Peiris Casey L, Gallagher Amy, Taylor Nicholas F, McLean Sionnadh
School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia.
Department of Allied Health Professions, Sheffield Hallam University, Sheffield, UK.
Patient Prefer Adherence. 2023 Mar 15;17:689-697. doi: 10.2147/PPA.S393174. eCollection 2023.
Exercise and physical activity interventions improve short-term outcomes for people with metabolic syndrome, but long-term improvements are reliant on sustained adherence to lifestyle change for effective management of the syndrome. Effective ways of improving adherence to physical activity and exercise recommendations in this population are unknown. This systematic review aims to determine which interventions enhance adherence to physical activity and/or exercise recommendations for people with metabolic syndrome.
Electronic databases MEDLINE, PubMed, CINAHL, SPORTdiscuss and ProQuest were searched to July 2022. Risk of bias was assessed using the Cochrane risk of bias tool and overall certainty of evidence assessed using the Grading of Recommendation Assessment, Development and Evaluation approach.
Four randomized controlled trials with 428 participants (mean age 49-61 years) were included. There was very low certainty evidence from two trials that goal setting interventions may improve adherence to physical activity recommendations over three to six months. There was low certainty evidence from two trials that self-monitoring and feedback interventions increased adherence to physical activity interventions over 12 months for people with metabolic syndrome.
Clinicians and researchers may consider using behavior change strategies such as goal setting, monitoring and feedback in interventions for people with metabolic syndrome to increase adherence to physical activity and exercise recommendations over 3 to 12 months, but high-quality evidence is lacking.
运动和体育活动干预可改善代谢综合征患者的短期预后，但长期改善依赖于持续坚持生活方式改变以有效管理该综合征。改善这一人群对体育活动和运动建议依从性的有效方法尚不清楚。本系统评价旨在确定哪些干预措施可提高代谢综合征患者对体育活动和/或运动建议的依从性。
检索了电子数据库MEDLINE、PubMed、CINAHL、SPORTdiscuss和ProQuest至2022年7月。使用Cochrane偏倚风险工具评估偏倚风险，并使用推荐分级评估、制定和评价方法评估证据的总体确定性。
纳入了四项随机对照试验，共428名参与者（平均年龄49 - 61岁）。两项试验提供的证据确定性极低，表明目标设定干预措施可能在三到六个月内提高对体育活动建议的依从性。两项试验提供的证据确定性较低，表明自我监测和反馈干预措施可提高代谢综合征患者在12个月内对体育活动干预的依从性。
临床医生和研究人员在对代谢综合征患者的干预中可考虑使用目标设定、监测和反馈等行为改变策略，以提高三到十二个月内对体育活动和运动建议的依从性，但缺乏高质量证据。
