Lifestyle Behavioral Interventions and Health-Related Outcomes Among People with Epilepsy: A Review of Randomized Controlled Trials.

IF 2.5 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH American Journal of Health Promotion Pub Date : 2024-06-01 Epub Date: 2024-02-27 DOI:10.1177/08901171241235731
Rachel M Sauls, Acadia W Buro, Russell S Kirby
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引用次数: 0

Abstract

Objective: To gather and assess current literature on the prevalence and efficacy of lifestyle behavioral interventions (sleep, nutrition, physical activity) for health outcomes, including QOL, psychological well-being, behavioral changes, and seizure frequency, among PWE.

Data source: A review was conducted of English-language articles identified from PubMed, Scopus, and Embase between January 2013 to January 2023.

Study inclusion and exclusion criteria: Inclusion criteria were randomized controlled trials (RCT) with human subjects diagnosed with epilepsy who participated in a lifestyle behavioral intervention.

Data extraction: Two researchers independently completed the title, abstract, and full-text reviews. Information extracted includes study population, duration, type of intervention, findings, and outcomes.

Data synthesis: Data was narratively synthesized to show level of evidence and degree of consistency in findings. Results: 4001 studies identified, 66 full texts reviewed, and 24 included. A majority (n = 16) of studies utilized diet specific RCTs, and some focused on physical activity (n = 7) and sleep (n = 1). Diet-specific RCTs (eg, ketogenic, Modified Atkins) reported reduced seizure frequency with adverse effects, such as gastrointestinal complications. Physical activity-based interventions found that maintained levels of exercise improved QOL and psychological well-being. However, physical activity and diet-based interventions did not have lasting effects after study conclusion. Only the behavioral sleep intervention reported that sleep quality improved significantly and was maintained post-intervention.

Conclusion: Future research is needed to establish the relationship between lifestyle behavioral interventions on QOL and other health outcomes (eg, seizure frequency).

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生活方式行为干预与癫痫患者的健康相关结果:随机对照试验综述》。
目的收集并评估当前有关生活方式行为干预(睡眠、营养、体育锻炼)对残疾人健康结果(包括 QOL、心理健康、行为改变和癫痫发作频率)的流行率和有效性的文献:研究纳入和排除标准:纳入标准:随机对照试验(RCT)的受试者被诊断为癫痫,并参与了生活方式行为干预:两名研究人员独立完成标题、摘要和全文的审查。提取的信息包括研究人群、持续时间、干预类型、发现和结果:数据综合:对数据进行叙述性综合,以显示证据水平和研究结果的一致性程度。结果:确定了 4001 项研究,审查了 66 篇全文,纳入了 24 篇。大多数研究(n = 16)采用了针对饮食的 RCT,还有一些研究侧重于体育锻炼(n = 7)和睡眠(n = 1)。特定饮食 RCT(如生酮饮食、改良阿特金斯饮食)报告称,癫痫发作频率降低,但会产生不良影响,如胃肠道并发症。基于体育锻炼的干预发现,保持锻炼水平可改善 QOL 和心理健康。然而,体育锻炼和饮食干预在研究结束后并没有产生持久的效果。只有行为睡眠干预报告称睡眠质量得到显著改善,并在干预后得以保持:未来的研究需要确定生活方式行为干预与 QOL 及其他健康结果(如癫痫发作频率)之间的关系。
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来源期刊
American Journal of Health Promotion
American Journal of Health Promotion PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.40
自引率
3.70%
发文量
184
期刊介绍: The editorial goal of the American Journal of Health Promotion is to provide a forum for exchange among the many disciplines involved in health promotion and an interface between researchers and practitioners.
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