a Cystic Fibrosis Association of Murcia , Murcia , Spain.
b Cardiovascular and Respiratory Physiotherapy Research Group (GIFISCAR), Faculty of Health Sciences , Catholic University of Murcia , Murcia , Spain.
COPD. 2017 Oct;14(5):543-551. doi: 10.1080/15412555.2017.1358257. Epub 2017 Aug 24.
The objectives of this systematic review were to analyse existing evidence on the efficacy of smartphone devices in promoting physical activity (PA) in patients with chronic obstructive pulmonary disease (COPD) and to identify the validity and precision of their measurements. A systematic review was undertaken across nine electronic databases: WOS Core Collection, PubMed, CINAHL, AMED, Academic Search Complete, Cochrane Central Register of Controlled Trials, SciELO, LILACS and ScienceDirect. Randomized and non-randomized controlled clinical trials were identified. To obtain additional eligible articles, the reference lists of the selected studies were also checked. Eligibility criteria and risk of bias were assessed by two independent authors. A total of eight articles met eligibility criteria. The studies were focused on promoting PA (n = 5) and the precision of device measurements (n = 3). The effectiveness of smartphones in increasing PA level (steps/day) at short and long term is very limited. Mobile-based exercise programs reported improvements in exercise capacity (i.e. incremental Shuttle-Walk-Test) at short and long term (18.3% and 21%, respectively). The precision of device measurements was good-to-excellent (r = 0.69-0.99); however, these data should be interpreted with caution due to methodological limitations of studies. The effectiveness of smartphone devices in promoting PA levels in patients with COPD is scarce. Further high-quality studies are needed to evaluate the effectiveness of smartphone devices in promoting PA levels. Registration number: CRD42016050048.
本系统评价的目的是分析现有智能手机设备在促进慢性阻塞性肺疾病（COPD）患者身体活动（PA）方面的疗效证据，并确定其测量的有效性和精度。在九个电子数据库中进行了系统评价：WOS 核心合集、PubMed、CINAHL、AMED、Academic Search Complete、Cochrane 对照试验中心注册库、SciELO、LILACS 和 ScienceDirect。确定了随机和非随机对照临床试验。为了获得更多合格的文章，还检查了选定研究的参考文献列表。两名独立作者评估了合格标准和偏倚风险。共有 8 篇文章符合入选标准。这些研究集中在促进 PA（n = 5）和设备测量精度（n = 3）上。智能手机在短期和长期内增加 PA 水平（步数/天）的效果非常有限。基于移动的运动计划在短期和长期内报告了运动能力的提高（即增量穿梭步行测试）（分别为 18.3%和 21%）。设备测量的精度很好到优秀（r = 0.69-0.99）；然而，由于研究方法上的限制，这些数据应谨慎解释。智能手机设备在促进 COPD 患者 PA 水平方面的效果有限。需要进一步的高质量研究来评估智能手机设备在促进 PA 水平方面的有效性。注册号：CRD42016050048。
