唐氏综合征成人峰值耗氧量的测量方案和决定因素:系统综述

IF 2.1 2区 医学 Q1 EDUCATION, SPECIAL
T. I. M. Hilgenkamp, V. D. Y. Beck, F. Azar, M. Maloy-Robertson, A. Matthews, M. Shahani, X. Goodman, A. Oppewal
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引用次数: 0

摘要

本系统性综述旨在概述用于测量唐氏综合症(DS)成人峰值摄氧量(VO2peak)的测试方案,并通过描述这些研究的样本特征及其对 VO2peak 的影响来确定其结果在整个唐氏综合症成人群体中的通用性。我们使用以下数据库进行了文献检索(PROSPERO CRD42022309560)(2023 年 7 月 18 日):PubMed、CINAHL、APA PsycINFO、Web of Science、Embase 和 SPORTDiscus。纳入的文章必须是经同行评审的出版物,分别报告了 DS 患者的 VO2peak 或 VO2max,样本数 n ≥ 5,平均年龄 ≥ 18 岁。排除了系统综述和荟萃分析,但在参考文献列表中搜索了其他可纳入的论文。根据 Kmet 等人的指南对研究进行了偏倚风险评估。本系统综述共纳入 43 项研究。纳入的成年 DS 患者样本量从 n = 4 到 226 不等,总共纳入了 n = 1498 名成年 DS 患者。大多数研究(29/43)使用相同的标准化最大运动量跑步机方案来测量 DS 成人的 VO2 峰值,43 项研究中有 33 项使用了至少一个客观标准来确定有效的最大努力。参与者主要为男性、40 岁以下、超重或肥胖。此外,缺乏研究样本的多样性或未报告研究样本的多样性。建议在今后的研究和实践中采用最广泛使用的标准化最大运动量测试跑步机方案,包括确定有效最大运动量的客观标准。目前的研究样本在性别、年龄和不同背景方面并不能代表 DS 成人群体,因此很可能高估了该群体的 VO2 峰值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Measurement protocols and determinants of peak oxygen consumption in adults with Down syndrome: a systematic review

Measurement protocols and determinants of peak oxygen consumption in adults with Down syndrome: a systematic review

This systematic review aimed to provide an overview of test protocols used to measure peak oxygen uptake (VO2peak) in adults with Down syndrome (DS) and to determine how generalisable the outcomes are for the entire population of adults with DS by describing the sample characteristics of these studies and their impact on VO2peak. A literature search (PROSPERO CRD42022309560) was performed (18 July 2023) using the following databases: PubMed, CINAHL, APA PsycINFO, Web of Science, Embase and SPORTDiscus. For articles to be included, they had to be peer-reviewed pubications, reporting VO2peak or VO2max for individuals with DS separately, with a sample of n ≥ 5 and a mean age ≥18 years. Systematic reviews and meta-analyses were excluded but their reference lists were searched for additional papers to include. Studies were evaluated for risk of bias following the guidelines of Kmet et al. The results were summarised with frequency statistics. Forty-three studies were included in this systematic review. Sample sizes of included adults with DS ranged from n = 4–226, with a total of n = 1498 adults with DS being included. Most studies (29/43) used the same standardised maximal exercise treadmill protocol to measure VO2peak in adults with DS, and 33 out of 43 studies used at least one objective criterion to determine a valid maximal effort. Participants were predominantly male, under 40 years old, and overweight or obese. Additionally, the diversity of study samples was lacking or not reported. The most widely used, standardised, maximal exercise test treadmill protocol is recommended for future use in research and practice, including objective criteria to determine valid maximal effort. The current study samples are not representative of the population of adults with DS in terms of sex, age and diverse backgrounds and therefore likely overestimate VO2peak of this population.

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来源期刊
CiteScore
5.60
自引率
5.60%
发文量
81
期刊介绍: The Journal of Intellectual Disability Research is devoted exclusively to the scientific study of intellectual disability and publishes papers reporting original observations in this field. The subject matter is broad and includes, but is not restricted to, findings from biological, educational, genetic, medical, psychiatric, psychological and sociological studies, and ethical, philosophical, and legal contributions that increase knowledge on the treatment and prevention of intellectual disability and of associated impairments and disabilities, and/or inform public policy and practice. Expert reviews on themes in which recent research has produced notable advances will be included. Such reviews will normally be by invitation.
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