癫痫与运动和体育活动
Sport and Physical Activity in Epilepsy.
机构信息
Institute of Sports Medicine, Paderborn University; Epilepsy Centre at the Department of Neurology, Universitätsklinikum Erlangen; Department of Epileptology, University Hospital Bonn.
出版信息
Dtsch Arztebl Int. 2020 Jan 6;117(1-2):1-6. doi: 10.3238/arztebl.2020.0001.
BACKGROUND
For many years, people with epilepsy were advised not to engage in sports. In this systematic review, we investigated whether persons with epilepsy exercise less than the general population, and what effect physical activity has on epilepsy.
METHODS
A literature search was carried out in PubMed and the Web of Science, and 14 269 studies were entered into the selection process. The selected studies were assessed for their methodological quality and accordingly assigned an evidence level.
RESULTS
42 studies were included in the review; 10 were classified as evidence level 3, 27 as evidence level 2-, 2 as evidence level 2+, and 3 as evidence level 1-. Persons with epilepsy are less physically active and less physically fit than the general population. Reduced physical activity is associ- ated with a higher frequency of comorbidities and lower quality of life. Physical interventions can improve quality of life. In most cases, physical exercise did not increase seizure frequency.
CONCLUSION
There is no reason to forbid persons with epilepsy to participate in sports; they should, rather, be encour- a particular type of sport should, however, be taken individually in each case.
背景
多年来，人们一直建议癫痫患者不要参加运动。在这项系统评价中，我们调查了癫痫患者的运动量是否少于一般人群，以及体育活动对癫痫有什么影响。
方法
在 PubMed 和 Web of Science 中进行了文献检索，有 14269 项研究进入了选择过程。对入选的研究进行了方法学质量评估，并据此给予证据水平。
结果
共有 42 项研究纳入了综述，其中 10 项为证据水平 3，27 项为证据水平 2-，2 项为证据水平 2+，3 项为证据水平 1-。癫痫患者的身体活动和身体适应性均低于一般人群。身体活动减少与合并症发生率增加和生活质量降低有关。身体干预可以提高生活质量。在大多数情况下，体育锻炼不会增加癫痫发作频率。
结论
没有理由禁止癫痫患者参加运动；相反，应鼓励他们参加运动；但应根据具体情况个体化选择特定类型的运动。
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