目的:传统Meta分析证实运动干预可有效改善慢性腰背痛,但哪种特定的运动方式疗效更好目前证据还不够充分。鉴于此,此次研究通过网状Meta分析探讨不同运动要素改善成年人慢性腰背痛影响的差异。方法:检索PubMed、Web of Science、Embase...目的:传统Meta分析证实运动干预可有效改善慢性腰背痛,但哪种特定的运动方式疗效更好目前证据还不够充分。鉴于此,此次研究通过网状Meta分析探讨不同运动要素改善成年人慢性腰背痛影响的差异。方法:检索PubMed、Web of Science、Embase、Cochrane、中国知网、万方、维普数据库中运动干预非特异性慢性腰痛的随机对照试验,其中试验组进行任何形式的运动类型干预,对照组进行药物治疗、物理治疗等非运动干预,检索时限设为各数据库建库至2025-03-01,使用布尔逻辑运算符(AND/OR)组合关键词进行检索。由2位评价员独立完成文献筛选、信息提取及偏倚风险评估后,使用Stata 17.0软件进行网状Meta分析,利用累计排序概率图下面积(SUCRA)对运动剂量变量的影响效果进行排序。结果:①共纳入40项随机对照试验,网状Meta分析结果显示,核心稳定性训练、垫上运动、传统功法运动、组合运动、其他运动改善慢性腰背痛的效果优于对照组[SMD=-0.76,95%CI(-1.39,-0.13),P<0.05;SMD=-1.67,95%CI(-2.48,-0.86),P<0.05;SMD=-2.09,95%CI(-3.37,-0.80),P<0.05;SMD=-1.60,95%CI(-2.71,-0.49),P<0.05;SMD=-1.40,95%CI(-2.40,-0.40),P<0.05],悬吊训练改善慢性腰背痛的效果弱于传统功法运动和垫上运动[SMD=1.50,95%CI(0.05,2.95),P<0.05;SMD=1.09,95%CI(0.11,2.06),P<0.05],传统功法运动改善慢性腰背痛的效果优于核心稳定性训练[SMD=-1.32,95%CI(-2.64,-0.01),P<0.05];单次运动15-20 min、30-40 min的干预效果优于对照组[SMD=-1.96,95%CI(-3.55,-0.36),P<0.05;SMD=-1.44,95%CI(-2.12,-0.76),P<0.05],每周运动3次、六七次的干预效果优于对照组[SMD=-1.03,95%CI(-1.69,-0.37),P<0.05;SMD=-1.83,95%CI(-2.75,-0.91),P<0.05],每周运动六七次的干预效果优于每周运动一二次[SMD=-1.30,95%CI(-2.61,-0.06),P<0.05],运动4周、12-13周和≥16周的干预效果均显著优于对照组[SMD=-0.81,95%CI(-1.50,-0.12),P<0.05;SMD=-1.63,95%CI(-2.82,-0.43),P<0.05;SMD=-2.14,95%CI(-3.36,-0.92),P<0.05],运动≥16周的干预效果显著优于运动6周[SMD=-1.55,95%CI(-3.03,-0.07),P<0.05]。SUCRA结果显示,传统功法运动、单次运动15-20 min、每周运动六七次、运动≥16周在各自对应的因素中排名最高。结论:干预类型为传统功法(太极拳、气功、五禽戏、八段锦)、单次运动15-20 min、每周运动六七次、运动≥16周可能对成年人慢性腰背痛的缓解效果最佳。然而,由于纳入的研究数量有限,需要进一步的研究来提供更有力证据。展开更多
背景:传统药物治疗骨质疏松虽取得良好的效果,但长期使用常导致产生不良事件。目前运动干预(含中国传统运动)逐渐成为热点,成为骨质疏松防治新的选择。目的:解析中国传统运动(如太极拳、八段锦、五禽戏以及易筋经)在骨质疏松防治中的生...背景:传统药物治疗骨质疏松虽取得良好的效果,但长期使用常导致产生不良事件。目前运动干预(含中国传统运动)逐渐成为热点,成为骨质疏松防治新的选择。目的:解析中国传统运动(如太极拳、八段锦、五禽戏以及易筋经)在骨质疏松防治中的生物学机制及其相关临床应用进展,探究其多方面改善骨健康的潜在机制及作用。方法:检索Web of Science、PubMed、中国知网、万方数据库及维普期刊数据库,中文检索词为“骨质疏松,中国传统运动,太极拳,八段锦,五禽戏,易筋经,骨密度,骨代谢,血液循环,抗炎,抗氧化,临床应用”。英文检索词为“Osteoporosis,Traditional Chinese Exercises,Tai Chi Chuan,Baduanjin,Wuqinxi,Yijinjing,Bone Mineral Density,Bone Metabolism,Blood Circulation,Anti-inflammatory,Antioxidant,Clinical Application”,最终纳入59篇文献进行综述。结果与结论:中国传统运动通过机械负荷调控骨代谢、改良肠道菌群-骨轴相互效应、提升抗炎与抗氧化作用以及内分泌调控等多元渠道联合效应,显著提升骨密度并缓解骨质流失。临床数据表明,太极拳对绝经后女性腰椎及股骨颈骨密度改良效果尤为显著,八段锦联合药物可显著调控糖代谢与骨转换,五禽戏通过提升关节功能间接抑制骨折风险,易筋经则在性别相关骨密度维持中展露优点。值得关注是,传统运动通过调控免疫细胞(如Th1细胞、调控性T细胞)及氧化应激通路潜在机制,为开发新型运动干预方案提供理论根据。展开更多
Background:Insufficient physical activity and prolonged sedentary behavior have emerged as major global public health challenges.Short bouts(≤10 min)of accumulated exercise(SBAE)throughout the day may be a promising ...Background:Insufficient physical activity and prolonged sedentary behavior have emerged as major global public health challenges.Short bouts(≤10 min)of accumulated exercise(SBAE)throughout the day may be a promising strategy to mitigate the adverse effects of prolonged sitting and promote physical activity,ultimately promoting overall health.However,previous ambiguity in defining this concept has resulted