肥胖症患者术后身体机能的不同运动干预措施的混合比较：系统评价和网络荟萃分析。
Mixed comparison of different exercise interventions on physical functioning in adult patients with morbid obesity following bariatric surgery: a systematic review and network meta-analysis.
机构信息
Ningbo No. 2 Hospital, Ningbo, China.
Faculty of Sports Science, Ningbo University, Ningbo, China.
出版信息
Front Endocrinol (Lausanne). 2024 Oct 18;15:1465718. doi: 10.3389/fendo.2024.1465718. eCollection 2024.
INTRODUCTION
People who are overweight following bariatric surgery (BS) often need physical exercise to help with body function. However, it is not known which exercise interventions are more effective in improving physical function.
METHODS
PubMed, Web of Science, Embase, and Cochrane Library databases were systematically searched for randomized controlled trials evaluating the effects of different exercise interventions on physical function in patients with excessive obesity following bariatric surgery. Outcome measures included effect sizes for physical function (PF), expressed as the number of stand-sit passes or the maximum distance walked within a time limit, body mass index (BMI), and blood pressure (BP). A systematic review was conducted to screen and synthesize the included studies, followed by a network meta-analysis for quantitative data analysis.
RESULTS
A total of 15 studies involving 1011 patients were included. For PF, telehealth core exercise had the highest probability (0.46) of being the most effective intervention. For BMI, nutritional behavior and guided exercise, intervention had the highest probability (0.27) of being the most effective. Regarding BP, exercise prescription had the highest probability (0.47) for improving systolic blood pressure, while aerobic and strength and flexibility training had the highest probability (0.6) for improving diastolic blood pressure.
DISCUSSION
Telehealth core exercise may be the most effective intervention for enhancing PF in overweight patients after bariatric surgery. Changes in BMI and BP with different postoperative exercise interventions may depend more on the surgery itself than the exercise modality. More specifically designed RCTs are needed for reliable conclusions.
SYSTEMATIC REVIEW REGISTRATION
https://www.crd.york.ac.uk/prospero, identifier CRD42024507209.
简介
接受减重手术后超重的人通常需要进行体育锻炼以帮助改善身体机能。然而，目前尚不清楚哪种运动干预措施更能有效改善身体机能。
方法
系统检索了 PubMed、Web of Science、Embase 和 Cochrane Library 数据库，以评估不同运动干预措施对减重手术后肥胖患者身体功能的影响。主要结局指标为身体功能的效应量（PF），表示为在限定时间内完成的站立-坐下次数或最大行走距离；次要结局指标为体重指数（BMI）和血压（BP）。对纳入的研究进行了系统评价和综合分析，并进行了网络荟萃分析。
结果
共纳入 15 项研究，涉及 1011 例患者。在 PF 方面，远程医疗核心运动干预具有最高的可能性（0.46）成为最有效的干预措施。在 BMI 方面，营养行为和指导运动干预具有最高的可能性（0.27）成为最有效的干预措施。在 BP 方面，运动处方具有最高的可能性（0.47）改善收缩压，而有氧运动和力量与柔韧性训练具有最高的可能性（0.6）改善舒张压。
讨论
远程医疗核心运动可能是增强减重手术后超重患者 PF 的最有效干预措施。不同术后运动干预对 BMI 和 BP 的影响可能更多地取决于手术本身，而不是运动方式。需要进行更多设计良好的 RCT 以得出可靠的结论。
系统评价注册
https://www.crd.york.ac.uk/prospero，标识符 CRD42024507209。
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