Biological research for nursing最新文献

Post-Treatment Urine Metabolites as Indicators of Chronic Pain: A Secondary Data Analysis of a Pragmatic Clinical Trial. 治疗后尿液代谢物作为慢性疼痛的指标：一项实用临床试验的二级数据分析。

Biological research for nursing Pub Date : 2025-07-21 DOI: 10.1177/10998004251362369

Dahee Wi, Diane M Flynn, Nathan Tintle, Jeffrey C Ransom, Honor M McQuinn, Tyler J Snow, Sotaro Shimada, Nicholas Ieronimakis, Ardith Z Doorenbos

{"title":"Post-Treatment Urine Metabolites as Indicators of Chronic Pain: A Secondary Data Analysis of a Pragmatic Clinical Trial.","authors":"Dahee Wi, Diane M Flynn, Nathan Tintle, Jeffrey C Ransom, Honor M McQuinn, Tyler J Snow, Sotaro Shimada, Nicholas Ieronimakis, Ardith Z Doorenbos","doi":"10.1177/10998004251362369","DOIUrl":"https://doi.org/10.1177/10998004251362369","url":null,"abstract":"Biomarkers may complement patient-reported outcomes by providing objective insight into the multidimensional nature of chronic pain. The urine metabolite pain indicator (UMPI), a composite of four urine metabolites, has previously demonstrated cross-sectional associations with pain-related symptoms; however, it is unclear whether these associations are consistent over time. This study evaluated whether the UMPI and its individual metabolites remain associated with chronic pain outcomes following intervention, which would support its potential as a monitoring biomarker. A secondary analysis of a pragmatic clinical trial, where 148 active-duty service members with chronic pain provided urine samples and completed 11 self-reported outcome measures at baseline and 6-week follow-up after either a complementary and integrative health or a standard rehabilitative care pain intervention. Associations were examined using linear regression and mixed models. The UMPI remained significantly associated with physical function and overall pain impact post-intervention. Ethylmalonic acid showed associations with fatigue, anger, and physical function. Notably, methylmalonate, while not significant at baseline, had the most robust association with pain post-intervention, including significant correlations with both physical function and pain impact. Kynurenic acid was associated with sleep-related impairment. Pyroglutamic acid showed no significant adjusted associations. No statistically significant differences in metabolite and symptom correlations were found between time points, suggesting that these associations remained consistent over the short term. The UMPI may serve as a reliable, noninvasive index biomarker for tracking chronic pain burden, particularly physical outcomes. Findings support integrating the UMPI into biologically informed chronic pain assessment.","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"10998004251362369"},"PeriodicalIF":0.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Causal Relationship Between Chronic Pain and Frailty: A Two-Sample Mendelian Randomization Study. 慢性疼痛和虚弱之间的因果关系：一项双样本孟德尔随机化研究。

Biological research for nursing Pub Date : 2025-07-18 DOI: 10.1177/10998004251361789

Shuo Wang, Jing Han, Qingyan Wang, Qing Li, Yanze Cui

{"title":"The Causal Relationship Between Chronic Pain and Frailty: A Two-Sample Mendelian Randomization Study.","authors":"Shuo Wang, Jing Han, Qingyan Wang, Qing Li, Yanze Cui","doi":"10.1177/10998004251361789","DOIUrl":"https://doi.org/10.1177/10998004251361789","url":null,"abstract":"Objective: Frailty and chronic pain are closely related, but the causal relationship between them needs to be further explored with high-level evidence. Mendelian randomization (MR) was used to analyse the bidirectional causal relationship between nine chronic pain disorders and two frailty indicators in this study. Methods: We used Causal Analysis Using Summary Effect Estimates (CAUSE) as the primary method of analysis. The inverse-variance-weighted, simple model, weighted model, penalized weighted median and MR‒Egger regression methods were used to evaluate the robustness of the results. Results: The frailty index (FI) was significantly associated with the number of chronic pain sites (multisite chronic pain, MCP, padjust < .001) and the risk of chronic widespread pain (CWP, padjust < .001). The Fried frailty score (FFS) was significantly associated with MCP (padjust < .001), the risk of CWP (padjust < .001) and chronic back pain (padjust = .031). In the reverse analysis, both MCP and CWP were significantly positively associated with the FI (padjust < .001; padjust = .003) and FFS (padjust < .001; padjust = .009). Conclusions: This study revealed a bidirectional causal relationship between frailty and chronic pain, with the number of pain sites playing a key role. This finding has significant implications for effectively managing frailty and chronic pain in older adults.","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"10998004251361789"},"PeriodicalIF":0.0,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Passive Electronic Cigarette Vapor Exposure in Children: A Systematic Review. 儿童被动电子烟蒸汽暴露：一项系统综述。

