Cuenca-Martínez Ferran, Suso-Martí Luis, Fernández-Carnero Josué, Muñoz-Alarcos Vicente, Sempere-Rubio Núria
Department of Physiotherapy, University of Valencia, 46010, Valencia, Spain.
Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, 46010, Valencia, Spain.
Semin Arthritis Rheum. 2023 Aug;61:152216. doi: 10.1016/j.semarthrit.2023.152216. Epub 2023 May 9.
The main aim of this umbrella review was to assess the impact of exercise-based interventions (EBIs) on sleep quality in patients with fibromyalgia syndrome (FMS). We searched systematically in PubMed, PEDro, EMBASE, CINAHL, SPORTDiscus and Google Scholar. Methodological quality was analyzed using AMSTAR and ROBIS scale, and the strength of evidence was established according to GRADE. Nine systematic reviews were included. Meta-analysis (MA) of primary studies (n = 42) were performed with a random-effects model. The MA revealed a moderate statistically significant effect of EBIs (SMD=-0.46 [-0.69 to -0.23]). Subgroup analyses by type of exercise showed significant effect of body-mind exercises (SMD=-0.55 [-0.86 to -0.23]) and combined exercises (SMD=-1.11 [-2.12 to -0.11]) but not for aerobic (SMD=-0.04 [-0.15 to 0.07]) or strength (SMD=-0.52 [-1.14 to 0.1]) exercises in isolation. The results obtained showed that EBIs were effective in improving sleep quality compared to minimal intervention, no intervention or usual care, with a low certainty of evidence. Subgroup analyses showed that mind-body and combined exercises elicited the strongest effect, while aerobic and strength exercise in isolation did not show significant effects.
本系统评价的主要目的是评估基于运动的干预措施(EBI)对纤维肌痛综合征(FMS)患者睡眠质量的影响。我们在PubMed、PEDro、EMBASE、CINAHL、SPORTDiscus和谷歌学术上进行了系统检索。使用AMSTAR和ROBIS量表分析方法学质量,并根据GRADE确定证据强度。纳入了9项系统评价。对42项原始研究进行了随机效应模型的荟萃分析(MA)。MA显示EBI有中度统计学显著效果(标准化均数差[SMD]=-0.46[-0.69至-0.23])。按运动类型进行的亚组分析显示,身心运动(SMD=-0.55[-0.86至-0.23])和综合运动(SMD=-1.11[-2.12至-0.11])有显著效果,但单独的有氧运动(SMD=-0.04[-0.15至0.07])或力量运动(SMD=-0.52[-1.14至0.1])无显著效果。结果表明,与最小干预、无干预或常规护理相比,EBI在改善睡眠质量方面有效,但证据确定性较低。亚组分析表明,身心运动和综合运动产生的效果最强,而单独的有氧运动和力量运动未显示出显著效果。
Semin Arthritis Rheum. 2020-12
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