Physical Therapy Department, Faculty of Health Sciences, University of Granada, 18016 Granada, Spain.
Int J Environ Res Public Health. 2021 Nov 23;18(23):12278. doi: 10.3390/ijerph182312278.
The management of chronic diseases (CD) includes physical activity (PA). It is necessary to determine the effects of COVID-19 restrictions in CD. The aim was to review the research related to PA levels before and during the COVID-19 pandemic in people with CD. This review was designed according to PRISMA guidelines and registered in PROSPERO: CRD42020218825. The search was performed in CINAHL, Medline, Scopus, and Web of Science up to January 2021. The PICOS recommendations were applied. The search was conducted by two reviewers, who completed the data extraction of included articles. Methodological quality was assessed using the STROBE checklist, and a meta-analysis was conducted. The literature search strategy identified 227 articles. Five studies remained and were included. Only three studies were included in the meta-analysis. Two articles used accelerometers to objectively compare PA levels before and during the pandemic. Three studies made this comparison using an online survey. All articles showed a decrease in PA levels during the COVID-19 pandemic. The meta-analysis showed a significant reduction in PA levels during pandemic. PA levels during the COVID-19 pandemic have been reduced with respect to previous levels of PA in patients with CD.
慢性病（CD）的管理包括身体活动（PA）。有必要确定 COVID-19 限制对 CD 的影响。目的是回顾 COVID-19 大流行之前和期间与 CD 患者 PA 水平相关的研究。本综述按照 PRISMA 指南设计，并在 PROSPERO 中进行了登记：CRD42020218825。检索范围截至 2021 年 1 月，包括 CINAHL、Medline、Scopus 和 Web of Science。应用了 PICOS 建议。两名审查员进行了检索，他们完成了纳入文章的数据提取。使用 STROBE 清单评估方法学质量，并进行荟萃分析。文献检索策略确定了 227 篇文章。有 5 项研究仍然存在并被纳入。只有 3 项研究被纳入荟萃分析。两篇文章使用加速度计客观比较大流行前后的 PA 水平。三篇研究使用在线调查进行了这一比较。所有文章都显示 COVID-19 大流行期间 PA 水平下降。荟萃分析显示，在 COVID-19 大流行期间，PA 水平显著降低。与 CD 患者之前的 PA 水平相比，COVID-19 大流行期间的 PA 水平有所下降。