Biological research for nursing Pub Date : 2025-07-09 DOI: 10.1177/10998004251357832

Jeannie Rodriguez, Deborah Silverstein, Abby Mutic, Donghai Liang, Shenita Peterson, Irene Yang

{"title":"Passive Electronic Cigarette Vapor Exposure in Children: A Systematic Review.","authors":"Jeannie Rodriguez, Deborah Silverstein, Abby Mutic, Donghai Liang, Shenita Peterson, Irene Yang","doi":"10.1177/10998004251357832","DOIUrl":"https://doi.org/10.1177/10998004251357832","url":null,"abstract":"Adults of childbearing age have the highest rate of electronic cigarette (e-cigarette) use in the United States. Users perceive passive e-cigarette vapor exposure to be less harmful than passive conventional cigarette smoke exposure. We conducted a systematic review to understand the risks of passive e-cigarette vapor exposure in children. Data sources included PubMed, CINAHL, Web of Science, and Scopus. Eligibility criteria included studies published between 2010 and 2024 with (1) children ages 0-18 or animal models representing children and in vitro studies, (2) descriptive, experimental, and qualitative designs, and (3) a focus on passive e-cigarette vapor exposure. Two independent reviewers screened studies, with a third for arbitration. Thirty-three studies were included in this review. Emerging evidence, primarily from animal studies, suggests that passive e-cigarette vapor exposure is associated with poor respiratory, immunological, physical growth, and neurological effects. Air assessments noted increased particulate matter and concentrations of nicotine, metals, and volatile organic compounds. Parents were more likely to use e-cigarettes than non-parents, and a majority reported use in the home and car. Risk of bias assessment indicated that 23 of the 33 studies were rated as weak, highlighting methodological limitations in the current evidence base. More rigorously designed studies are needed to strengthen the evidence base. Passive e-cigarette vapor exposure may be harmful to children, and many parents seem unaware of this potential threat. Parents should be cautioned to minimize exposure until more is known.","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"10998004251357832"},"PeriodicalIF":0.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Systematic Review and Meta-Analysis of Aromatherapy in Alleviating Post-Chemotherapy Nausea and Vomiting Among Cancer Patients. 芳香疗法缓解癌症患者化疗后恶心呕吐的系统评价和荟萃分析。

Biological research for nursing Pub Date : 2025-07-09 DOI: 10.1177/10998004251356515

