定时运动干预对患者报告结果措施的影响:系统性审查
Mirey Karavetian1, Cosette Fakih El Khoury2, Femke Rutters3
1Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, Canada.
PloS one
|May 7, 2025
概括
与早晨炼相比,下午或晚上炼对患者报告的结果没有明显的负面影响. 由于研究的局限性,需要更多的研究,但定时运动可能是可以接受的.
科学领域:
- 运动生理学 运动生理学
- 时间生物学 时间生物学
- 患者为中心的研究结果研究.
背景情况:
- 由于不规则的时间表而扰乱的昼夜节律可能会对慢性疾病的发展产生负面影响.
- 理论上说,午后/晚上的运动比早上的运动对健康更有益.
- 患者对定时运动干预措施的接受程度尚不清楚.
研究的目的:
- 系统地审查运动时间对患者报告结果 (PROM) 的影响.
- 评估患者接受和与早晨与下午/晚上运动相关的结果.
主要方法:
- 按照柯克兰和PRISMA指南进行系统审查.
- 在多个数据库 (MEDLINE,SCOPUS等) 进行了搜索. 关于定时运动和PROMs的研究.
- 包括17项研究 (403名参与者);使用SWiM指南评估偏差风险和综合发现.
主要成果:
- 大多数研究都没有发现基于炼时间的PROM有显著差异.
- 干预措施的差异很大,导致了相当大的异质性.
- 在不同研究的具体结果中发现了一些不一致性.
结论:
- 与早晨炼相比,没有发现下午/晚上炼对PROM有明显的有害影响.
- 主要的局限性包括研究群体缺乏均性和小样本大小,导致统计能力低.
- 未来的研究证实新陈代谢的好处可以建立下午/晚上炼作为一个可接受的替代方案.
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