身体素质水平与严重新冠肺炎风险:系统综述。

IF 2.3 Q2 SPORT SCIENCES Sports Medicine and Health Science Pub Date : 2023-09-01 DOI:10.1016/j.smhs.2023.07.010
Fortunato José Cardoso , David Romeiro Victor , José Roberto da Silva , Angélica C. Guimarães , Carla Adriane Leal , Michelle Ribeiro Taveira , João Guilherme Alves
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引用次数: 0

摘要

系统地验证身体健康状况与2019年严重冠状病毒疾病(新冠肺炎)风险之间的关联。该系统审查符合系统审查和荟萃分析的首选报告项目(PRISMA)声明,资格标准遵循人群、干预、比较、结果和研究(PICOS)建议。检索PubMed、Embase、SciELO和Cochrane电子数据库。所有探索体能模式与新冠肺炎不良后果(住院、重症监护室入院、插管或死亡率)之间关系的研究都被选中。研究质量采用纽卡斯尔-渥太华量表的特定量表进行评估。本系统综述共确定了7项观察性研究;13​468名患者被纳入一项病例对照研究、两项队列研究和四项横断面研究。所有研究都报告了高体能与严重新冠肺炎(住院、重症监护入院或死亡率)之间的反比关系。只有一些研究报告了合并症,尤其是肥胖和心血管疾病,但在控制了合并症后,结果保持不变。根据纽卡斯尔-渥太华质量评估量表,纳入的七项研究的质量中等。纳入研究的方法学异质性不允许对研究结果进行荟萃分析。总之,新冠肺炎患者较高的身体素质水平与较低的住院风险、重症监护入院风险和死亡率相关。
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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Physical fitness level and the risk of severe COVID-19: A systematic review

To verify systematically the association between the status of physical fitness and the risk of severe Coronavirus disease 2019 (COVID-19). This systematic review is in accordance with the Preferred Reporting Items for Systematic Review and Meta Analyses (PRISMA) statement and the eligibility criteria followed the Population, Intervention, Comparison, Outcomes and Study (PICOS) recommendation. PubMed, Embase, SciELO and Cochrane electronic databases were searched. All studies that explored the relationship between the pattern of physical fitness and COVID-19 adverse outcomes (hospitalization, intensive care unit admission, intubation, or mortality), were selected. The quality of the studies was assessed by the specific scale of the Newcastle–Ottawa Scale. A total of seven observational studies were identified in this systematic review; 13 ​468 patients were included in one case-control study, two cohort studies, and four cross-sectional studies. All studies reported an inverse association between high physical fitness and severe COVID-19 (hospitalization, intensive care admission, or mortality). Only some studies reported comorbidities, especially obesity and cardiovascular disorders, but the results remained unchanged after controlling for comorbidities. The quality of the seven studies included was moderate according to the Newcastle-Ottawa Quality Assessment Scale. The methodological heterogeneity of the studies included did not allow a meta-analysis of the findings. In conclusion, higher physical fitness levels were associated with lower risk of hospitalization, intensive care admissions, and mortality rates among patients with COVID-19.

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来源期刊
Sports Medicine and Health Science
Sports Medicine and Health Science Health Professions-Physical Therapy, Sports Therapy and Rehabilitation
CiteScore
5.50
自引率
0.00%
发文量
36
审稿时长
55 days
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