帕金森病患者在自由生活条件下进行的体力活动与非运动症状之间的关系:系统回顾和荟萃分析。

IF 2.6 3区 医学 Q1 REHABILITATION Clinical Rehabilitation Pub Date : 2024-11-01 Epub Date: 2024-08-23 DOI:10.1177/02692155241272967
Amanda Still, Leigh Hale, Sarfaraz Alam, Meg E Morris, Prasath Jayakaran
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引用次数: 0

摘要

背景:在家庭或社区中,在无人监督的自由生活条件下进行的体育活动有可能调节帕金森病患者的非运动症状:本系统综述调查了在自由生活条件下进行的体育活动与帕金森病患者非运动症状(认知、焦虑、冷漠、抑郁、睡眠障碍、疲劳和疼痛)之间的关系:在 Scopus、Web of Science、Ovid(PsycINFO)、CINAHL、PubMed 和 ProQuest(健康与医学)数据库中进行了检索:综述方法:纳入了 2000 年至 2024 年间发表的观察性研究,这些研究探讨了体育锻炼与非运动症状之间的关系。采用与研究设计相适应的批判性评估清单对报告的方法学质量进行评估。在适当的情况下,对所纳入文章的数据进行了荟萃分析:共有 14 篇文章符合标准,并使用了各种工具来评估非运动症状和体力活动。荟萃分析表明,体力活动较多的帕金森病患者有较好的整体认知能力[β在0.12至0.28之间;p = 0.00-0.02],情感障碍也较少[β-0.20,p = 0.00]。体育锻炼水平的提高还与睡眠质量的改善(n = 1)和慢性疼痛的减少(n = 1)有关。所纳入文章的总体方法学质量较高:结论:帕金森病患者在自由生活条件下参与更多体育活动与改善认知、减少焦虑、冷漠和抑郁有关。
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Relationships between physical activities performed under free-living conditions and non-motor symptoms in people with Parkinson's: A systematic review and meta-analysis.

Background: Physical activities performed under free-living conditions that are unsupervised in the home or community have the potential to modulate non-motor symptoms in people with Parkinson's disease.

Objective: This systematic review investigates the relationships between physical activities performed in free-living conditions and non-motor symptoms in people with Parkinson's disease: cognition, anxiety, apathy, depression, sleep disturbances, fatigue, and pain.

Data sources: A database search was performed on Scopus, Web of Science, Ovid (PsycINFO), CINAHL, PubMed, and ProQuest (Health and Medicine).

Review methods: Observational studies published from 2000 to 2024 that examined the relationships between physical activity and non-motor symptoms were included. The methodological quality of reports was evaluated using critical appraisal checklists appropriate to the study design. Where appropriate, a meta-analysis was conducted to combine data from the included articles.

Results: A total of 14 articles met the criteria and used various tools to evaluate non-motor symptoms and physical activity. Meta-analyses showed that people with Parkinson's who are more physically active have better global cognition [β ranged from 0.12 to 0.28; p = 0.00-0.02] and less affective disorders [β -0.20, p = 0.00]. Increased physical activity levels were also associated with better sleep quality (n = 1) and less chronic pain (n = 1). The overall methodological quality of the included articles was considered high.

Conclusion: Engagement in increased levels of physical activities performed under free-living conditions is associated with better cognition and less anxiety, apathy, and depression in people with Parkinson's disease.

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来源期刊
Clinical Rehabilitation
Clinical Rehabilitation 医学-康复医学
CiteScore
5.60
自引率
6.70%
发文量
117
审稿时长
4-8 weeks
期刊介绍: Clinical Rehabilitation covering the whole field of disability and rehabilitation, this peer-reviewed journal publishes research and discussion articles and acts as a forum for the international dissemination and exchange of information amongst the large number of professionals involved in rehabilitation. This journal is a member of the Committee on Publication Ethics (COPE)
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