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身心锻炼对老年人骨质疏松症的影响:随机对照试验的系统评价和贝叶斯网络荟萃分析方案

Effects of mind-body exercises for osteoporosis in older adults: Protocol for systematic review and Bayesian network meta-analysis of randomized controlled trials.

作者信息

Zhang Yonghui, Wang Zhijie, Lu Min, Wang Qichao, Wang Haijiao

机构信息

Department of Joint Surgery, Luohe Central Hospital, Luohe.

Shanxi Province Hospital of Traditional Chinese Medicine, Taiyuan.

出版信息

Medicine (Baltimore). 2020 Mar;99(11):e19426. doi: 10.1097/MD.0000000000019426.

DOI:10.1097/MD.0000000000019426
PMID:32176069
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7220417/
Abstract

BACKGROUND

Osteoporosis is an important cause of bone fractures and even a cause of threaten to the lives of elderly people. Mind-body exercises are beneficial interventions for improving flexibility, controlling body balance, and reducing pain. To assess the effect of mind-body exercise on osteoporosis in aging people, we will perform this systematic review.

METHODS

Randomized controlled trials (RCTs) which carried out about mind-body exercise for osteoporosis will be included. Web of Science, PubMed, Science Direct, Medline, Cochrane Library, China National Knowledge Infrastructure, and Wanfang will be searched from inception to January 2020. The outcomes will include bone mineral density (BMD), bone mineral content (BMC), body balance, function of lower extremity, pain, fearing level, and quality of life. Trial reporting quality will be assessed by 2 reviewers independently and Review Manager 5.3 software will be used for meta-analysis. Trial registration is under PROSPERO (CRD42020165385).

RESULTS

Based on the current evidence, the potential rank of the efficacy and safety of mind-body exercises for BMD, BMC, body balance, function of lower extremity, pain, fearing level and quality of life will be assessed, and a prioritization regimen will be summarized.

CONCLUSIONS

Evidence from this systematic review could be useful for patients, clinical practitioners, and guideline-makers to select an optimum proposal of mild-body exercises for older adults with osteoporosis.

摘要

背景

骨质疏松症是导致骨折的重要原因,甚至对老年人的生命构成威胁。身心锻炼是改善柔韧性、控制身体平衡和减轻疼痛的有益干预措施。为了评估身心锻炼对老年人骨质疏松症的影响,我们将进行这项系统评价。

方法

纳入关于身心锻炼对骨质疏松症影响的随机对照试验(RCT)。检索Web of Science、PubMed、Science Direct、Medline、Cochrane图书馆、中国知网和万方数据库,检索时间从建库至2020年1月。结局指标将包括骨密度(BMD)、骨矿物质含量(BMC)、身体平衡、下肢功能、疼痛、恐惧程度和生活质量。由2名评价员独立评估试验报告质量,并使用RevMan 5.3软件进行Meta分析。试验注册在国际前瞻性系统评价注册库(PROSPERO,注册号:CRD42020165385)。

结果

基于当前证据,评估身心锻炼对BMD、BMC、身体平衡、下肢功能、疼痛、恐惧程度和生活质量的有效性和安全性的潜在排序,并总结出优先方案。

结论

本系统评价的证据可能有助于患者、临床医生和指南制定者为患有骨质疏松症的老年人选择最佳的身心锻炼方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a561/7220417/e2aaa6bed9af/medi-99-e19426-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a561/7220417/e2aaa6bed9af/medi-99-e19426-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a561/7220417/e2aaa6bed9af/medi-99-e19426-g002.jpg

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