Michele Lacerda de Andrade, Adão Luis do Monte, Aline Mendes Gerage, Leony Morgana Galliano, Eduardo Caldas Costa, Raphael Mendes Ritti Dias, Fernanda Ishida Corrêa
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引用次数: 0
摘要
目的：分析体育锻炼对长冠状病毒病-2019 （COVID-19）患者功能参数的影响。综述方法：检索MEDLINE、EMBASE、Web of Science、Scielo、EBSCO，检索时间为2022年10月，更新时间为2024年6月。纳入的研究应涉及没有肺部康复的体育训练，涉及长期患有COVID-19的个体，并且是前瞻性试验、临床试验或对照试验。两名审稿人独立进行数据提取并评估偏倚风险。回顾了7项研究，其中3项方法质量高。在两项研究中，长期感染COVID-19的参与者住院治疗。干预持续2至16周，频率为每周2至7天，通常包括阻力运动。67%的研究中力量得到改善，50%的研究中心肺健康得到改善，60%的研究中敏捷性/机动性得到改善。在25%的研究中，焦虑有所改善，75%的研究中抑郁有所改善。所有研究的生活质量都有所改善，呼吸困难和疲劳分别改善了40%和80%。总结：结果表明，运动训练对长期COVID-19患者的几个结果有潜在益处，主要是在功能能力、抑郁症状、生活质量和疲劳方面。
Effects of Physical Exercise on Functional Physical Performance in Individuals With Long COVID: A Systematic Review.
Purpose: To analyze the effect of physical exercise on functional parameters in individuals with long coronavirus disease-2019 (COVID-19).
Review methods: A search in MEDLINE, EMBASE, Web of Science, Scielo, and EBSCO was carried out in October 2022, and it was updated in June 2024. For inclusion, studies should have involved physical training without pulmonary rehabilitation, have involved individuals who had long COVID-19, and were prospective trials, clinical trials, or controlled trials. Two reviewers independently performed data extraction and assessed the risk of bias. Seven studies were reviewed, three of high methodological quality. Participants with long COVID-19 were hospitalized in two studies. Interventions lasted 2 to 16 weeks, with frequencies of 2 to 7 days per week, often involving resistance exercise. Strength improved in 67% of studies, cardiorespiratory fitness in 50%, and agility/mobility in 60%. Anxiety improved in 25% of studies, while depression improved in 75%. Quality of life improved across all studies, with dyspnea and fatigue improving in 40% and 80%, respectively.
Summary: Results suggest potential benefits of exercise training for subjects with long COVID-19 in several outcomes, mainly in functional capacity, depression symptoms, quality of life, and fatigue.
期刊介绍：
JCRP was the first, and remains the only, professional journal dedicated to improving multidisciplinary clinical practice and expanding research evidence specific to both cardiovascular and pulmonary rehabilitation. This includes exercise testing and prescription, behavioral medicine, and cardiopulmonary risk factor management. In 2007, JCRP expanded its scope to include primary prevention of cardiovascular and pulmonary diseases. JCRP publishes scientific and clinical peer-reviewed Original Investigations, Reviews, and Brief or Case Reports focused on the causes, prevention, and treatment of individuals with cardiovascular or pulmonary diseases in both a print and online-only format. Editorial features include Editorials, Invited Commentaries, Literature Updates, and Clinically-relevant Topical Updates. JCRP is the official Journal of the American Association of Cardiovascular and Pulmonary Rehabilitation and the Canadian Association of Cardiac Rehabilitation.
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