抗阻运动训练对久坐上班族肌肉骨骼、代谢和心理健康的影响——系统回顾和荟萃分析。

IF 2.5 3区 医学 Q1 REHABILITATION
Baskaran Chandrasekaran, Kalyana Chakravarthy Bairapareddy, Chythra R Rao
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引用次数: 0

摘要

目的:巩固有关阻力训练(RT)在降低久坐上班族健康风险方面有效性的新证据。方法:检索自建库至2024年9月20日的4个电子数据库。如果研究采用PICOS标准(人群-办公室工作人员,干预- RT计划,比较-安慰剂或假对照和结果-肌肉骨骼,心脏代谢和心理健康变量)检查任何形式的针对18岁或以上办公室工作人员肌肉骨骼,代谢或心理健康结果的RT计划,则纳入研究。两名审稿人独立筛选了研究的偏倚风险,并评估了证据的确定性。结果:在60项确定的研究中,17项研究符合叙事综合的条件,16项研究被纳入meta分析。适度减少颈部(SMD = -1.76, I2 = 88%, p2 = 91%, p2 = 99%, p = 0.03)和颈部伸肌力量(SMD = 9.07, I2 = 9%, p)。结论:有限的证据表明,任何剂量的有监督的RT方案都有可能改善肌肉力量和不适,而潜在的心脏代谢和精神健康风险结果保持不变。然而,需要更多高质量的研究试验来了解RT对健康益处的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Resistance Exercise Training on Musculoskeletal, Metabolic and Psychological Health in Sedentary Office Workers - Systematic Review and Meta-analysis.

Purpose: To consolidate the emerging evidence on the effectiveness of resistance training (RT) in reducing the health risks among sedentary office workers.

Methods: Four electronic databases were searched for evidence from its inception till september 20, 2024. Studies were included if they examined any form of RT program targeting musculoskeletal, metabolic, or psychological health outcomes in office workers aged 18 years or older using PICOS criteria (Population - office workers, Intervention - RT program, Comparison - placebo or sham control and Outcomes - musculoskeletal, cardiometabolic and psychological health variables). Two reviewers independently screened the studies for risk of bias and assessed the certainty of the evidence.

Results: Out of 60 identified studies, 17 studies were eligible for narrative synthesis, and 16 were included in the meta-analysis. Modest reductions in neck (SMD = -1.76, I2 = 88%, p < 0.00001) and shoulder discomfort (SMD = -13.29, I2 = 91%, p < 0.00001), while marginal improvement in shoulder (SMD = 4.13, I2 = 99%, p = 0.03) and neck extensor muscle strength (SMD = 9.07, I2 = 9%, p < 0.00001). The cardiometabolic and mental health risk markers remain unaltered. High uncertainty of evidence was observed due to high heterogeneity, risk of bias, inconsistency and publication bias.

Conclusion: Limited evidence demonstrate supervised RT programs of any dose has a potential to improve muscular strength and discomfort while potential cardiometabolic and mental health risk outcomes remain unaltered. However, more high-quality research trials are needed to understand the effects of RT on health benefits.

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来源期刊
CiteScore
5.80
自引率
12.10%
发文量
64
期刊介绍: The Journal of Occupational Rehabilitation is an international forum for the publication of peer-reviewed original papers on the rehabilitation, reintegration, and prevention of disability in workers. The journal offers investigations involving original data collection and research synthesis (i.e., scoping reviews, systematic reviews, and meta-analyses). Papers derive from a broad array of fields including rehabilitation medicine, physical and occupational therapy, health psychology and psychiatry, orthopedics, oncology, occupational and insurance medicine, neurology, social work, ergonomics, biomedical engineering, health economics, rehabilitation engineering, business administration and management, and law.  A single interdisciplinary source for information on work disability rehabilitation, the Journal of Occupational Rehabilitation helps to advance the scientific understanding, management, and prevention of work disability.
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