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越野行走对呼吸系统疾病患者的影响：一项系统评价与荟萃分析。

Effects of Nordic Walking in people with respiratory diseases: a systematic review and meta-analysis.

作者信息

Vilanova-Pereira María, Barral-Fernández Margarita, Labata-Lezaun Noé, Llurda-Almuzara Luis, Pérez-Bellmunt Albert, Jácome Cristina, Lista-Paz Ana

机构信息

The Faculty of Physiotherapy, University of A Coruña, 15006 A Coruña, Galicia, Spain.

The Faculty of Physiotherapy, University of A Coruña, Galicia, Spain.

出版信息

J Rehabil Med. 2025 Sep 14;57:jrm43090. doi: 10.2340/jrm.v57.43090.

DOI:10.2340/jrm.v57.43090
PMID:40947882
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12447519/
Abstract

OBJECTIVE

To systematically review and meta-analyse the effects of Nordic Walking in patients with respiratory diseases.

DESIGN

Systematic review and meta-analysis.

SUBJECTS/PATIENTS: People with respiratory diseases.

METHODS

A systematic review from 9 databases and 1 trial register was conducted. Randomized controlled trials and quasi-experimental studies involving children or adults with respiratory diseases participating in Nordic Walking were included. A qualitative synthesis was conducted. When feasible, a meta-analysis was performed.

RESULTS

Thirteen studies were included, involving 514 participants. The qualitative synthesis suggested that Nordic Walking has benefits in exercise tolerance, physical activity, physical fitness, dyspnoea, lung function, and mood status. Meta-analysis was only possible for exercise tolerance, through a 6-minute walking test assessed in 7 studies, which indicated that Nordic Walking had similar effect to other interventions (mean difference 4.4; 95% confidence interval -88.1-96.9 m, p = 0.93).

CONCLUSION

This systematic review demonstrates potential benefits of Nordic Walking in terms of exercise tolerance, physical activity, physical fitness, and dyspnoea, in people with respiratory diseases, comparable to other exercise forms. Further evidence is needed, particularly in studies analysing a structured Nordic Walking intervention with individually prescribed intensity.

摘要

目的

系统评价和荟萃分析越野行走对呼吸系统疾病患者的影响。

设计

系统评价和荟萃分析。

研究对象

呼吸系统疾病患者。

方法

对9个数据库和1个试验注册库进行系统检索。纳入涉及参与越野行走的儿童或成人呼吸系统疾病患者的随机对照试验和准实验研究。进行定性综合分析。在可行的情况下，进行荟萃分析。

结果

纳入13项研究，涉及514名参与者。定性综合分析表明，越野行走在运动耐力、身体活动、体能、呼吸困难、肺功能和情绪状态方面有益。仅对运动耐力进行了荟萃分析，通过7项研究中评估的6分钟步行试验表明，越野行走与其他干预措施效果相似（平均差异4.4；95%置信区间-88.1至96.9米，p = 0.93）。

结论

本系统评价表明，越野行走在运动耐力、身体活动、体能和呼吸困难方面对呼吸系统疾病患者具有潜在益处，与其他运动形式相当。需要更多证据，特别是在分析具有个体化规定强度的结构化越野行走干预措施的研究中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6959/12447519/634e38c9d18f/JRM-57-43090-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6959/12447519/80dc2286d61a/JRM-57-43090-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6959/12447519/81e75a48a306/JRM-57-43090-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6959/12447519/5214e0b29fb4/JRM-57-43090-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6959/12447519/634e38c9d18f/JRM-57-43090-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6959/12447519/80dc2286d61a/JRM-57-43090-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6959/12447519/81e75a48a306/JRM-57-43090-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6959/12447519/5214e0b29fb4/JRM-57-43090-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6959/12447519/634e38c9d18f/JRM-57-43090-g004.jpg

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Cureus. 2023 Nov 30;15(11):e49762. doi: 10.7759/cureus.49762. eCollection 2023 Nov.
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Pulmonary rehabilitation and physical interventions.肺康复和物理干预。
Eur Respir Rev. 2023 Jun 7;32(168). doi: 10.1183/16000617.0222-2022. Print 2023 Jun 30.
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Physical activity and exercise training in cystic fibrosis.囊性纤维化中的体力活动和运动训练。
Cochrane Database Syst Rev. 2022 Aug 9;8(8):CD002768. doi: 10.1002/14651858.CD002768.pub5.
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Physical activity and chronic obstructive pulmonary disease: a scoping review.体力活动与慢性阻塞性肺疾病：范围综述。
BMC Pulm Med. 2022 Aug 5;22(1):301. doi: 10.1186/s12890-022-02099-4.
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Rehabilitation Interventions for Post-Acute COVID-19 Syndrome: A Systematic Review.急性新冠病毒感染后综合征的康复干预措施：系统评价。
Int J Environ Res Public Health. 2022 Apr 24;19(9):5185. doi: 10.3390/ijerph19095185.
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Pulmonary rehabilitation for interstitial lung disease.间质性肺疾病的肺康复治疗。
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The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.PRISMA 2020 声明：系统评价报告的更新指南。
BMJ. 2021 Mar 29;372:n71. doi: 10.1136/bmj.n71.
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Minimal clinically important difference of the 6-min walking test in patients with asthma.哮喘患者 6 分钟步行试验的最小临床重要差异。
Int J Tuberc Lung Dis. 2021 Mar 1;25(3):215-221. doi: 10.5588/ijtld.20.0928.
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Nordic Walking Promoted Weight Loss in Overweight and Obese People: A Systematic Review for Future Exercise Prescription.北欧式健走促进超重和肥胖人群的体重减轻：一项用于未来运动处方的系统评价
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J Funct Morphol Kinesiol. 2020 Nov 10;5(4):82. doi: 10.3390/jfmk5040082.