Xin Zhang, Yining Wang, Jingjing He, Hui Li, Yanbin Wang

{"title":"Systematic Review and Meta-Analysis of Aromatherapy in Alleviating Post-Chemotherapy Nausea and Vomiting Among Cancer Patients.","authors":"Xin Zhang, Yining Wang, Jingjing He, Hui Li, Yanbin Wang","doi":"10.1177/10998004251356515","DOIUrl":"https://doi.org/10.1177/10998004251356515","url":null,"abstract":"Background: Chemotherapy-induced nausea and vomiting (CINV) represent prevalent and distressing adverse effects among cancer patients, substantially compromising treatment compliance and quality of life. This systematic review and meta-analysis evaluate the therapeutic efficacy of aromatherapy in managing CINV, with the objective of informing evidence-based clinical decision-making in supportive cancer care. Methods: We systematically searched PubMed, Embase, and Cochrane Library for randomized controlled trials (RCTs) assessing aromatherapy's effects on CINV. Two reviewers independently screened studies, extracted data, and evaluated bias risk. Meta-analysis was performed using RevMan 5.4, with outcomes expressed as odds ratios (ORs) or mean differences (MDs) with 95% confidence intervals (CIs). Results: Twelve RCTs (n = 1,572) were included. Aromatherapy significantly reduced acute nausea (OR = 0.46, 95% CI 0.29-0.73), acute vomiting (OR = 0.56, 95% CI 0.40-0.79), and delayed nausea (OR = 0.64, 95% CI 0.47-0.88). However, no significant effects were observed for delayed vomiting (OR = 0.72, 95% CI 0.39-1.34), VAS scores (MD = -1.30, 95% CI -2.76-0.16), or INVR scores (MD = -1.67, 95% CI -3.67-0.32). No publication bias was detected (p > 0.05). Conclusion: The existing body of evidence suggests that aromatherapy may function as a valuable adjunctive therapy in mitigating chemotherapy-induced nausea, especially during the acute phase. Nevertheless, its efficacy in managing vomiting and symptoms in the delayed phase remains uncertain. Future research efforts should focus on conducting large-scale, methodologically robust RCTs that employ standardized aromatherapy protocols and incorporate longitudinal assessments of outcomes and understanding the biological mechanisms associated with aromatherapy therapeutic effects.","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"10998004251356515"},"PeriodicalIF":0.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Composite Dietary Antioxidant Index is Associated With Common Non-communicable Diseases: The Mediation and Joint Effects of Inflammatory Indices. 膳食复合抗氧化指数与常见非传染性疾病的相关性：炎症指数的中介作用及联合作用

Biological research for nursing Pub Date : 2025-07-01 Epub Date: 2025-03-03 DOI: 10.1177/10998004251320591

Hongyan Bao, Feiyan Deng, Shufeng Lei

{"title":"The Composite Dietary Antioxidant Index is Associated With Common Non-communicable Diseases: The Mediation and Joint Effects of Inflammatory Indices.","authors":"Hongyan Bao, Feiyan Deng, Shufeng Lei","doi":"10.1177/10998004251320591","DOIUrl":"10.1177/10998004251320591","url":null,"abstract":"Purpose: To evaluate the associations between composite dietary antioxidant index (CDAI) and common non-communicable diseases (NCDs) and explore the potential effects of inflammatory indices in these associations. Methods: We included 20,097 adults from the National Health and Nutrition Examination Survey 2003-2018. Multivariable logistic regressions were applied to evaluate the associations between CDAI and common NCDs. Mediation analysis was used to explore the role of inflammatory indices in the associations. Results: Higher CDAI was associated with a downward trend in the incidence of obesity, cardiovascular disease (CVD), chronic respiratory diseases, and chronic kidney disease (CKD) (p for trend < 0.05). The association between CDAI and CVD was influenced by C-reactive protein (CRP), red blood cell width (RDW), and neutrophil to lymphocyte ratio (NLR), with mediated proportions of 3.490%, 5.173%, and 2.351%, respectively. NLR partially contributed to the link between CDAI and CKD, with a mediating ratio of 2.746%. Additionally, we observed additive interactions between CDAI and CRP (RERI (95% CI): 0.282 (0.070, 0.494), AP (95% CI): 0.539 (0.088, 0.991), as well as RDW on CVD (RERI (95% CI): 0.318 (0.124, 0.511), AP (95% CI): 0.717 (0.217, 1.218)). There also appeared to be a weak multiplicative interaction between CDAI and RDW on CVD (p-int = 0.049). Conclusion: Our investigation ascertained that CDAI was related to common NCDs. Moreover, inflammatory indices played an important role in the associations between CDAI and NCDs.","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"430-441"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Differences in Plasma BDNF Levels Between Chronic Primary Musculoskeletal Pain, Fibromyalgia Syndrome, and Asymptomatic Subjects: A Cross-Sectional Study. 慢性原发性肌肉骨骼疼痛、纤维肌痛综合征和无症状受试者血浆BDNF水平的差异：一项横断面研究

