UASSIGNED:为运动康复治疗师和临床医生提供可靠的证据,我们使用贝叶斯网络meta分析比较和分析了不同运动方式对血液透析患者心肺功能的影响。
未经授权:PubMed,OVID,WebofScience,科克伦图书馆,Embase,Scopus,CINAHL,运动铁饼,SinoMed,CNKI,万方,和VIP从成立到2022年7月20日进行了搜索。我们纳入了随机对照试验,比较了12种运动方式以改善血液透析患者的心肺健康状况。所有统计分析均使用STATA和R进行。
UNASSIGNED:本研究共纳入82项随机对照试验,涉及4146名维持性血液透析患者。配对荟萃分析显示,所有运动方式对心肺功能的所有指标都有积极影响。网络荟萃分析表明,血流限制训练(BFRT),循环锻炼(CE),吸气肌肉训练(IMT)联合有氧和阻力训练(CT),和有氧训练(AT)在6分钟步行能力方面明显优于常规护理;中等强度连续训练(MICT),CT,CE,对于VO2Peak,AT明显优于常规治疗;与常规治疗相比,身心训练(MBT)和CT显着改善了SBP;对于DBP,只有MBT明显优于常规治疗。二维图和雷达图都表明,CT对心肺健康的每个指标具有最佳的综合效果。亚组和敏感性分析证明了结果的稳健性。该网络荟萃分析的证据主要是“低”到“非常低”。
UNASSIGNED:没有一种运动可以对所有结果达到最佳效果。MBT在降低动脉血压方面的益处是其他锻炼方法所无法比拟的。CT的干预效果更好、更稳定。电肌肉刺激训练(MEST)可以用于不希望积极锻炼但可能导致血压升高的个体。根据不同运动类型的特点,指导方针开发人员,临床医生,患者可以适当使用它们。
UNASSIGNED:https://www。crd.约克。AC.uk/PROSPERO/#recordDetails.
To provide reliable evidence to exercise rehabilitation therapists and clinicians, we compared and analyzed the effects of different exercise modalities on cardiopulmonary function in hemodialysis patients using Bayesian network meta-analysis.
PubMed, OVID, Web of Science, Cochrane Library, Embase, Scopus, CINAHL, SPORT Discus, SinoMed, CNKI, Wanfang, and VIP were searched from inception to July 20, 2022. We included randomized controlled trials comparing 12 exercise modalities to improve cardiorespiratory fitness in hemodialysis patients. All statistical analysis was performed using STATA and R.
A total of 82 randomized controlled trials involving 4146 maintenance hemodialysis patients were included in this study. The pair-wise meta-analysis showed that all exercise modalities had a positive effect on all indicators of cardiorespiratory capacity. The network meta-analysis demonstrated that Blood flow restriction training (BFRT), Cycle exercise (CE), Inspiratory muscle training (IMT), Combined aerobic and resistance training (CT), and Aerobic training (AT) were significantly better than usual care for 6-min walkability; Medium intensity continuous training (MICT), CT, CE, and AT were considerably better than usual care for VO2Peak; body and mind training (MBT) and CT significantly improved SBP compared to usual care; and only MBT was significantly better than usual care for DBP. Both the two-dimensional plot and the radar plot demonstrated that CT had the best combined-effect on each index of cardiorespiratory fitness. Subgroup and sensitivity analyses demonstrated the robustness of the results. The evidence was mainly \"low\" to \"very low\" for this network meta-analysis.
There is no one exercise that can achieve the best effect on all of the outcomes. The benefits of MBT in decreasing arterial blood pressure are unsurpassed by other exercise methods. The intervention effect of the CT is better and more stable. Electrical muscle stimulation training (MEST) can be employed in individuals who do not wish to exercise actively but may cause an increase in blood pressure. On the basis of the characteristics of different exercise types, guidelines developers, clinicians, and patients may employ them appropriately.
https://www.crd.york.ac.uk/PROSPERO/#recordDetails.