María Vilanova-Pereira, Margarita Barral-Fernández, Noé Labata-Lezaun, Luis Llurda-Almuzara, Albert Pérez-Bellmunt, Cristina Jácome, Ana Lista-Paz
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引用次数: 0
Abstract
Objective: To systematically review and meta-analyse the effects of Nordic Walking in patients with respiratory diseases.
Design: Systematic review and meta-analysis.
Subjects/patients: People with respiratory diseases.
Methods: A systematic review from 9 databases and 1 trial register was conducted. Randomized controlled trials and quasi-experimental studies involving children or adults with respiratory diseases participating in Nordic Walking were included. A qualitative synthesis was conducted. When feasible, a meta-analysis was performed.
Results: Thirteen studies were included, involving 514 participants. The qualitative synthesis suggested that Nordic Walking has benefits in exercise tolerance, physical activity, physical fitness, dyspnoea, lung function, and mood status. Meta-analysis was only possible for exercise tolerance, through a 6-minute walking test assessed in 7 studies, which indicated that Nordic Walking had similar effect to other interventions (mean difference 4.4; 95% confidence interval -88.1-96.9 m, p = 0.93).
Conclusion: This systematic review demonstrates potential benefits of Nordic Walking in terms of exercise tolerance, physical activity, physical fitness, and dyspnoea, in people with respiratory diseases, comparable to other exercise forms. Further evidence is needed, particularly in studies analysing a structured Nordic Walking intervention with individually prescribed intensity.
目的：系统回顾和荟萃分析北欧步行对呼吸系统疾病患者的影响。设计：系统回顾和荟萃分析。研究对象/患者：呼吸系统疾病患者。方法：对9个数据库和1个试验登记册进行系统评价。包括随机对照试验和准实验研究，涉及患有呼吸系统疾病的儿童或成人参加北欧步行。进行了定性合成。可行时，进行meta分析。结果：纳入13项研究，涉及514名受试者。定性综合表明，北欧步行在运动耐受性、身体活动、身体健康、呼吸困难、肺功能和情绪状态方面都有好处。通过7项研究评估的6分钟步行测试，荟萃分析仅对运动耐量进行了分析，结果表明北欧步行与其他干预措施具有相似的效果（平均差值4.4；95%置信区间-88.1-96.9 m, p = 0.93）。结论：本系统综述表明，与其他运动形式相比，北欧步行在呼吸系统疾病患者的运动耐受性、体力活动、身体健康和呼吸困难方面具有潜在的益处。需要进一步的证据，特别是在分析有组织的北欧步行干预和单独规定强度的研究中。
期刊介绍：
Journal of Rehabilitation Medicine is an international peer-review journal published in English, with at least 10 issues published per year.
Original articles, reviews, case reports, short communications, special reports and letters to the editor are published, as also are editorials and book reviews. The journal strives to provide its readers with a variety of topics, including: functional assessment and intervention studies, clinical studies in various patient groups, methodology in physical and rehabilitation medicine, epidemiological studies on disabling conditions and reports on vocational and sociomedical aspects of rehabilitation.
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