Research Academy of Medicine Combining Sports, Ningbo No. 2 Hospital, Ningbo, China.
Department of Government and International Studies, Hong Kong Baptist University, Kowloon Tong, Hong Kong SAR, China.
Front Public Health. 2023 Jul 12;11:1126244. doi: 10.3389/fpubh.2023.1126244. eCollection 2023.
The purpose of this scoping review is to stimulate interest and to raise awareness, among researchers, healthcare practitioners, and policymakers regarding the current scientific literature related to exercise prescription for non-communicable diseases (NCDs). Exercise prescription is a safe and cost-effective method that enables physicians to use exercise as a complementary addition to NCDs management and treatment.
This scoping review followed the PRISMA Extension Guidelines for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Using this framework, we considered information from qualitative and quantitative studies to identify research gaps. We provide feasible suggestions to guide future research for the implementation of exercise prescription in the healthcare environment. The literature search was conducted using SPIDER and PICO tools for qualitative, quantitative, and mixed-study designs. Inclusion criteria included articles that investigated patients with NCDs and considered exercise interventions. Systematic searches of PubMed, Web of Science, MEDLINE, EMBASE, and ScienceDirect were undertaken on 26 July 2022 and all reference lists were manually searched. Data processing was performed using EndNote 2.0 software and data charts were used for numerical summary and thematic analysis.
There were 10,951 articles retrieved, of which 28 met the inclusion criteria. Based on the evidence, exercise was a feasible, safe, and acceptable method to prevent and manage non-communicable diseases in inpatient and outpatient settings. Six research directions were identified and discussed. In addition, implementation evidence and suggestions for policy-reconfiguration are also provided.
This scoping review summarizes the current evidence for the effectiveness of exercise in the treatment of non-communicable diseases. The review provides key findings supporting exercise prescription for the inpatient and outpatient healthcare service. We suggest that governments and healthcare policymakers globally advocate the inclusion of structured exercise prescription within the NCDs treatment setting.
本范围综述的目的是激发研究人员、医疗保健从业者和政策制定者对与非传染性疾病（NCDs）运动处方相关的当前科学文献的兴趣和认识。运动处方是一种安全且具有成本效益的方法，使医生能够将运动作为 NCDs 管理和治疗的补充。
本范围综述遵循 PRISMA 扩展指南（PRISMA-ScR）：清单和解释。使用该框架，我们考虑了定性和定量研究的信息，以确定研究空白。我们提供可行的建议，以指导未来的研究，以在医疗保健环境中实施运动处方。文献检索使用 SPIDER 和 PICO 工具进行定性、定量和混合研究设计。纳入标准包括调查 NCD 患者并考虑运动干预的文章。于 2022 年 7 月 26 日对 PubMed、Web of Science、MEDLINE、EMBASE 和 ScienceDirect 进行了系统搜索，并手动搜索了所有参考文献列表。使用 EndNote 2.0 软件进行数据处理，并使用数据表进行数值摘要和主题分析。
共检索到 10951 篇文章，其中 28 篇符合纳入标准。基于证据，运动是一种可行、安全且可接受的方法，可用于预防和管理住院和门诊环境中的非传染性疾病。确定并讨论了六个研究方向。此外，还提供了实施证据和政策调整建议。
本范围综述总结了运动在治疗非传染性疾病方面的有效性的现有证据。该综述提供了支持在住院和门诊医疗保健服务中实施运动处方的关键发现。我们建议全球各国政府和医疗保健政策制定者倡导在 NCDs 治疗环境中纳入结构化运动处方。
