PDF(Pubmed)
Abstract：
BACKGROUND: Women have classically been excluded from the development of normal data and reference ranges, with pregnant women experiencing further neglect. The incidence of Caesarean section in pregnant women, and of general operative management in young women (both pregnant and non-pregnant), necessitates the formal development of healthy baseline data in these cohorts to optimise their perioperative management. This systematic review assesses the representation of young women in existing reference ranges for several functional exercise tests in common use to facilitate functional assessment in this cohort.
METHODS: Existing reference range data for the exercise tests the Six Minute Walk Test (6MWT), the Incremental Shuttle Walk Test (ISWT) and Cardiopulmonary Exercise Testing (CPET) in young women of reproductive age were assessed using the MEDLINE (Ovid) database, last searched December 2023. Results were comparatively tabulated but not statistically analysed given underlying variances in data.
RESULTS: The role of exercise testing in the perioperative period as an assessment tool, as well as its safety during pregnancy, was evaluated using 65 studies which met inclusion criteria.
CONCLUSIONS: There is a significant lack of baseline data regarding these tests in this population, especially amongst the pregnant cohort, which limits the application of exercise testing clinically.
METHODS: Existing reference range data for the exercise tests the Six Minute Walk Test (6MWT), the Incremental Shuttle Walk Test (ISWT) and Cardiopulmonary Exercise Testing (CPET) in young women of reproductive age were assessed using the MEDLINE (Ovid) database, last searched December 2023. Results were comparatively tabulated but not statistically analysed given underlying variances in data.
RESULTS: The role of exercise testing in the perioperative period as an assessment tool, as well as its safety during pregnancy, was evaluated using 65 studies which met inclusion criteria.
CONCLUSIONS: There is a significant lack of baseline data regarding these tests in this population, especially amongst the pregnant cohort, which limits the application of exercise testing clinically.
摘要：
背景：女性通常被排除在正常数据和参考范围的发展之外，孕妇正在遭受进一步的忽视。孕妇剖腹产的发生率，以及年轻女性(孕妇和非孕妇)的一般手术管理，需要在这些队列中正式开发健康的基线数据，以优化其围手术期管理。本系统评价评估了年轻女性在现有参考范围内的代表性，这些参考范围是常用的几种功能运动测试，以促进该队列中的功能评估。
方法：现有的运动参考范围数据测试六分钟步行测试（6MWT），使用MEDLINE（Ovid）数据库评估了育龄年轻女性的增量穿梭步行测试（ISWT）和心肺运动测试（CPET），最后一次搜索是2023年12月。结果进行了比较列表，但未考虑到数据的潜在差异进行统计分析。
结果：运动测试在围手术期作为评估工具的作用，以及它在怀孕期间的安全性，使用符合纳入标准的65项研究进行评估。
结论：在该人群中，有关这些测试的基线数据明显缺乏，尤其是在怀孕的人群中，这限制了运动测试在临床上的应用。
方法：现有的运动参考范围数据测试六分钟步行测试（6MWT），使用MEDLINE（Ovid）数据库评估了育龄年轻女性的增量穿梭步行测试（ISWT）和心肺运动测试（CPET），最后一次搜索是2023年12月。结果进行了比较列表，但未考虑到数据的潜在差异进行统计分析。
结果：运动测试在围手术期作为评估工具的作用，以及它在怀孕期间的安全性，使用符合纳入标准的65项研究进行评估。
结论：在该人群中，有关这些测试的基线数据明显缺乏，尤其是在怀孕的人群中，这限制了运动测试在临床上的应用。
