评价巴西初级卫生保健中体育锻炼干预对心脏代谢危险因素的影响:一项系统综述

Karina de Almeida Brunheroti, Bruna Thaís Gomes de Brito, Ana Paula Ferreira da Silva, Gabriela Lima de Castro, Rebeca Baptista Fonseca Viana, Luis Fabiano Barbosa, G. Puga, A. Andaki, C. B. Papini
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引用次数: 0

摘要

目的是系统地搜索和综合文献中关于体育锻炼干预在巴西开展的初级卫生保健(PHC)对心脏代谢危险因素的影响的证据。检索在PubMed、Virtual Health Library和Web of Science数据库中进行。纳入标准为:在PHC中进行身体活动(PA)干预或锻炼的研究;在巴西进行;18岁以上人口;干预前后至少评估一种心脏代谢危险因素。“健康科学描述符”用于定义搜索描述符:“身体活动”或“锻炼”或“运动活动”与“初级卫生保健”或“卫生中心”或“初级保健”与“巴西”。选择阶段由双盲研究人员执行,冲突由第三评估者决定。采用Jadad量表评估纳入文章的方法学质量。总共发现了1817篇文章,排除了26篇重复的文章,剩下1791篇文章用于阅读标题。阅读论文摘要105篇,阅读全文53篇。最后,有06篇文章被认为符合条件并被纳入综述。在纳入的研究中评估的心脏代谢危险因素是体重指数(4项研究)、腰臀比(1项研究)、脂肪百分比(1项研究)、血压(2项研究)、血脂(1项研究)、炎症(1项研究)和有氧能力(3项研究)。结论是,文献中没有足够的证据表明运动干预对PHC的影响,重点是心脏代谢危险因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of the effect of physical exercise interventions in Primary Health Care in Brazil on cardiometabolic risk factors: a systematic review
Abstract The objective was to systematically search and synthesize the evidence available in the literature about the effect of physical exercise interventions Primary Health Care (PHC), carried out in Brazil, on cardiometabolic risk factors. The search was performed in the PubMed, Virtual Health Library and Web of Science databases. The inclusion criteria were: studies with physical activity (PA) interventions or exercise in PHC; carried out in Brazil; population aged >18 years; at least one cardiometabolic risk factor assessed pre and post-intervention. The “Health Sciences Descriptors” were used to define the search descriptors: “physical activity” OR “exercise” OR “motor activity” AND “primary health care” OR “health centers” OR “primary care” AND “Brazil”. The selection phases were performed by pairs of blinded researchers and the conflicts were decided by a third evaluator. Jadad scale was used to assess the methodological quality of the articles included. In total, 1,817 articles were found and 26 duplicates excluded, leaving 1,791 for reading of titles. The abstracts of 105 articles were read, and 53 articles were read in full. Finally, 06 articles were considered eligible and included in the review. The cardiometabolic risk factors evaluated in the included studies were body mass index (4 studies), waist-hip ratio (1 study), fat percentage (1 study), blood pressure (2 studies), lipid profile (1 study), inflammatory profile (1 study), and aerobic capacity (3 studies). It is concluded that there is insufficient evidence in the literature about the effect of exercise interventions in PHC with a focus on cardiometabolic risk factors.
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