Turner Jemma, Clanchy Kelly, Vincze Lisa
School of Health Sciences and Social Work, Griffith University, Gold Coast, Australia.
School of Health Sciences and Social Work, Griffith University, Gold Coast, Australia.
Prev Med. 2023 Feb;167:107413. doi: 10.1016/j.ypmed.2022.107413. Epub 2023 Jan 2.
Postpartum women are one of the least physically active vulnerable populations globally and telehealth has been proposed as a potential method of delivering effective exercise interventions for this population. However, clinical practice guidelines are based upon the recommendations for the general population and therefore, the most efficacious exercise dose and the delivery method for this population is unclear. This quantitative systematic review will examine the implementation and outcomes of telehealth exercise interventions in the postpartum population to synthesise the degree to which these outcomes have been assessed and evaluated. Five databases were searched from January 2001 to March 2022. Studies implementing synchronous telehealth exercise interventions for postpartum women were included. Interventions were examined against the Template for Intervention Description and Replication (TIDieR) checklist that assesses intervention reporting completeness and replicability. Of the 1036 records identified, 16 studies progressed to data extraction. Six interventions provided individualised exercise prescription, and only four were delivered by university-level exercise practitioners. Physical activity participation was well reported, however health-related outcomes (i.e., muscular strength and aerobic capacity) were very minimally assessed. Only one intervention utilised modern video conferencing as the primary telehealth communication method. With the minimal assessment of health-related outcomes, there is limited scope to assess the effectiveness of these interventions for postpartum women. Future research interventions need to be reported according to a validated trial reporting system and focus on relevant health related outcomes including postpartum depressive symptoms, quality of life, cardiovascular fitness, muscular strength and body composition.
产后女性是全球身体活动最少的弱势群体之一，远程医疗已被提议作为为该人群提供有效运动干预的一种潜在方法。然而，临床实践指南是基于对一般人群的建议制定的，因此，该人群最有效的运动剂量和实施方法尚不清楚。这项定量系统评价将研究产后人群远程医疗运动干预的实施情况和结果，以综合评估这些结果的评估程度。检索了2001年1月至2022年3月的五个数据库。纳入了对产后女性实施同步远程医疗运动干预的研究。根据评估干预报告完整性和可重复性的干预描述与复制模板（TIDieR）清单对干预措施进行审查。在识别出的1036条记录中，有16项研究进入数据提取阶段。六项干预措施提供了个性化运动处方，只有四项由大学水平的运动从业者实施。身体活动参与情况有较好的报告，但与健康相关的结果（即肌肉力量和有氧能力）评估极少。只有一项干预措施将现代视频会议作为主要的远程医疗通信方法。由于对与健康相关结果的评估极少，评估这些干预措施对产后女性有效性的范围有限。未来的研究干预措施需要根据经过验证的试验报告系统进行报告，并关注与健康相关的相关结果，包括产后抑郁症状、生活质量、心血管健康、肌肉力量和身体成分。
