瑜伽用于冠心病的二级预防。
Yoga for secondary prevention of coronary heart disease.
作者信息
Kwong Joey S W, Lau Hoi Lam Caren, Yeung Fai, Chau Pui Hing
机构信息
Chinese Cochrane Center, Chinese Evidence-Based Medicine Center, West China Hospital, Sichuan University, No. 37, Guo Xue Xiang, Chengdu, Sichuan, China, 610041.
出版信息
Cochrane Database Syst Rev. 2015 Jul 1;2015(7):CD009506. doi: 10.1002/14651858.CD009506.pub4.
BACKGROUND
Coronary heart disease (CHD) is the major cause of early morbidity and mortality in most developed countries. Secondary prevention aims to prevent repeat cardiac events and death in people with established CHD. Lifestyle modifications play an important role in secondary prevention. Yoga has been regarded as a type of physical activity as well as a stress management strategy. Growing evidence suggests the beneficial effects of yoga on various ailments.
OBJECTIVES
To determine the effectiveness of yoga for the secondary prevention of mortality and morbidity in, and on the health-related quality of life of, individuals with CHD.
SEARCH METHODS
This is an update of a review previously published in 2012. For this updated review, we searched the Cochrane Central Register of Controlled Trials (CENTRAL) in The Cochrane Library (Issue 1 of 12, 2014), MEDLINE (1948 to February week 1 2014), EMBASE (1980 to 2014 week 6), Web of Science (Thomson Reuters, 1970 to 12 February 2014), China Journal Net (1994 to May 2014), WanFang Data (1990 to May 2014), and Index to Chinese Periodicals of Hong Kong (HKInChiP) (from 1980). Ongoing studies were identified in the metaRegister of Controlled Trials (May 2014) and the World Health Organization International Clinical Trials Registry Platform (May 2014). We applied no language restrictions.
SELECTION CRITERIA
We planned to include randomised controlled trials (RCTs) investigating the influence of yoga practice on CHD outcomes in men and women (aged 18 years and over) with a diagnosis of acute or chronic CHD. Studies were eligible for inclusion if they had a follow-up duration of six months or more. We considered studies that compared one group practicing a type of yoga with a control group receiving either no intervention or interventions other than yoga.
DATA COLLECTION AND ANALYSIS
Two authors independently selected studies according to prespecified inclusion criteria. We resolved disagreements either by consensus or by discussion with a third author.
MAIN RESULTS
We found no eligible RCTs that met the inclusion criteria of the review and thus we were unable to perform a meta-analysis.
AUTHORS' CONCLUSIONS: The effectiveness of yoga for secondary prevention in CHD remains uncertain. Large RCTs of high quality are needed.
背景
冠心病（CHD）是大多数发达国家早期发病和死亡的主要原因。二级预防旨在预防已确诊冠心病患者再次发生心脏事件和死亡。生活方式的改变在二级预防中起着重要作用。瑜伽被视为一种体育活动以及一种压力管理策略。越来越多的证据表明瑜伽对各种疾病有益。
目的
确定瑜伽对冠心病患者死亡率和发病率的二级预防效果以及对其健康相关生活质量的影响。
检索方法
这是对2012年发表的一篇综述的更新。对于本次更新的综述，我们检索了《 Cochr ane图书馆》（2014年第1期，共12期）中的Cochrane对照试验中心注册库（CENTRAL）、MEDLINE（1948年至2014年2月第1周）、EMBASE（1980年至2014年第6周）、科学引文索引（汤森路透，1970年至2014年2月12日）、中国期刊网（1994年至2014年5月）、万方数据（1990年至2014年5月）以及香港中文期刊索引（HKInChiP）（自1980年起）。在对照试验元注册库（2014年5月）和世界卫生组织国际临床试验注册平台（2014年5月）中识别正在进行的研究。我们没有设置语言限制。
选择标准
我们计划纳入随机对照试验（RCT），以研究瑜伽练习对确诊为急性或慢性冠心病的18岁及以上男性和女性冠心病结局的影响。如果研究的随访期为六个月或更长时间，则符合纳入条件。我们考虑将一组进行某种瑜伽练习的研究与一个未接受任何干预或接受除瑜伽以外干预的对照组进行比较的研究。
数据收集与分析
两位作者根据预先设定的纳入标准独立选择研究。我们通过达成共识或与第三位作者讨论来解决分歧。
主要结果
我们未找到符合该综述纳入标准的合格RCT，因此无法进行荟萃分析。
作者结论
瑜伽对冠心病二级预防的有效性仍不确定。需要进行高质量的大型RCT。
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