摘要
目的系统分析减重术后患者运动干预的相关研究,为临床开展运动干预及实践提供参考。方法根据范围综述研究框架,系统检索国内外数据库中关于减重术后患者运动干预的相关原始研究,检索时限从建库至2024年11月27日。结果共纳入22篇文献,其中随机对照试验19篇,类实验研究3篇。运动类型包括有氧运动、抗阻训练、核心稳定训练、平衡训练等,15项研究采用联合运动;运动强度采用最大心率、心率储备、量表评估等确定,运动频率多为2~5次/周,30~60 min/次,干预周期4~44周。7项研究表明运动干预整体安全,运动依从性评价缺乏统一标准,运动干预对减重术后患者身体成分、身体功能、代谢结局、生活质量等有积极影响。结论运动干预对减重术后患者具有较好的可行性及有效性,但现有的方案在运动类型、强度、持续时间和频率方面差异较大。需要进一步优化运动干预方案并观察长期效果,以达成减重目标、预防反弹。
Objective To systematically summarize exercise interventions following bariatric surgery and provide references for clinical practice.Methods Guided by the scoping review framework,original studies on exercise interventions following bariatric surgery were systematically searched in domestic and international databases,from database inception to November 27,2024.Results Twenty-two studies(19 RCTs,3 quasi-experimental)were included.Exercise modalities included aerobic exercise,resistance training,core stability training,and balance training,etc.;15 studies used multimodal programs.Exercise intensity was prescribed via maximal heart rate,heart rate reserve,and perceived exertion scales.Exercise dosage were:frequency 2-5 sessions/week,duration 30-60 min/session,and program length 4-44 weeks.No major adverse events reported in 7 safety-monitored studies.However,there was lack of standardized criteria for evaluating exercise adherence.Exercise interventions demonstrated positive effects on body composition,physical function,metabolic outcomes,and quality of life in post-bariatric surgery patients.Conclusion Exercise interventions demonstrate feasibility and efficacy for post-bariatric patients,yet exhibit substantial heterogeneity in prescription parameters(modalities,intensity,duration,and frequency).Future research should optimize exercise protocol and evaluate long-term outcomes to maximize sustained weight loss and prevent weight regain.
作者
岑巧
张晶磊
谢铭
胡旭
任敏敏
杨言
秦情
覃琼
郑喜兰
Cen Qiao;Zhang Jinglei;Xie Ming;Hu Xu;Ren Minmin;Yang Yan;Qin Qing;Qin Qiong;Zheng Xilan(Department of General Surgery,Affiliated Hospital of Zunyi Medical University,Zunyi 563000,China)
出处
《护理学杂志》
北大核心
2025年第16期118-123,共6页
Journal of Nursing Science
关键词
肥胖
减重手术
运动干预
有氧运动
抗阻训练
平衡训练
体重管理
范围综述
obesity
bariatric surgery
exercise intervention
aerobic exercise
resistance training
balance training
weight management
scoping review