Biological research for nursing Pub Date : 2025-07-01 Epub Date: 2025-01-09 DOI: 10.1177/10998004251313741

Silvia Di-Bonaventura, Francisco Gurdiel-Álvarez, Álvaro Reina-Varona, Kevin Pacheco-Barrios, Miguel Molina-Álvarez, Josué Fernández-Carnero, Raúl Ferrer-Peña

{"title":"Differences in Plasma BDNF Levels Between Chronic Primary Musculoskeletal Pain, Fibromyalgia Syndrome, and Asymptomatic Subjects: A Cross-Sectional Study.","authors":"Silvia Di-Bonaventura, Francisco Gurdiel-Álvarez, Álvaro Reina-Varona, Kevin Pacheco-Barrios, Miguel Molina-Álvarez, Josué Fernández-Carnero, Raúl Ferrer-Peña","doi":"10.1177/10998004251313741","DOIUrl":"10.1177/10998004251313741","url":null,"abstract":"This cross-sectional study compared plasma brain-derived neurotrophic factor (BDNF) levels among chronic primary musculoskeletal pain patients, chronic widespread pain patients, and asymptomatic controls. The study included 126 participants aged 18-65, divided into three groups of 42 each. Pain intensity was assessed using a Numeric Rating Scale (NRS), and plasma BDNF levels were measured via ELISA. Differences between groups were evaluated using ANOVA with 2000 bootstrap resamples and a bias-corrected and accelerated method. Results showed significantly higher plasma BDNF levels in chronic widespread pain patients (mean difference [MD] = 0.44; 95% CI = 0.28, 0.62; p < .001) compared to controls, and higher than in chronic primary musculoskeletal pain patients (MD = 0.83; 95% CI = 0.64, 1.02; p < .001). Chronic primary musculoskeletal pain patients had lower plasma BDNF levels compared to controls (MD = -0.39; 95% CI = -0.54, -0.24; p < .001). No significant correlations were observed between plasma BDNF levels and clinical variables. These findings suggest the potential of BDNF as a biomarker to differentiate chronic primary pain conditions.","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"371-382"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Influencing Factors in Urinary Retention in Parturients With Epidural Anesthesia Following Term Vaginal Birth. 阴道足月分娩后硬膜外麻醉产妇尿潴留的影响因素。

Biological research for nursing Pub Date : 2025-07-01 Epub Date: 2025-01-13 DOI: 10.1177/10998004251314017

Qingge Wang, Mengqi Xu

{"title":"Influencing Factors in Urinary Retention in Parturients With Epidural Anesthesia Following Term Vaginal Birth.","authors":"Qingge Wang, Mengqi Xu","doi":"10.1177/10998004251314017","DOIUrl":"10.1177/10998004251314017","url":null,"abstract":"Background: Epidural analgesia is a widely employed method in obstetric care for labor pain management. Postpartum urinary retention is a common complication that can arise during the postnatal period. This study aimed to evaluate the current status and influencing factors of postpartum urinary retention in parturients who received epidural anesthesia. Methods: We retrospectively included parturients who underwent vaginal delivery at our institution from June 2022 to October 2024. The characteristics of parturients with and without postpartum urinary retention were analyzed and compared. Logistic regression analyses were conducted to evaluate the influencing factors of postpartum urinary retention. Results: This study enrolled a cohort consisting of 520 parturients who underwent epidural anesthesia, resulting in a total of 520 instances of childbirth. Among this population, 56 parturients were identified as experiencing postpartum urinary retention. The incidence of postpartum urinary retention in parturients with epidural anesthesia was 10.77%. Correlation analysis results showed that the parity (r = 0.582), duration of analgesia (r = 0.554), degree of perineal laceration (r = 0.656) and use of oxytocin (r = 0.580) were correlated with the occurrence of postpartum urinary retention among parturients with epidural anesthesia (all p < .05). Logistic regression analysis indicated that parity (OR = 2.587, 95% CI: 1.890∼3.225), duration of analgesia (OR = 2.778, 95% CI: 2.104∼3.467), degree of perineal laceration (OR = 3.265, 95% CI: 2.620∼3.815) and use of oxytocin (OR = 2.436, 95% CI: 1.909∼3.875) were the independent influencing factors of postpartum urinary retention (all p < .05). Conclusion: It is imperative that clinical healthcare providers implement targeted preventative and management strategies to reduce postpartum urinary retention.","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"383-390"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effect of Massage and Foot Reflexology on Sleep in Newborns. 按摩和足部按摩对新生儿睡眠的影响。

