规律的短期运动锻炼对强制隔离戒毒人员体适能水平干预效果的Meta分析

Rehabilitation effectiveness of regular short-term exercise intervention on physical fitness of compulsory isolation detoxification patients:A meta-analysis

目的:系统评价3个月以内短期运动锻炼对强制隔离戒毒人员体适能指标干预的有效性。方法:计算机检索PubMed、Cochrane Library、EBSCO、中国知网、重庆维普和万方等数据库中关于短期(3个月以内)运动干预对强制隔离戒毒人员体适能改善效果的随机对照试验(RCT),检索时间均至2019年12月,2名研究者独立筛选文献、提取资料和进行方法学质量评价后,采用RevMan 5.3软件进行Meta分析。结果:最终纳入10个RCT。结果表明:短期运动锻炼对戒毒人员健康体适能(收缩压[MD=-4.04 mmHg, 95%CI (-6.10,-1.98),P=0.0001]、舒张压[MD=-2.79 mmHg, 95%CI (-4.16,-1.41),P<0.0001]、体前屈[MD=3.69 cm, 95%CI (1.86, 5.52),P<0.0001]、脉搏[MD=25.77次/min, 95%CI (23.69,27.85),P<0.00001]、心率[MD=-3.87次/min, 95%CI (-5.06,-2.67),P<0.00001]、俯卧撑[MD=10.55个,95%CI (5.74,15.36),P<0.0001]、肺活量[MD=185.72 ml, 95%CI (63.89,307.55),P=0.003]、握力[MD=2.43 kgf, 95%CI (0.84,4.03),P=0.003]、台阶指数[MD=8.74, 95%CI (5.31,12.17),P<0.00001])和技能体适能(平衡时间[MD=19.37 s, 95%CI (14.41,24.33),P<0.00001])方面改善效果优于常规康复组。结论:规律的短期运动锻炼对于强制隔离戒毒人员的体适能康复具有一定的改善效果。

Objective:To assess the effectiveness of short-term exercise intervention(within 3 months)for physical fitness of compulsory isolation detoxification patients. Methods:The randomized controlled trials(RCTs) regarding the effectiveness of short-term exercise for compulsory isolation detoxification patients were electronically retrieved from PubMed, Cochrane Library, EBSCO, CNKI, Chongqing VIP and Wangfang Data until to Decemeber 2019. Two reviewers independently extracted data and assessed the bias of risk. Then the meta-analysis was conducted with RevMan 5.3 software. Results:A total of 10 RCTs involved 617 patients were included. Results of meta-analyses suggested that short-term exercise intervention was superior to the usual rehabilitation in improvement of health-related physical fitness(systolic pressure [MD=-4.04 mmHg, 95%CI(-6.10,-1.98), P=0.0001], diastolic pressure [MD=-2.79 mmHg, 95%CI(-4.16,-1.41), P<0.0001], anterior flexion [MD=3.69 cm, 95%CI(1.86, 5.52), P<0.0001], pulse[MD=25.77 beats/min, 95%CI(23.69,27.85), P<0.00001], heart rate[MD=-3.87/min, 95%CI(-5.06,-2.67), P<0.00001], push-up[MD=10.55, 95%CI(5.74,15.36), P<0.0001], vital capacity[MD=185.72 ml, 95%CI(63.89,307.55), P=0.003], grip[MD=2.43 kgf, 95%CI(0.84,4.03), P=0.003], step test index[MD=8.74, 95%CI(5.31,12.17), P<0.00001]) and skill-related physical fitness(balance factors, such as standing on one foot [MD=19.37 s, 95%CI(14.41,24.33), P<0.00001]). Conclusion:Regular short-term exercise intervention was superior to the usual rehabilitation in improvement of physical fitness.