关系.
主要方法:
- 在11个数据库中进行了系统的文献搜索,截至2022年11月,持续监测至2023年8月.
- 包括的研究将基于BCT的干预措施与任何对照组进行了比较,分析了短期 (<6个月) 和长期 (≥6个月) 的PA变化.
- 根据PRISMA指南进行了元分析 (随机效应对),偏差风险评估 (Cochrane-RoB-2,ROBINS-I) 和证据确定性评估 (GRADE).
主要成果:
- 与非结构化运动训练 (非SET) 相比,基于BCT的干预措施显著增加了短期的每日PA,约为473步/天 (SMD 0.20,高确定性).
- 在BCT干预后维持PA6个月或更长时间的证据仍然不确定 (SMD0.12,中等确定性).
- 与结构化运动训练 (SET) 的比较对短期和长期PA变化产生了不确定的结果,证据确定性低至非常低.
结论:
- 基于BCT的干预措施在改善PAD/IC患者的短期日常体力活动水平方面是有效的.
- 这些干预措施对维持PA的长期有效性以及它们对结构化炼训练的优越性需要进一步进行强有力的研究.
- 在PAD/IC人群中,BCT干预是提高每日PA的可行策略.
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