针对偏头痛的各种运动的有效性和最佳剂量:一个多层次网络和剂量反应元分析
Jingyi Xie1, Yupeng Lin2, Bin Wang1
1Department of Physical Education, Central China Normal University, Wuhan, China.
PeerJ
|October 27, 2025
概括
综合有氧和抵抗运动是最有效的偏头痛缓解. 最佳剂量包括每周70-135分钟的中等强度运动,持续8-10周,尽管证据质量较低.
科学领域:
- 神经学 神经学
- 运动医学 运动医学
- 公共卫生 公共卫生
背景情况:
- 偏头痛是一种流行的神经系统疾病,影响生活质量.
- 运动干预越来越多地被探索为偏头痛管理.
- 关于不同类型运动的比较有效性的证据是有限的.
研究的目的:
- 为了比较各种运动模式对偏头痛的疗效.
- 为了确定在偏头痛中进行运动干预的最佳治疗剂量.
主要方法:
- 在四个数据库中进行了系统的文献搜索,截至2025年5月.
- 包括27个随机对照试验 (RCT),涉及1,611名参与者.
- 进行了多层次网络元分析 (ML-NMA) 与剂量反应分析.
主要成果:
- 综合有氧+阻力运动的疗效最高 (SUCRA=0.91),其次是阻力运动 (SUCRA=0.81).
- (SUCRA=0.49) 和太极拳 (SUCRA=0.46) 的疗效较低.
- 确定了最佳剂量:每周300-600MET-min,METs强度为4.5-5.5,持续8-10周.
结论:
- 综合有氧+阻力和阻力练习对偏头痛有希望.
- 建议每周运动:70-135分钟中等强度或45-90分钟强烈强度运动,持续8-10周.
- 由于证据的确定性非常低或很低,因此应谨慎解释调查结果.
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