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多组分训练对心血管疾病临床、功能和心理结局的影响:一项叙述性综述

The Effects of Multicomponent Training on Clinical, Functional, and Psychological Outcomes in Cardiovascular Disease: A Narrative Review.

作者信息

Poli Luca, Petrelli Alessandro, Fischetti Francesco, Morsanuto Stefania, Talaba Livica, Cataldi Stefania, Greco Gianpiero

机构信息

Department of Translational Biomedicine and Neuroscience (DiBraiN), University of Study of Bari, 70124 Bari, Italy.

Department of Education and Sport Sciences, Pegaso Telematic University, 80143 Naples, Italy.

出版信息

Medicina (Kaunas). 2025 Apr 29;61(5):822. doi: 10.3390/medicina61050822.

Abstract

Cardiovascular diseases (CVDs) remain the leading cause of death globally. In recent years, interest in multicomponent interventions has grown as a response to the multifactorial complexity of CVDs. However, the literature still shows little systematic investigation into the effectiveness of multicomponent training (MCT) in the field of CVDs, accompanied by terminological confusion. This study aims to summarize and critically appraise the recent literature through a narrative review. A narrative review was conducted, synthesizing evidence from studies published between 2010 and January 2025. The databases searched included PubMed, Scopus, and Google Scholar using predefined search terms related to CVDs and MCT, and medical subject headings (MeSHs) and Boolean syntax. Two team authors independently extracted relevant information from the included studies. MCT significantly improved hemodynamic parameters in CVD patients, with reductions in systolic, diastolic, mean blood pressure, and heart rate. Physical fitness measures showed consistent enhancements whereas anthropometric improvements often corresponded with blood pressure reductions. Psychological outcomes varied across studies, with intervention duration emerging as a key factor in effectiveness. MCT interventions could lead to improvements in clinical outcomes, risk factor reduction, and patient adherence. Although findings on psychological parameters remain inconsistent, the overall evidence supports their integration into both clinical and community settings.

摘要

心血管疾病(CVDs)仍然是全球主要的死亡原因。近年来,由于心血管疾病的多因素复杂性,人们对多组分干预措施的兴趣日益浓厚。然而,文献中对心血管疾病领域多组分训练(MCT)有效性的系统研究仍然很少,同时还存在术语混淆的问题。本研究旨在通过叙述性综述对近期文献进行总结和批判性评价。进行了一项叙述性综述,综合了2010年至2025年1月发表的研究证据。检索的数据库包括PubMed、Scopus和谷歌学术,使用与心血管疾病和多组分训练相关的预定义搜索词、医学主题词(MeSHs)和布尔语法。两位团队作者独立从纳入的研究中提取相关信息。多组分训练显著改善了心血管疾病患者的血流动力学参数,收缩压、舒张压、平均血压和心率均有所降低。体能指标呈现出持续改善,而人体测量学指标的改善通常与血压降低相对应。不同研究的心理结果各不相同,干预持续时间是有效性的一个关键因素。多组分训练干预可导致临床结果改善、危险因素减少和患者依从性提高。尽管关于心理参数的研究结果仍然不一致,但总体证据支持将其纳入临床和社区环境。

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