Nayab Safwa, Bilal Elahi Muhammad
General Medicine, Northampton General Hospital, Northampton, GBR.
Acute Medicine, Northampton General Hospital, Northampton, GBR.
Cureus. 2024 Nov 25;16(11):e74464. doi: 10.7759/cureus.74464. eCollection 2024 Nov.
Osteoarthritis (OA) is a prevalent degenerative joint disease that significantly impacts mobility and quality of life (QoL). Exercise interventions, including aerobic training, resistance exercises, and multimodal programs, are widely recommended for managing symptoms. This systematic review and meta-analysis aimed to evaluate the effectiveness of various exercise interventions on pain, physical function, and QoL in individuals with knee and hip OA. A comprehensive search of five databases identified 12 studies involving 4,920 participants. The results revealed that Tai Chi and Baduanjin Qigong benefited older adults, while aerobic training was more effective for younger individuals. Additionally, combining diet with exercise produced the highest effect size (standardized mean difference: 0.70, 95% CI: 0.55-0.85). Personalizing exercise programs based on patient characteristics is essential for achieving sustained improvements. Future research should focus on strategies to enhance long-term adherence and develop standardized guidelines to optimize outcomes for individuals with OA.
骨关节炎（OA）是一种常见的退行性关节疾病，会对活动能力和生活质量（QoL）产生重大影响。运动干预，包括有氧运动训练、抗阻运动和多模式项目，被广泛推荐用于管理症状。本系统评价和荟萃分析旨在评估各种运动干预对膝骨关节炎和髋骨关节炎患者疼痛、身体功能和生活质量的有效性。对五个数据库进行全面检索后，确定了12项研究，涉及4920名参与者。结果显示，太极拳和八段锦气功对老年人有益，而有氧运动训练对年轻人更有效。此外，饮食与运动相结合产生的效应量最高（标准化均值差：0.70，95%置信区间：0.55-0.85）。根据患者特征个性化定制运动计划对于实现持续改善至关重要。未来的研究应侧重于提高长期依从性的策略，并制定标准化指南以优化骨关节炎患者的治疗效果。
