Mansueto Gomes-Neto , Andre Rodrigues Durães , Lino Sérgio Rocha Conceição , Michelli Bernardone Saquetto , Iura Gonzalez Alves , Neil A Smart , Vitor Oliveira Carvalho
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Several exercise interventions improved peak oxygen consumption (mL/kg/min): high-intensity interval training (MD 4.5, 95% CI 3.7 to 5.4); combined water-based exercises and moderate-intensity continuous training (MD 3.7, 95% CI 1.3 to 6.0); combined aerobic and resistance exercise (MD 3.4, 95% CI 2.5 to 4.3); water-based exercises (MD 3.4, 95% CI 0.6 to 6.2); combined respiratory muscle training and aerobic exercise (MD 3.2, 95% CI 0.6 to 5.8); Tai chi (MD 3.0, 95% CI 1.0 to 5.0); moderate-intensity continuous training (MD 3.0, 95% CI 2.3 to 3.6); high-intensity continuous training (MD 2.7, 95% CI 1.6 to 3.8); and resistance training (MD 2.2, 95% CI 0.6 to 3.7). Quality of life was improved by yoga (SMD 1.5, 95% CI 0.5 to 2.4), combined aerobic and resistance exercise (SMD 1.2, 95% CI 0.6 to 1.7), moderate-intensity continuous training (SMD 1.1, 95% CI 0.6 to 1.6) and high-intensity interval training (SMD 0.9, 95% CI 0.1 to 1.6). All-cause mortality was reduced by continuous aerobic exercise (RR 0.67, 95% CI 0.53 to 0.86) and combined aerobic and resistance exercise (RR 0.58, 95% CI 0.36 to 0.94). 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引用次数: 0
摘要
问题不同类型的运动疗法对冠心病患者的耗氧量、生活质量和死亡率有何影响？对随机对照试验进行系统回顾和网络荟萃分析：干预措施：运动干预包括有氧（持续或高强度间歇）训练、阻力训练、呼吸肌锻炼、水中运动、瑜伽、太极拳、气功锻炼以及不同类型运动的组合：结果：耗氧量、生活质量和死亡率：结果：本综述包括 178 项随机对照试验，共有 19 143 人参与。以下几种运动干预措施提高了峰值耗氧量（毫升/千克/分钟）：高强度间歇训练（MD 4.5，95% CI 3.7 至 5.4）；水上运动和中等强度持续训练相结合（MD 3.7，95% CI 1.3 至 6.0）；有氧运动和阻力运动相结合（MD 3.4，95% CI 2.5 至 4.3）；水上运动（MD 3.4，95% CI 0.6 至 6.2）；呼吸肌训练和有氧运动相结合（MD 3.2，95% CI 0.6 至 5.8）；太极拳（MD 3.0，95% CI 1.0 至 5.0）；中等强度持续训练（MD 3.0，95% CI 2.3 至 3.6）；高强度持续训练（MD 2.7，95% CI 1.6 至 3.8）；阻力训练（MD 2.2，95% CI 0.6 至 3.7）。瑜伽（SMD 1.5，95% CI 0.5 至 2.4）、有氧运动和阻力运动相结合（SMD 1.2，95% CI 0.6 至 1.7）、中等强度持续训练（SMD 1.1，95% CI 0.6 至 1.6）和高强度间歇训练（SMD 0.9，95% CI 0.1 至 1.6）可提高生活质量。持续有氧运动（RR 0.67，95% CI 0.53 至 0.86）和有氧运动与阻力运动相结合（RR 0.58，95% CI 0.36 至 0.94）可降低全因死亡率。持续有氧运动也能降低心血管死亡率（RR 0.56，95% CI 0.42 至 0.74）：结论：冠心病患者可以通过一系列运动方式来改善耗氧量、生活质量和死亡率：注册：prospero crd42022344545。
Some types of exercise interventions are more effective than others in people with coronary heart disease: systematic review and network meta-analysis
Question
What are the effects of different types of exercise treatments on oxygen consumption, quality of life and mortality in people with coronary heart disease?
Design
Systematic review with network meta-analysis of randomised controlled trials.
Participants
Adults with coronary heart disease.
Intervention
Exercise interventions including aerobic (continuous or high-intensity interval) training, resistance training, respiratory muscle exercises, water-based exercises, yoga, Tai chi, Qigong exercises and a combination of different types of exercise.
Outcome measures
Oxygen consumption, quality of life and mortality.
Results
This review included 178 randomised controlled trials with 19,143 participants. Several exercise interventions improved peak oxygen consumption (mL/kg/min): high-intensity interval training (MD 4.5, 95% CI 3.7 to 5.4); combined water-based exercises and moderate-intensity continuous training (MD 3.7, 95% CI 1.3 to 6.0); combined aerobic and resistance exercise (MD 3.4, 95% CI 2.5 to 4.3); water-based exercises (MD 3.4, 95% CI 0.6 to 6.2); combined respiratory muscle training and aerobic exercise (MD 3.2, 95% CI 0.6 to 5.8); Tai chi (MD 3.0, 95% CI 1.0 to 5.0); moderate-intensity continuous training (MD 3.0, 95% CI 2.3 to 3.6); high-intensity continuous training (MD 2.7, 95% CI 1.6 to 3.8); and resistance training (MD 2.2, 95% CI 0.6 to 3.7). Quality of life was improved by yoga (SMD 1.5, 95% CI 0.5 to 2.4), combined aerobic and resistance exercise (SMD 1.2, 95% CI 0.6 to 1.7), moderate-intensity continuous training (SMD 1.1, 95% CI 0.6 to 1.6) and high-intensity interval training (SMD 0.9, 95% CI 0.1 to 1.6). All-cause mortality was reduced by continuous aerobic exercise (RR 0.67, 95% CI 0.53 to 0.86) and combined aerobic and resistance exercise (RR 0.58, 95% CI 0.36 to 0.94). Continuous aerobic exercise also reduced cardiovascular mortality (RR 0.56, 95% CI 0.42 to 0.74).
Conclusion
People with coronary heart disease may use a range of exercise modalities to improve oxygen consumption, quality of life and mortality.
期刊介绍：
The Journal of Physiotherapy is the official journal of the Australian Physiotherapy Association. It aims to publish high-quality research with a significant impact on global physiotherapy practice. The journal's vision is to lead the field in supporting clinicians to access, understand, and implement research evidence that will enhance person-centred care. In January 2008, the Journal of Physiotherapy became the first physiotherapy journal to adhere to the ICMJE requirement of registering randomized trials with a recognized Trial Registry. The journal prioritizes systematic reviews, clinical trials, economic analyses, experimental studies, qualitative studies, epidemiological studies, and observational studies. In January 2014, it also became the first core physiotherapy/physical therapy journal to provide free access to editorials and peer-reviewed original research. The Australian Physiotherapy Association extended their support for excellence in physiotherapy practice by sponsoring open access publication of all Journal of Physiotherapy content in 2016. As a result, all past, present, and future journal articles are freely accessible, and there are no author fees for publication.
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