in a fragmented and inconsistent evidence base,impeding practical applications,the development of guidelines,and policymaking.The purpose of this study is to establish an operational definition of SBAE by synthesizing systematic reviews and research trials alongside an expert consensus.Additionally,it seeks to evaluate acute and long-term efficacy and feasibility,providing evidence-based recommendations for practice and future research directions.Methods:A literature search was performed across PubMed and Web of Science,followed by systematic screening and summarization of eligible studies based on predefined inclusion criteria.Inclusion criteria encompassed various modes/types of SBAE(bouts lasting≤10 min,performed multiple times daily with≥30 min intervals);both aerobic and resistance exercise were considered.Relevant systematic reviews and research trials were included.Methodological quality,risk of bias,and evidence certainty were assessed.Expert consensus was obtained through a survey to evaluate recommendations and agreement levels on findings.Results:After analyzing 27 systematic reviews,135 research studies,and an expert consensus involving 48 researchers from 11 countries,SBAE is defined as any exercise mode of activity,regardless of intensity,that is accumulated in either continuous or intermittent bouts lasting≤10 min per session(including multiple intermittent sets)that are performed multiple times(≥2 sessions/day)per day,with intervals of≥30 min between bouts or otherwise sufficient time for recovery.When used to interrupt prolonged periods of sedentary time,SBAE mitigates the acute adverse effects of sedentary behavior on more than 10 clinical biomarkers of endocrine,cardiovascular,and brain health/function among adults of diverse ages and conditions.Moreover,SBAE was superior for improving acute glycemic control compared to a single continuous exercise session.As a long-term intervention(average of 11 weeks),SBAE can improve over 20 health outcomes,including peak oxygen uptake,resting blood pressure,and metabolic health.Additionally,SBAE might be more effective than continuous exercise for improving longer-term glycemic control and body composition.Long-term completion rates for SBAE interventions are generally high(95%),with low dropout rates(12%)and high adherence rates even without supervision(85%),and its safety has been preliminarily validated.Conclusion:An operational definition of SBAE is provided along with its classification and acute and long-term efficacy.Practical exercise prescription recommendations and evidence-based strategies for various populations and contexts are provided.Future research should focus on generating high-quality evidence for SBAE in 5 key areas:quantification and monitoring,population-specific responses,optimization of exercise prescriptions,intervention efficacy,and practical implementation.Additionally,addressing policy,environmental,and promotional barriers is crucial for transitioning from expert consensus to public consensus,and for facilitating the application of this strategy in real-world environments.展开更多
