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腹膜透析患者的体力活动:系统评估和元分析

Xueli Man¹, Peiyao Ren¹, Ting Lin¹

¹Department of Nephrology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, 310000, Zhejiang, China.

International urology and nephrology

|February 24, 2025

概括

身体炼显著改善生活质量,社会支持,并减少腹透析 (PD) 患者的疼痛. 这一元分析证实了运动作为PD管理的有益治疗选择.

科学领域:

腎臟病學 (nephrology) 是一種醫學專業.
运动生理学运动生理学
公共卫生公共卫生

背景情况:

运动对一般和慢性疾病群体的益处已确定.
身体活动对腹膜透析 (PD) 患者的具体影响需要澄清.

研究的目的:

系统地审查和元分析体育炼对PD患者生活质量,身体功能,疼痛,能量,睡眠以及营养不良-炎症-动脉样硬化 (MIA) 综合征的影响.

主要方法:

在PubMed,EMBASE,Web of Science和Cochrane图书馆系统搜索随机对照试验 (RCT) 到2023年12月.
包括的RCT比较了PD患者的常规护理与体力活动干预措施.
使用平均差异 (MD) 的统计分析与95%的置信区间 (CI) 通过RevMan 5.3.3.

主要成果:

纳入了9个带有398名患者的RCT.
运动干预导致生活质量 (BKD,EKD),社会支持,社会互动和减少身体疼痛的显著改善.
定性分析显示HOMA-IR下降,CRP增加,身体功能测试 (CS-30,FTTST,SS5) 的改善.

结论:

这是对PD患者的运动干预措施的首次元分析.
运动是治疗PD的可行和有效的治疗选择.
未来的研究应该专注于开发个性化的炼计划,以获得最佳的PD患者结果.

关键词:

最终阶段的脏疾病.运动运动运动.进行元分析分析.腹膜透析是指腹膜透析.身体炼是一种体力炼.系统性审查系统性审查

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