What specific exercise training is most effective exercise training method for patients on maintenance hemodialysis with sarcopenia: a network meta-analysis.

IF 4 2区 农林科学 Q2 NUTRITION & DIETETICS
Frontiers in Nutrition Pub Date : 2024-11-22 eCollection Date: 2024-01-01 DOI:10.3389/fnut.2024.1484662
Ying Li, Jingjing Li, Xiaoan Chen, Yuegong Shi, Jie Shen, Ting Huang
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引用次数: 0

Abstract

Objective: The present study aimed to investigate the influence of different exercise methods on sarcopenia patients receiving maintenance hemodialysis (MHD) by conducting a network meta-analysis.

Methods: The PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), and Wanfang databases were searched online for relevant articles published until May 2024. Based on the inclusion and exclusion criteria, we selected 10 articles that compared the effects of 7 exercise interventions on sarcopenia patients receiving MHD.

Results: The results of network meta-analysis showed that resistance training (RT) [standardized mean difference (SMD) = 4.54; 95% confidence interval (CI): 3.27-5.80] significantly improved the handgrip strength (HGS) of sarcopenia patients receiving MHD as compared to Baduanjin exercise (BAE) (SMD = 4.19; 95% CI: 2.31-6.07), bicycle exercise (BIE) (SMD = 4.06; 95% CI: 0.02-8.10), and combined movement (CE) (SMD = 3.50; 95% CI: 3.13-3.87). Compared to normal care (NC), BAE (SMD = 0.15; 95% CI: 0.07-0.23), RT (SMD = 0.34; 95% CI: 0.06-0.62), and CE (SMD = 0.37; 95% CI: 0.16-0.58) significantly improved skeletal muscle mass index (SMI) in sarcopenia patients receiving MHD.

Conclusion: This study showed that RT has a positive effect on improving HGS in sarcopenia patients receiving MHD. CE also showed good results in enhancing SMI in MHD patients with sarcopenia. More randomized controlled trials are required to better understand the effectiveness of these exercise interventions and the potential underlying mechanisms.

对于维持性血液透析伴肌少症患者,何种特定的运动训练是最有效的运动训练方法:一项网络荟萃分析。
目的:本研究旨在通过网络meta分析,探讨不同运动方式对维持性血液透析(MHD)患者肌少症的影响。方法:检索PubMed、Embase、Cochrane Library、Web of Science、中国知网(CNKI)、万方等数据库,检索2024年5月前发表的相关文章。根据纳入和排除标准,我们选择了10篇文章,比较了7种运动干预对MHD患者肌肉减少症的影响。结果:网络meta分析结果显示,阻力训练(RT)[标准化平均差(SMD) = 4.54;95%可信区间(CI): 3.27-5.80]与八段筋运动(BAE)相比,MHD可显著提高肌肉减少症患者的握力(HGS) (SMD = 4.19;95% CI: 2.31-6.07),自行车运动(BIE) (SMD = 4.06;95% CI: 0.02-8.10)和联合运动(CE) (SMD = 3.50;95% ci: 3.13-3.87)。与正常护理(NC)相比,BAE (SMD = 0.15;95% ci: 0.07-0.23), rt (smd = 0.34;95% CI: 0.06-0.62), CE (SMD = 0.37;95% CI: 0.16-0.58)接受MHD治疗的骨骼肌减少症患者骨骼肌质量指数(SMI)显著改善。结论:本研究表明,RT治疗对MHD骨骼肌减少症患者HGS的改善有积极作用。CE在MHD合并肌少症患者中也显示出良好的SMI增强效果。需要更多的随机对照试验来更好地了解这些运动干预的有效性和潜在的潜在机制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Frontiers in Nutrition
Frontiers in Nutrition Agricultural and Biological Sciences-Food Science
CiteScore
5.20
自引率
8.00%
发文量
2891
审稿时长
12 weeks
期刊介绍: No subject pertains more to human life than nutrition. The aim of Frontiers in Nutrition is to integrate major scientific disciplines in this vast field in order to address the most relevant and pertinent questions and developments. Our ambition is to create an integrated podium based on original research, clinical trials, and contemporary reviews to build a reputable knowledge forum in the domains of human health, dietary behaviors, agronomy & 21st century food science. Through the recognized open-access Frontiers platform we welcome manuscripts to our dedicated sections relating to different areas in the field of nutrition with a focus on human health. Specialty sections in Frontiers in Nutrition include, for example, Clinical Nutrition, Nutrition & Sustainable Diets, Nutrition and Food Science Technology, Nutrition Methodology, Sport & Exercise Nutrition, Food Chemistry, and Nutritional Immunology. Based on the publication of rigorous scientific research, we thrive to achieve a visible impact on the global nutrition agenda addressing the grand challenges of our time, including obesity, malnutrition, hunger, food waste, sustainability and consumer health.
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