背景:卫星细胞和骨骼肌再生密切相关,当骨骼肌受到损伤或刺激时,卫星细胞能够迅速被激活并参与骨骼肌的修复过程。卫星细胞受到细胞因子的调控,而且研究表明运动能够促进卫星细胞的增殖和分化,但目前尚不清楚运动是否能够与细胞因子共...背景:卫星细胞和骨骼肌再生密切相关,当骨骼肌受到损伤或刺激时,卫星细胞能够迅速被激活并参与骨骼肌的修复过程。卫星细胞受到细胞因子的调控,而且研究表明运动能够促进卫星细胞的增殖和分化,但目前尚不清楚运动是否能够与细胞因子共同作用于卫星细胞促进骨骼肌修复。目的:综述细胞因子和运动对卫星细胞的调控作用,为肌肉疾病的治疗和康复提供新的思路和潜在的干预目标。方法:第一作者和通讯作者于2023-12-01/2024-02-01检索Web of Science、PubMed、中国知网、万方、维普等数据库,检索文献时限为各数据库建库至2024年2月。英文检索词为“skeletal muscle regeneration,satellite cells,cytokines in muscle repair,exercise,muscle stem cells,inflammation and repair”,中文检索词为“骨骼肌,卫星细胞,细胞因子,运动,肌肉再生,肌肉干细胞,炎症和修复”。最终严格按照纳入和排除标准筛选,共纳入76篇文献。结果与结论:①细胞因子在卫星细胞激活中的作用:在骨骼肌损伤后迅速激活卫星细胞,白细胞介素6促进卫星细胞增殖和迁移,从而加速肌肉的修复。肿瘤坏死因子α通过调控细胞凋亡和增殖通路,参与卫星细胞的分化和功能调节。干扰素γ则在炎症反应中发挥重要作用,调控卫星细胞参与肌肉损伤修复的免疫反应。②运动对细胞因子表达的调控作用:耐力运动和抗阻训练能够显著增加血液循环中白细胞介素6和肿瘤坏死因子α水平,进而可能促进卫星细胞的活化,参与骨骼肌再生过程。此外,运动还能增加骨骼肌分泌肌肉特异性蛋白(如肌肉生长抑制素、鸢尾素和胰岛素样生长因子1),这些因子对卫星细胞的增殖和肌肉再生具有重要调控作用。③未来研究的方向与展望:尽管已有研究揭示了多种细胞因子在卫星细胞调控中的关键作用,但相关机制仍需进一步深入探索,未来的研究可以通过整合多组学和生物信息学方法,深入解析不同细胞因子在运动促进骨骼肌损伤修复中的交互作用网络,以优化运动介入策略并提高骨骼肌再生的效率和质量。展开更多
背景:规律的体育运动可以改善免疫功能,促进身体健康。免疫细胞如何通过炎症调节、代谢协同等机制提升运动表现,现有研究尚未形成系统性理论支撑。目的:梳理免疫细胞在肌肉修复、能量代谢与疲劳恢复中的作用,构建“免疫调控-运动表现”...背景:规律的体育运动可以改善免疫功能,促进身体健康。免疫细胞如何通过炎症调节、代谢协同等机制提升运动表现,现有研究尚未形成系统性理论支撑。目的:梳理免疫细胞在肌肉修复、能量代谢与疲劳恢复中的作用,构建“免疫调控-运动表现”的理论框架。方法:检索PubMed、Web of Science、Embase和中国知网等中英文数据库,围绕运动表现与免疫主题进行系统检索,检索日期截至2025-03-01。筛选近年发表的免疫功能调控运动表现的相关研究与综述文献,结合文献主题归纳与机制分析,探讨免疫运动的协同机制。结果与结论:运动训练所引发的应激过程中,免疫细胞借助调控炎症反应促进肌纤维恢复,维持代谢的平稳状态;免疫应答的时序性、组织特异性及其与训练负荷的匹配情况,是影响运动能力提升表现的关键因素;免疫系统在运动适应中不仅承担健康防御职能,而且在调控运动表现上也起到关键作用,未来研究应结合细胞组学、空间转录组与免疫代谢学等技术,为制定免疫调节影响训练干预策略提供依据。展开更多
文摘背景:传统药物治疗骨质疏松虽取得良好的效果,但长期使用常导致产生不良事件。目前运动干预(含中国传统运动)逐渐成为热点,成为骨质疏松防治新的选择。目的:解析中国传统运动(如太极拳、八段锦、五禽戏以及易筋经)在骨质疏松防治中的生物学机制及其相关临床应用进展,探究其多方面改善骨健康的潜在机制及作用。方法:检索Web of Science、PubMed、中国知网、万方数据库及维普期刊数据库,中文检索词为“骨质疏松,中国传统运动,太极拳,八段锦,五禽戏,易筋经,骨密度,骨代谢,血液循环,抗炎,抗氧化,临床应用”。英文检索词为“Osteoporosis,Traditional Chinese Exercises,Tai Chi Chuan,Baduanjin,Wuqinxi,Yijinjing,Bone Mineral Density,Bone Metabolism,Blood Circulation,Anti-inflammatory,Antioxidant,Clinical Application”,最终纳入59篇文献进行综述。结果与结论:中国传统运动通过机械负荷调控骨代谢、改良肠道菌群-骨轴相互效应、提升抗炎与抗氧化作用以及内分泌调控等多元渠道联合效应,显著提升骨密度并缓解骨质流失。临床数据表明,太极拳对绝经后女性腰椎及股骨颈骨密度改良效果尤为显著,八段锦联合药物可显著调控糖代谢与骨转换,五禽戏通过提升关节功能间接抑制骨折风险,易筋经则在性别相关骨密度维持中展露优点。值得关注是,传统运动通过调控免疫细胞(如Th1细胞、调控性T细胞)及氧化应激通路潜在机制,为开发新型运动干预方案提供理论根据。
文摘Background:Insufficient physical activity and prolonged sedentary behavior have emerged as major global public health challenges.Short bouts(≤10 min)of accumulated exercise(SBAE)throughout the day may be a promising strategy to mitigate the adverse effects of prolonged sitting and promote physical activity,ultimately promoting overall health.However,previous ambiguity in defining this concept has resulted in a fragmented and inconsistent evidence base,impeding practical applications,the development of guidelines,and policymaking.The purpose of