针对代谢和腹部外科手术患者的基于专家的体育活动指南:随机对照试验的系统审查
Melissa Fernández-Alonso1, Geronimo Bejarano2, David B Creel3
1Department of Nutritional Sciences, College of Science and Engineering, Texas Christian University, Fort Worth, Texas.
概括
在代谢和减肥手术 (MBS) 之前和之后从事体力活动 (PA) 可以提高患者的治疗结果. 本综述提供了12个基于证据的PA建议,以优化MBS后的恢复和长期健康.
科学领域:
- 运动科学 运动科学
- 减肥医学 减肥医学
- 临床康复 临床康复
背景情况:
- 身体活跃的生活方式对于改善接受代谢和减肥手术 (MBS) 的患者的治疗结果至关重要.
- 目前对MBS后体力活动 (PA) 的临床建议尚未完全确立,尽管正在进行研究.
研究的目的:
- 为接受代谢和减肥手术 (MBS) 的患者制定基于证据的身体活动 (PA) 建议.
- 综合随机临床试验 (RCT) 的发现,以指导外科手术期间的PA干预措施.
主要方法:
- 进行了对39篇文章的系统审查,其中包括24项随机临床试验 (RCT).
- 身体活动干预措施,多学科团队的专业知识,以及力量和调节原则为12个PA建议的制定提供了信息.
主要成果:
- 建议包括手术前开始PA,手术后早期行走,逐渐增加日常活动,逐渐逐步增加到每周150-300分钟的中等强度心血管运动.
- 提供了针对抵抗训练 (RT) 的具体指导,从MBS后4-6周开始,延迟高强度和腹部运动8-12周,避免水上运动,直到伤口愈合.
- 长期监测,定期健身评估和与注册营养学家的营养咨询是强调的.
结论:
- 在代谢和减肥手术 (MBS) 之前和之后实施结构化的体力活动 (PA) 计划对于患者的康复和长期健康至关重要.
- 这些12条建议为临床医生和患者提供了一个框架,以优化体育活动参与,促进更好的外科手术结果和整体幸福感.
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