不活跃成年人高强度间歇训练依从率和坚持率的系统评价和荟萃分析方案。
Rates of compliance and adherence to high-intensity interval training in insufficiently active adults: a systematic review and meta-analysis protocol.
机构信息
Faculty of Health and Social Development, University of British Columbia-Okanagan Campus, UCH106-1238 Discovery Avenue, Kelowna, BC, V1V-1V9, Canada.
Institute for Positive Psychology & Education, Australian Catholic University, North Sydney, Australia.
出版信息
Syst Rev. 2020 Mar 17;9(1):56. doi: 10.1186/s13643-020-01301-0.
BACKGROUND
Both high-intensity interval training and moderate-intensity continuous training demonstrate beneficial physiological outcomes for active and insufficiently active populations. However, it remains unclear whether compliance to exercise in supervised settings translates to long-term adherence to physical activity in real-world, unstructured environments. To our knowledge, no comprehensive review is available on compliance and/or adherence rates to either modes of exercise for insufficiently active individuals. Furthermore, it is unclear which training modality insufficiently active individuals comply and/or adhere more readily to. Based on these gaps, the following two questions will be addressed: (1) What are compliance and adherence rates to high-intensity interval training for insufficiently active adults aged 18-65 years and (2) How do compliance and adherence rates differ between high-intensity interval training and moderate-intensity continuous training?
METHODS
Both observational and experimental studies that report on compliance and/or adherence rates to high-intensity interval training will be included. Relevant studies will be retrieved from Medline, EMBASE, PsychINFO, SPORTDiscus, CINAHL, and Web of Science using a pre-specified search strategy. Pre-defined inclusion and exclusion criteria will be used by two independent researchers to determine eligible studies. Of those meeting the inclusion criteria, data extraction and narrative synthesis will be completed, and where applicable, random-effects meta-analyses will be computed to compare compliance and adherence rates between high-intensity interval training and moderate-intensity continuous training. Meta-regressions and sensitivity analyses will be used to further explore factors that could influence aggregate effect sizes. Risk of bias will be assessed using established tools by the Cochrane association, and quality assessment of the cumulative evidence will be assessed using the GRADE approach.
DISCUSSION
Results from this study may have the potential to inform future physical activity recommendations and guidelines on the ideal mode of exercise for the general population. This review will add to the body of literature on the feasibility of high-intensity interval training for an insufficiently active population, conclusively addressing the ongoing debate of whether it is an appropriate exercise choice for this demographic. With this new information, individuals working towards a healthier lifestyle through physical activity engagement may be better equipped to make an evidence-based decision.
SYSTEMATIC REVIEW REGISTRATION
This review has been registered in the PROSPERO database and assigned the identifier CRD42019103313.
背景
高强度间歇训练和中等强度持续训练都能为活跃和不活跃人群带来有益的生理效果。然而，在监督环境下进行锻炼的依从性是否能转化为真实、非结构化环境中对身体活动的长期坚持，目前仍不清楚。据我们所知，目前还没有关于不活跃个体对这两种运动模式的依从性和/或坚持率的综合综述。此外，也不清楚不活跃个体更容易依从或坚持哪种训练模式。基于这些差距，将提出以下两个问题：（1）18-65 岁不活跃成年人进行高强度间歇训练的依从性和坚持率是多少？（2）高强度间歇训练和中等强度持续训练的依从性和坚持率有何不同？
方法
将纳入报告高强度间歇训练依从性和/或坚持率的观察性和实验性研究。将使用预先指定的搜索策略从 Medline、EMBASE、PsychINFO、SPORTDiscus、CINAHL 和 Web of Science 中检索相关研究。两名独立研究人员将使用预先确定的纳入和排除标准来确定合格的研究。对于符合纳入标准的研究，将完成数据提取和叙述性综合，并在适用的情况下，进行随机效应荟萃分析以比较高强度间歇训练和中等强度持续训练的依从性和坚持率。元回归和敏感性分析将用于进一步探讨可能影响综合效应大小的因素。将使用 Cochrane 协会的既定工具评估偏倚风险，并使用 GRADE 方法评估累积证据的质量评估。
讨论
本研究的结果可能有助于为一般人群提供未来的身体活动建议和指南，说明理想的运动模式。本综述将补充关于高强度间歇训练对不活跃人群可行性的文献，明确解决了关于它是否适合这一人群的持续争论。有了这些新信息，通过身体活动参与努力实现更健康生活方式的个人可能能够做出更有证据的决策。
系统评价注册
本综述已在 PROSPERO 数据库中注册，并分配了标识符 CRD42019103313。
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