客观测量的身体活动水平和对患有多种疾病的人的身体活动指南的遵守情况——系统评价和荟萃分析。
Objectively measured physical activity levels and adherence to physical activity guidelines in people with multimorbidity-A systematic review and meta-analysis.
机构信息
Department of Physiotherapy and Occupational Therapy, The Research Unit PROgrez, Næstved-Slagelse-Ringsted Hospitals, Slagelse, Region Zealand, Denmark.
Department of Physiotherapy and Occupational Therapy, Zealand University Hospital, Roskilde, Region Zealand, Denmark.
出版信息
PLoS One. 2022 Oct 12;17(10):e0274846. doi: 10.1371/journal.pone.0274846. eCollection 2022.
OBJECTIVE
To determine levels of objectively measured physical activity (PA) and the proportion of adults with multimorbidity that adheres to PA guidelines.
METHODS
All studies, where PA was measured at baseline using an activity monitor in an adult (≥18 years) multimorbid (≥80% of the population had ≥2 chronic conditions) population. A systematic literature search was performed in Medline, EMBASE, CINAHL, CENTRAL, ClinicalTrials.gov, opengrey.eu and google.com from inception up until 18th of January 2022. Risk of bias was assessed with a modified version of the Quality Assessment Tool for Quantitative Studies. A random-effects meta-analyses was performed to estimate daily minutes of sedentary behavior (SB), light PA (LPA), moderate PA (MPA), moderate to vigorous PA (MVPA) and steps. Proportions adhering to PA guidelines was narratively synthesized. Certainty of evidence was determined using The Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach.
RESULTS
Fifteen studies (2,172 participants) were included. The most frequent combination of conditions were type 2 diabetes and hypertension (six studies). Participants spent a daily average of 500.5 (95% CI: 407.1 to 593.9) minutes in SB, 325.6 (95% CI: 246.4 to 404.7 minutes in LPA and 32.7 (95% CI: 20.2 to 45.3) minutes in MVPA. The mean daily number of steps was 5,145 (95% CI: 4264 to 6026) for people in free-living conditions. The proportion adhering to PA guidelines ranged widely (7.4% to 43%). All studies were rated as at high risk of bias and the certainty of evidence was very low.
CONCLUSIONS
PA levels and adherence varied from low to above guideline recommended levels for adults with chronic conditions, depending on PA intensity. The very low certainty of evidence calls for high quality studies focusing on detailed descriptions of PA behavior in people with multimorbidity.
PROSPERO REGISTRATION NUMBER
CRD42020172456.
目的
确定客观测量的身体活动（PA）水平以及患有多种疾病的成年人中遵循 PA 指南的比例。
方法
所有研究均在基线时使用活动监测仪在患有多种疾病（≥80%的人群患有≥2 种慢性疾病）的成年人中测量 PA。从成立到 2022 年 1 月 18 日，在 Medline、EMBASE、CINAHL、CENTRAL、ClinicalTrials.gov、opengrey.eu 和 google.com 进行了系统的文献检索。使用定量研究质量评估工具的修改版本评估偏倚风险。进行随机效应荟萃分析以估计久坐行为（SB）、低强度 PA（LPA）、中强度 PA（MPA）、中等到剧烈强度 PA（MVPA）和步数。以叙述性方式综合了遵循 PA 指南的比例。使用推荐评估、制定和评估（GRADE）方法确定证据的确定性。
结果
纳入了 15 项研究（2172 名参与者）。最常见的疾病组合是 2 型糖尿病和高血压（6 项研究）。参与者每天平均进行 500.5（95%CI：407.1 至 593.9）分钟的 SB，325.6（95%CI：246.4 至 404.7 分钟的 LPA 和 32.7（95%CI：20.2 至 45.3 分钟的 MVPA）。在自由生活条件下，人们每天平均步数为 5145（95%CI：4264 至 6026）。遵循 PA 指南的比例差异很大（7.4%至 43%）。所有研究均被评为高偏倚风险，证据确定性极低。
结论
根据 PA 强度的不同，患有慢性疾病的成年人的 PA 水平和依从性从低到高于指南推荐水平不等。证据的确定性极低，因此需要高质量的研究来关注患有多种疾病的人群中 PA 行为的详细描述。
PROSPERO 注册号：CRD42020172456。
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