运动对中风后抑郁症的影响:随机对照试验的系统审查和元分析
Yifan Zhang1,2, Gen Li3, Wenda Zheng2
1Beijing Key Laboratory of Sports Performance and Skill Assessment, Beijing Sport University, Beijing 100084, China.
Life (Basel, Switzerland)
|February 26, 2025
概括
运动显著减少中风后抑郁症 (PSD). 多元组件训练是最有效的,每周至少持续12周,每周不到180分钟的课程是治疗中风幸存者的抑郁症状的最佳方案.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 运动科学 运动科学
背景情况:
- 脑卒中后抑郁症 (PSD) 是一种常见的并发症,影响患者的康复.
- 现有的关于PSD运动干预的研究缺乏确的证据.
研究的目的:
- 系统地评估运动对中风患者抑郁症状的影响.
- 为了确定减轻PSD的最佳运动方案.
主要方法:
- 这是从主要数据库 (Embase,PubMed,Cochrane,Web of Science,Scopus) 收集的24项研究的系统审查和定量综合.
- 使用效果大小 (SMD) 和95%置信区间来评估干预的有效性.
主要成果:
- 运动在中风患者中显著减少了抑郁症状 (SMD = -0.18; p = 0.007).
- 多元组件训练是最有效的干预措施 (SMD = -0.24; p = 0.008).
- 最佳方案包括持续时间≥12周,≥3次/周,<60分钟/会议,<180分钟/周.
结论:
- 练习是管理PSD的一个有效策略.
- 多元组件培训可能是PSD的首选干预措施.
- 临床医生应建议每周至少炼三次,每次炼时间小于60分钟,每周总时间小于180分钟.
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