在长期COVID中改善呼吸不良和疲劳的体育训练协议:通过元分析进行系统审查
Lisa Fernanda Mazzonetto1,2, Jéssica Fernanda Correa Cordeiro2,3, Igor Massari Correia2,4
1School of Physical Education and Sport of Ribeirão Preto, University of São Paulo, Ribeirão Preto 13566-590, Brazil.
Healthcare (Basel, Switzerland)
|August 14, 2025
概括
身体训练,特别是有氧运动,可以帮助减少长期的COVID症状,如呼吸短促和疲劳. 需要更多的研究来证实这些对病毒后疲劳和呼吸障碍的好处.
科学领域:
- 康复医学 康复医学 康复医学
- 后病毒综合征 后病毒综合征
- 运动生理学 运动生理学
背景情况:
- 长期COVID是一种复杂的疾病,经常出现令人衰弱的症状,如呼吸不全 (呼吸短促) 和持续的疲劳.
- 有效的康复策略对于管理这些持续症状和改善受影响个体的生活质量至关重要.
研究的目的:
- 系统地审查和元分析体育训练方案的有效性,以缓解与长期COVID相关的呼吸障碍和疲劳.
- 确定长期COVID康复的最佳训练参数和方法.
主要方法:
- 在主要数据库 (EMBASE,LILACS,PubMed,Scopus,CINAHL,Web of Science) 和灰色文献中进行了全面的系统文献搜索.
- 包括专注于长期COVID的身体康复干预的研究,评估呼吸障碍和/或疲劳,使用经过验证的调查问卷进行干预前后测量.
- 数据提取涵盖了干预细节,并使用Cochrane工具评估了偏差风险.
主要成果:
- 经常采用组合训练方法,将呼吸肌肉训练与有氧和力量炼相结合.
- 有氧运动对改善呼吸障碍和疲劳症状产生了显著的积极影响.
- 虽然审查了25项研究,但只有4项显示偏差风险低. 对两项研究的元分析没有产生统计学上显著的疲劳减少.
结论:
- 综合体育训练模式,特别强调有氧运动,在缓解长期COVID患者的呼吸障碍和疲劳方面表现有前途.
- 需要进一步进行高质量的研究来证实这些发现,并制定最终的康复指南.
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