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替代运动与传统运动对心血管疾病或高危女性心脏康复计划利用的有效性:系统评价方案。

Effectiveness of alternative vs traditional exercises on cardiac rehabilitation program utilization in women with or at high risk of cardiovascular disease: a systematic review protocol.

机构信息

Caring Future Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia.

Mparntwe Centre for Evidence in Health, Flinders University: A JBI Centre of Excellence, Alice Springs, NT, Australia.

出版信息

JBI Evid Synth. 2024 Feb 1;22(2):281-291. doi: 10.11124/JBIES-22-00394.

DOI:10.11124/JBIES-22-00394
PMID:37435676
Abstract

OBJECTIVE

This review will evaluate the effectiveness of alternative vs traditional forms of exercise on cardiac rehabilitation program utilization and other outcomes in women with or at high risk of cardiovascular disease.

INTRODUCTION

Exercise-based cardiac rehabilitation programs improve health outcomes in women with or at high risk of cardiovascular disease. However, such programs are underutilized worldwide, particularly among women. Some women perceive traditional gym-based exercise in cardiac rehabilitation programs (eg, typically treadmills, cycle ergometers, traditional resistance training) to be excessively rigorous and unpleasant, resulting in diminished participation and completion. Alternative forms of exercise such as yoga, tai chi, qi gong, or Pilates may be more enjoyable and motivating exercise options for women, enhancing engagement in rehabilitation programs. However, the effectiveness of these alternative exercises in improving program utilization is still inconsistent and needs to be systematically evaluated and synthesized.

INCLUSION CRITERIA

This review will focus on randomized controlled trials of studies measuring the effectiveness of alternative vs traditional forms of exercise on cardiac rehabilitation program utilization as well as clinical, physiological, or patient-reported outcomes in women with or at high risk of cardiovascular disease.

METHODS

The review will follow the JBI methodology for systematic reviews of effectiveness. Databases including MEDLINE (Ovid), CINAHL (EBSCOhost), Cochrane CENTRAL, Embase (Ovid), Emcare (Ovid), Scopus, Web of Science, LILACS, and PsycINFO (Ovid) will be searched. Two independent reviewers will screen articles and then extract and synthesize data. Methodological quality will be assessed using JBI's standardized instruments. GRADE will be used to determine the certainty of evidence.

REVIEW REGISTRATION

PROSPERO CRD42022354996.

摘要

目的

本综述旨在评估替代运动与传统运动形式对心血管疾病患者或高危女性心脏康复计划利用率及其他结局的有效性。

引言

基于运动的心脏康复计划可改善心血管疾病患者或高危女性的健康结局。然而,这些计划在全球范围内的利用率较低,尤其是在女性中。一些女性认为心脏康复计划中的传统健身房运动(例如,通常是跑步机、循环测力计、传统阻力训练)过于严格和不愉快,导致参与度和完成度降低。瑜伽、太极、气功或普拉提等替代运动形式可能是女性更喜爱和更有动力的运动选择,增强了对康复计划的参与度。然而,这些替代运动在提高计划利用率方面的有效性仍然不一致,需要系统地评估和综合。

纳入标准

本综述将侧重于随机对照试验,研究比较替代运动与传统运动形式对心脏康复计划利用率以及心血管疾病患者或高危女性的临床、生理或患者报告结局的有效性。

方法

本综述将遵循 JBI 系统评价有效性的方法学。将检索包括 MEDLINE(Ovid)、CINAHL(EBSCOhost)、Cochrane CENTRAL、Embase(Ovid)、Emcare(Ovid)、Scopus、Web of Science、LILACS 和 PsycINFO(Ovid)在内的数据库。两名独立评审员将筛选文章,然后提取和综合数据。使用 JBI 的标准化工具评估方法学质量。将使用 GRADE 确定证据的确定性。

综述注册

PROSPERO CRD42022354996。

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