高血压运动干预最佳证据总结

The best evidence summary of hypertension exercise intervention

目的:评价和总结高血压患者运动干预的最佳证据,为临床医务工作者管理高血压提供依据。方法:检索UpToDate、BMJ最佳临床实践、Cochrane Library、国际指南协作网等所有高血压运动管理的最佳证据,包括指南、系统评价、证据总结等。检索时间从建库至2022年6月1日。由2名研究者独立进行文献质量评价,对纳入的文献进行证据提取。结果:最终纳入13篇文献,包括10篇指南,1篇专家共识,2篇Meta分析。总结出23条高血压运动干预的最佳证据,主要涵盖运动原则、运动评估、运动环境、运动前准备、运动方案、运动后整理、跟踪与复查、运动依从性8个方面。结论:运动对改善高血压患者血压有积极的作用,本研究总结的建议可尝试用于指导临床实践。

Objective To evaluate and summarize the best evidence for exercise intervention in patients with hypertension,and to provide the basis for clinical medical workers to manage hypertension.MethodsWe searched UpToDate,BMJ Best Practice,the Cochrane Library,the International Guideline Collaborative Network to collect guidelines,systematic evaluation,and evidence summary.The retrieval time was from database establishment to June 1st 2022.Two researchers independently conducted literature quality evaluation and extracted evidence from the included literature.ResultsA total of 13 articles were included,including 10 guidelines,1 expert consensus and 2 Meta analysis.A total of 23 pieces of best evidence were collected,mainly involving 8 aspects,including exercise principles,exercise assessment,exercise environment,pre-exercise preparation,exercise program,post-exercise collation,tracking and review,exercise compliance.ConclusionsExercise has a positive effect on improving blood pressure in patients with hypertension.The suggestions summarized in this study can be tried to guide clinical practice.