Factors Associated With Regular Exercise Participation in Individuals With Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis.

IF 1.1 4区医学 Q4 GERIATRICS & GERONTOLOGY

Journal of gerontological nursing Pub Date : 2026-08-24 DOI:10.3928/00989134-20260817-03

Ja Yun Choi, Sola Cho, Su Yeon Lim, Sehyun Cho

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引用次数: 0

Abstract

Purpose: Although exercise is central to chronic obstructive pulmonary disease (COPD) management, participation remains low. The current review identified factors influencing exercise participation.

Method: International (MEDLINE, EMBASE, and Cochrane CENTRAL) and Korean (Korean Studies Information Service System and Korea Institute of Science and Technology Information) databases were searched for studies published between 2013 and 2024. Two reviewers independently conducted study selection, data extraction, and quality appraisal.

Results: Of 22 studies, 21 were of high quality and one of moderate quality. Motivation (r = 0.15, p = .035), symptoms (r = -0.14, p = .015), educational level (r = 0.13, p = .003), pulmonary function (r = 0.09, p = .049), and social support (r = 0.05, p = .040) were associated with exercise in COPD; heterogeneity was significant only for symptoms (I² = 89.3%, p < .001).

Conclusion: Exercise engagement is multifaceted, reflecting the interplay of individual, clinical, and social factors. These findings provide evidence informing the development of targeted interventions that promote sustained exercise engagement.

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慢性阻塞性肺疾病患者定期参加运动的相关因素：系统回顾和荟萃分析

目的：尽管运动是慢性阻塞性肺疾病（COPD）治疗的核心，但参与运动的人数仍然很低。目前的综述确定了影响运动参与的因素。方法：检索国际数据库（MEDLINE、EMBASE和Cochrane CENTRAL）和韩国数据库（韩国学信息服务系统和韩国科学技术信息研究所）2013年至2024年间发表的研究。两位审稿人独立进行研究选择、数据提取和质量评估。结果：22项研究中，高质量研究21项，中等质量研究1项。动机（r = 0.15, p = 0.035）、症状（r = -0.14, p = 0.015）、教育水平（r = 0.13, p = 0.003）、肺功能（r = 0.09, p = 0.049）和社会支持（r = 0.05, p = 0.040）与COPD患者的运动相关；异质性仅在症状上显著（I2 = 89.3%, p < 0.001）。结论：运动参与是多方面的，反映了个人、临床和社会因素的相互作用。这些发现为有针对性的干预措施的发展提供了证据，以促进持续的运动参与。

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

Journal of gerontological nursing 医学-护理

CiteScore

2.00

自引率

7.70%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Gerontological Nursing is a monthly, peer-reviewed journal publishing clinically relevant original articles on the practice of gerontological nursing across the continuum of care in a variety of health care settings, for more than 40 years.