this study is to establish an operational definition of SBAE by synthesizing systematic reviews and research trials alongside an expert consensus.Additionally,it seeks to evaluate acute and long-term efficacy and feasibility,providing evidence-based recommendations for practice and future research directions.Methods:A literature search was performed across PubMed and Web of Science,followed by systematic screening and summarization of eligible studies based on predefined inclusion criteria.Inclusion criteria encompassed various modes/types of SBAE(bouts lasting≤10 min,performed multiple times daily with≥30 min intervals);both aerobic and resistance exercise were considered.Relevant systematic reviews and research trials were included.Methodological quality,risk of bias,and evidence certainty were assessed.Expert consensus was obtained through a survey to evaluate recommendations and agreement levels on findings.Results:After analyzing 27 systematic reviews,135 research studies,and an expert consensus involving 48 researchers from 11 countries,SBAE is defined as any exercise mode of activity,regardless of intensity,that is accumulated in either continuous or intermittent bouts lasting≤10 min per session(including multiple intermittent sets)that are performed multiple times(≥2 sessions/day)per day,with intervals of≥30 min between bouts or otherwise sufficient time for recovery.When used to interrupt prolonged periods of sedentary time,SBAE mitigates the acute adverse effects of sedentary behavior on more than 10 clinical biomarkers of endocrine,cardiovascular,and brain health/function among adults of diverse ages and conditions.Moreover,SBAE was superior for improving acute glycemic control compared to a single continuous exercise session.As a long-term intervention(average of 11 weeks),SBAE can improve over 20 health outcomes,including peak oxygen uptake,resting blood pressure,and metabolic health.Additionally,SBAE might be more effective than continuous exercise for improving longer-term glycemic control and body composition.Long-term completion rates for SBAE interventions are generally high(95%),with low dropout rates(12%)and high adherence rates even without supervision(85%),and its safety has been preliminarily validated.Conclusion:An operational definition of SBAE is provided along with its classification and acute and long-term efficacy.Practical exercise prescription recommendations and evidence-based strategies for various populations and contexts are provided.Future research should focus on generating high-quality evidence for SBAE in 5 key areas:quantification and monitoring,population-specific responses,optimization of exercise prescriptions,intervention efficacy,and practical implementation.Additionally,addressing policy,environmental,and promotional barriers is crucial for transitioning from expert consensus to public consensus,and for facilitating the application of this strategy in real-world environments.
