The effects of weight management on heart failure: A systematic review and meta-analysis of randomized controlled trials.

IF 3.4 2区医学 Q1 NURSING Worldviews on Evidence-Based Nursing Pub Date : 2024-06-01 Epub Date: 2023-06-27 DOI:10.1111/wvn.12665

Qiuge Zhao, Yilin Zhang, Xiaoyu Dong, Xiuting Zhang, Xiuzhen Fan

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Abstract

Background: Weight management is an important part of disease management in patients with heart failure. However, the effectiveness of reported weight management interventions is inconclusive.

Aims: The aim of this systematic review and meta-analysis was to assess the effects of weight management on functional status, heart failure-related hospitalizations, and all-cause mortality in patients with heart failure.

Methods: PubMed, Web of Science, Embase, and the Cochrane Library were searched on April 3, 2022. This study was registered with PROSPERO (CRD42021283817). Eligible studies assessed functional status, heart failure-related hospitalizations, and all-cause mortality in patients with heart failure. Two researchers independently screened the articles, extracted data, and evaluated the risk bias of each study. Dichotomous variables were presented as OR with a 95% confidence interval (CI). The data were analyzed using a fixed effect or random effect model, and heterogeneity was determined using I² statistics. All statistical analyses were conducted using RevMan 5.3.

Results: Among 4279 studies screened, seven randomized controlled trials were included in this study. The results showed that weight management significantly improved functional status (OR = 0.15, 95% CI [0.07, 0.35], I² = 52%) and reduced the risk of all-cause mortality (OR = 0.54, 95% CI [0.34, 0.85], I² = 0%), but had no significant effect on heart failure-related hospitalizations (OR = 0.72, 95% CI [0.20, 2.66]).

Linking evidence to action: Weight management has effects on improved functional status and reduced all-cause mortality in patients with heart failure. It is necessary to strengthen the weight management interventions of patients with heart failure to improve patients' functional status and reduce all-cause mortality.

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体重管理对心力衰竭的影响：随机对照试验的系统回顾和荟萃分析。

背景：体重管理是心力衰竭患者疾病管理的重要组成部分。目的：本系统综述和荟萃分析旨在评估体重管理对心衰患者功能状态、心衰相关住院治疗和全因死亡率的影响：方法：2022 年 4 月 3 日对 PubMed、Web of Science、Embase 和 Cochrane Library 进行了检索。本研究已在 PROSPERO 注册（CRD42021283817）。符合条件的研究评估了心衰患者的功能状态、心衰相关住院情况和全因死亡率。两名研究人员独立筛选文章、提取数据并评估每项研究的风险偏倚。二分变量以 OR 和 95% 置信区间 (CI) 表示。数据采用固定效应或随机效应模型进行分析，异质性采用I2统计量进行判定。所有统计分析均使用 RevMan 5.3 进行：在筛选出的 4279 项研究中，本研究纳入了 7 项随机对照试验。结果显示，体重管理可明显改善功能状态（OR = 0.15，95% CI [0.07，0.35]，I2 = 52%），降低全因死亡风险（OR = 0.54，95% CI [0.34，0.85]，I2 = 0%），但对心衰相关住院治疗无明显影响（OR = 0.72，95% CI [0.20，2.66]）：体重管理对改善心力衰竭患者的功能状态和降低全因死亡率有影响。有必要加强对心力衰竭患者的体重管理干预，以改善患者的功能状态并降低全因死亡率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Worldviews on Evidence-Based Nursing 医学-护理

CiteScore

6.10

自引率

11.60%

发文量

审稿时长

>12 weeks

期刊介绍： The leading nursing society that has brought you the Journal of Nursing Scholarship is pleased to bring you Worldviews on Evidence-Based Nursing. Now publishing 6 issues per year, this peer-reviewed journal and top information resource from The Honor Society of Nursing, Sigma Theta Tau International, uniquely bridges knowledge and application, taking a global approach in its presentation of research, policy and practice, education and management, and its link to action in real world settings. Worldviews on Evidence-Based Nursing is written especially for: Clinicians Researchers Nurse leaders Managers Administrators Educators Policymakers Worldviews on Evidence-Based Nursing is a primary source of information for using evidence-based nursing practice to improve patient care by featuring: Knowledge synthesis articles with best practice applications and recommendations for linking evidence to action in real world practice, administra-tive, education and policy settings Original articles and features that present large-scale studies, which challenge and develop the knowledge base about evidence-based practice in nursing and healthcare Special features and columns with information geared to readers’ diverse roles: clinical practice, education, research, policy and administration/leadership Commentaries about current evidence-based practice issues and developments A forum that encourages readers to engage in an ongoing dialogue on critical issues and questions in evidence-based nursing Reviews of the latest publications and resources on evidence-based nursing and healthcare News about professional organizations, conferences and other activities around the world related to evidence-based nursing Links to other global evidence-based nursing resources and organizations.