Biological research for nursing Pub Date : 2025-07-01 Epub Date: 2025-04-14 DOI: 10.1177/10998004251332911

Ayşe Belpınar, Emriye Hilal Yayan, Ahmet Özdemir

{"title":"The Effect of Massage and Foot Reflexology on Sleep in Newborns.","authors":"Ayşe Belpınar, Emriye Hilal Yayan, Ahmet Özdemir","doi":"10.1177/10998004251332911","DOIUrl":"10.1177/10998004251332911","url":null,"abstract":"Objective: This study was conducted to examine the effects of massage and foot reflexology on the sleep of premature infants. Materials and Methods: The research was designed as a randomized controlled experimental study. The study population consisted of premature infants born at 30-37 weeks of gestation who were admitted to the Neonatal Intensive Care Unit of a hospital in the Central Anatolia Region. The sample included 108 premature infants divided into three groups: Massage group (n = 36), Foot reflexology group (n = 36), and Control group (n = 36). Data were collected using a neonatal follow-up form and actigraphy. Massage and foot reflexology interventions were administered to the respective groups twice daily (Morning: 07:00-09:00 and Evening: 19:00-21:00) for 15 minutes each session over two consecutive days, making up a total of four sessions. The control group received routine nursing care without any additional intervention. Pre-test (once) and post-test (once) measurements of 24-h sleep durations were assessed using actigraphy for all groups. Results: Sleep duration in the massage group increased compared to pre-intervention (251 minutes) and the control group (272 minutes), while the sleep duration in the foot reflexology group similarly increased compared to pre-intervention (268 minutes) and the control group (266 minutes) (p < .001). Sleep efficiency also showed a significant increase post-intervention, rising to 73% in the massage group and 71.8% in the foot reflexology group compared to the control group (p < .001). Furthermore, the number of awakenings and wakefulness duration significantly decreased in the massage and foot reflexology groups compared to the control group (p < .05). Conclusion: The findings indicate that massage and foot reflexology are effective non-pharmacological methods for improving sleep duration and sleep efficiency while reducing wakefulness duration and the number of awakenings in premature infants.","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"504-517"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Impact of Exercise Training on Psychological Outcomes, Body Composition, and Quality of Life in Overweight or Obese Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. 运动训练对超重或肥胖成人心理结局、身体组成和生活质量的影响：随机对照试验的系统回顾和荟萃分析。

Biological research for nursing Pub Date : 2025-07-01 Epub Date: 2025-01-10 DOI: 10.1177/10998004241313332