文摘背景:卫星细胞和骨骼肌再生密切相关,当骨骼肌受到损伤或刺激时,卫星细胞能够迅速被激活并参与骨骼肌的修复过程。卫星细胞受到细胞因子的调控,而且研究表明运动能够促进卫星细胞的增殖和分化,但目前尚不清楚运动是否能够与细胞因子共同作用于卫星细胞促进骨骼肌修复。目的:综述细胞因子和运动对卫星细胞的调控作用,为肌肉疾病的治疗和康复提供新的思路和潜在的干预目标。方法:第一作者和通讯作者于2023-12-01/2024-02-01检索Web of Science、PubMed、中国知网、万方、维普等数据库,检索文献时限为各数据库建库至2024年2月。英文检索词为“skeletal muscle regeneration,satellite cells,cytokines in muscle repair,exercise,muscle stem cells,inflammation and repair”,中文检索词为“骨骼肌,卫星细胞,细胞因子,运动,肌肉再生,肌肉干细胞,炎症和修复”。最终严格按照纳入和排除标准筛选,共纳入76篇文献。结果与结论:①细胞因子在卫星细胞激活中的作用:在骨骼肌损伤后迅速激活卫星细胞,白细胞介素6促进卫星细胞增殖和迁移,从而加速肌肉的修复。肿瘤坏死因子α通过调控细胞凋亡和增殖通路,参与卫星细胞的分化和功能调节。干扰素γ则在炎症反应中发挥重要作用,调控卫星细胞参与肌肉损伤修复的免疫反应。②运动对细胞因子表达的调控作用:耐力运动和抗阻训练能够显著增加血液循环中白细胞介素6和肿瘤坏死因子α水平,进而可能促进卫星细胞的活化,参与骨骼肌再生过程。此外,运动还能增加骨骼肌分泌肌肉特异性蛋白(如肌肉生长抑制素、鸢尾素和胰岛素样生长因子1),这些因子对卫星细胞的增殖和肌肉再生具有重要调控作用。③未来研究的方向与展望:尽管已有研究揭示了多种细胞因子在卫星细胞调控中的关键作用,但相关机制仍需进一步深入探索,未来的研究可以通过整合多组学和生物信息学方法,深入解析不同细胞因子在运动促进骨骼肌损伤修复中的交互作用网络,以优化运动介入策略并提高骨骼肌再生的效率和质量。
文摘背景:规律的体育运动可以改善免疫功能,促进身体健康。免疫细胞如何通过炎症调节、代谢协同等机制提升运动表现,现有研究尚未形成系统性理论支撑。目的:梳理免疫细胞在肌肉修复、能量代谢与疲劳恢复中的作用,构建“免疫调控-运动表现”的理论框架。方法:检索PubMed、Web of Science、Embase和中国知网等中英文数据库,围绕运动表现与免疫主题进行系统检索,检索日期截至2025-03-01。筛选近年发表的免疫功能调控运动表现的相关研究与综述文献,结合文献主题归纳与机制分析,探讨免疫运动的协同机制。结果与结论:运动训练所引发的应激过程中,免疫细胞借助调控炎症反应促进肌纤维恢复,维持代谢的平稳状态;免疫应答的时序性、组织特异性及其与训练负荷的匹配情况,是影响运动能力提升表现的关键因素;免疫系统在运动适应中不仅承担健康防御职能,而且在调控运动表现上也起到关键作用,未来研究应结合细胞组学、空间转录组与免疫代谢学等技术,为制定免疫调节影响训练干预策略提供依据。
