Postgraduate Program in Health Science, Federal University of Sergipe, Aracaju, Brazil; Postgraduate Program in Medicine and Health, Federal University of Bahia, Salvador, Brazil.
Postgraduate Program in Medicine and Health, Federal University of Bahia, Salvador, Brazil.
J Physiother. 2024 Apr;70(2):106-114. doi: 10.1016/j.jphys.2024.02.018. Epub 2024 Mar 19.
What are the effects of different types of exercise treatments on oxygen consumption, quality of life and mortality in people with coronary heart disease?
Systematic review with network meta-analysis of randomised controlled trials.
Adults with coronary heart disease.
Exercise interventions including aerobic (continuous or high-intensity interval) training, resistance training, respiratory muscle exercises, water-based exercises, yoga, Tai chi, Qigong exercises and a combination of different types of exercise.
Oxygen consumption, quality of life and mortality.
This review included 178 randomised controlled trials with 19,143 participants. Several exercise interventions improved peak oxygen consumption (mL/kg/min): high-intensity interval training (MD 4.5, 95% CI 3.7 to 5.4); combined water-based exercises and moderate-intensity continuous training (MD 3.7, 95% CI 1.3 to 6.0); combined aerobic and resistance exercise (MD 3.4, 95% CI 2.5 to 4.3); water-based exercises (MD 3.4, 95% CI 0.6 to 6.2); combined respiratory muscle training and aerobic exercise (MD 3.2, 95% CI 0.6 to 5.8); Tai chi (MD 3.0, 95% CI 1.0 to 5.0); moderate-intensity continuous training (MD 3.0, 95% CI 2.3 to 3.6); high-intensity continuous training (MD 2.7, 95% CI 1.6 to 3.8); and resistance training (MD 2.2, 95% CI 0.6 to 3.7). Quality of life was improved by yoga (SMD 1.5, 95% CI 0.5 to 2.4), combined aerobic and resistance exercise (SMD 1.2, 95% CI 0.6 to 1.7), moderate-intensity continuous training (SMD 1.1, 95% CI 0.6 to 1.6) and high-intensity interval training (SMD 0.9, 95% CI 0.1 to 1.6). All-cause mortality was reduced by continuous aerobic exercise (RR 0.67, 95% CI 0.53 to 0.86) and combined aerobic and resistance exercise (RR 0.58, 95% CI 0.36 to 0.94). Continuous aerobic exercise also reduced cardiovascular mortality (RR 0.56, 95% CI 0.42 to 0.74).
People with coronary heart disease may use a range of exercise modalities to improve oxygen consumption, quality of life and mortality.
PROSPERO CRD42022344545.
不同类型的运动治疗对冠心病患者的耗氧量、生活质量和死亡率有什么影响？
随机对照试验的系统评价和网络荟萃分析。
冠心病患者。
运动干预包括有氧运动（连续或高强度间歇训练）、抗阻训练、呼吸肌训练、水上运动、瑜伽、太极拳、气功训练以及不同类型运动的组合。
耗氧量、生活质量和死亡率。
本综述纳入了 178 项随机对照试验，共 19143 名参与者。几种运动干预措施提高了峰值耗氧量（mL/kg/min）：高强度间歇训练（MD 4.5，95%CI 3.7 至 5.4）；结合水上运动和中等强度连续训练（MD 3.7，95%CI 1.3 至 6.0）；结合有氧运动和抗阻运动（MD 3.4，95%CI 2.5 至 4.3）；水上运动（MD 3.4，95%CI 0.6 至 6.2）；结合呼吸肌训练和有氧运动（MD 3.2，95%CI 0.6 至 5.8）；太极拳（MD 3.0，95%CI 1.0 至 5.0）；中等强度连续训练（MD 3.0，95%CI 2.3 至 3.6）；高强度连续训练（MD 2.7，95%CI 1.6 至 3.8）；抗阻训练（MD 2.2，95%CI 0.6 至 3.7）。瑜伽（SMD 1.5，95%CI 0.5 至 2.4）、结合有氧运动和抗阻运动（SMD 1.2，95%CI 0.6 至 1.7）、中等强度连续训练（SMD 1.1，95%CI 0.6 至 1.6）和高强度间歇训练（SMD 0.9，95%CI 0.1 至 1.6）改善了生活质量。全因死亡率降低与连续有氧运动（RR 0.67，95%CI 0.53 至 0.86）和结合有氧运动和抗阻运动（RR 0.58，95%CI 0.36 至 0.94）相关。连续有氧运动也降低了心血管死亡率（RR 0.56，95%CI 0.42 至 0.74）。
冠心病患者可以使用多种运动方式来提高耗氧量、生活质量和死亡率。
PROSPERO CRD42022344545。
Zotero 插件