Elham Vosadi, Elahe Sadat Hashemi Fard, Zahra Mirakhori, Mahboobeh Borjian Fard

{"title":"The Impact of Exercise Training on Psychological Outcomes, Body Composition, and Quality of Life in Overweight or Obese Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.","authors":"Elham Vosadi, Elahe Sadat Hashemi Fard, Zahra Mirakhori, Mahboobeh Borjian Fard","doi":"10.1177/10998004241313332","DOIUrl":"10.1177/10998004241313332","url":null,"abstract":"Background: Overweight and obesity are associated with adverse psychological outcomes, compromised body composition, and reduced quality of life (QoL). While exercise training has been proposed as an effective intervention, its impact on these outcomes remains unclear. Objective: This systematic review and meta-analysis evaluated the effects of exercise training on psychological outcomes, body composition, and QoL in overweight or obese adults. Methods: A systematic review and meta-analysis were performed through July 2024, utilizing multiple databases. Random-effects models were used to calculate standardized mean differences (SMDs) or mean differences (MDs), with corresponding 95% confidence intervals (CIs). Results: Thirty-one trials involving 2779 participants were included. Exercise training significantly improved mental health (SMD: 0.25, 95% CI: 0.11, 0.39, p = .0003), depression (SMD: -0.52, 95% CI: -0.86, -0.18, p = .003), mood (SMD: 7.55, 95% CI: 10.78, 4.31, p < .00001), waist circumference (MD: -2.77 cm, 95% CI: -4.60, -0.94, p = .003), and lean body mass (MD: 1.16 kg, 95% CI: 0.62, 1.69, p < .0001). Improvements were also observed in various QoL domains, including social functioning (p = .004), physical functioning (p < .00001), vitality (p = .003), general health (p = .001), and environmental quality (p < .00001). However, some psychological, body composition, and QoL variables did not show significant effects. Conclusion: Exercise training positively impacts psychological outcomes, body composition, and multiple QoL domains in overweight and obese adults. These findings highlight the importance of exercise in lifestyle interventions. Further research is needed to determine long-term and consistent effects.","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"464-486"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Scoping Review of Studies Reporting Heart Rate Variability Measurement Among Pregnant and Postpartum People Using Wearable Technology. 使用可穿戴技术测量孕妇和产后人群心率变异性的研究综述。

Biological research for nursing Pub Date : 2025-07-01 Epub Date: 2025-03-24 DOI: 10.1177/10998004251325212

Renée Byfield, Irene Yang, Melinda Higgins, Nicole Carlson

{"title":"A Scoping Review of Studies Reporting Heart Rate Variability Measurement Among Pregnant and Postpartum People Using Wearable Technology.","authors":"Renée Byfield, Irene Yang, Melinda Higgins, Nicole Carlson","doi":"10.1177/10998004251325212","DOIUrl":"10.1177/10998004251325212","url":null,"abstract":"Maternal mental health conditions significantly contribute to pregnancy-related mortality in the United States. Approximately 20-25% of postnatal women exhibit symptoms of depressive and anxiety disorders. Mental health is influenced by stress, which affects mood, cognition, and behavior. Heart rate variability (HRV), the time interval between consecutive heartbeats, is a physiological marker for assessing stress levels, providing critical insights into the body's autonomic responses. Wearable devices measuring HRV offer a non-invasive method to monitor stress and mental health, enabling early detection of maternal stress dynamics to facilitate timely interventions. In this scoping review, we aimed to capture the current state of science on two areas of focus: (1) utilization of wearable technology for HRV monitoring in pregnant and postpartum women, (2) findings from these perinatal HRV studies, including observed HRV trends throughout pregnancy and postpartum, as well as the association between HRV, perinatal stress, and mental health. The six included perinatal HRV studies employed five fitness tracking wearables, utilizing either periodic or continuous 24-h monitoring. Findings include evidence that HRV declines during pregnancy, with a return to normal levels postpartum. Associations between HRV and stress were inconsistent across studies, with some demonstrating correlations and others reporting no relationship. Postpartum HRV measurements effectively differentiated between women with postpartum depression (PPD) versus those with adjustment disorder (AJD), demonstrating high diagnostic accuracy. In this scoping review, HRV shows promise as a stress biomarker among pregnant/postpartum people, although more work is needed to standardize optimal methods of wearable HRV measurement in this population.","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"487-503"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0