Objectively measured physical activity levels and adherence to physical activity guidelines in people with multimorbidity-A systematic review and meta-analysis

被引：14

作者：

Jorgensen, Lars Bo ^{[1
,2
,3
]}

Bricca, Alessio ^{[1
,3
]}

Bernhardt, Anna ^{[1
]}

Juhl, Carsten B. ^{[3
]}

Tang, Lars Hermann ^{[1
,4
]}

Mortensen, Sofie Rath ^{[1
,5
]}

Eriksen, Jonas Ahler ^{[1
]}

Walloe, Sisse ^{[1
,6
]}

Skou, Soren T. ^{[1
,3
]}

机构：

[1] Naestved Slagelse Ringsted Hosp, Dept Physiotherapy & Occupat Therapy, Res Unit PROgrez, Slagelse, Denmark

[2] Zealand Univ Hosp, Dept Physiotherapy & Occupat Therapy, Roskilde, Zealand, Denmark

[3] Univ Southern Denmark, Dept Sports Sci & Clin Biomech, Res Unit Musculoskeletal Funct & Physiotherapy, Odense, Denmark

[4] Univ Southern Denmark, Dept Reg Hlth Res, Odense, Denmark

[5] Univ Southern Denmark, Dept Sports Sci & Clin Biomech, Res Unit Exercise Epidemiol, Odense, Denmark

[6] Univ Southern Denmark, Dept Clin Res, Res Unit OPEN, Odense, Denmark

来源：

PLOS ONE | 2022年 / 17卷 / 10期

基金：

欧洲研究理事会;

关键词：

HEART-FAILURE PATIENTS; RANDOMIZED-TRIAL; HEALTH-CARE; DEPRESSION; EXERCISE; BEHAVIOR; OUTCOMES; WALKING;

D O I：

10.1371/journal.pone.0274846

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

Objective To determine levels of objectively measured physical activity (PA) and the proportion of adults with multimorbidity that adheres to PA guidelines. Methods All studies, where PA was measured at baseline using an activity monitor in an adult (>= 18 years) multimorbid (>= 80% of the population had >= 2 chronic conditions) population. A systematic literature search was performed in Medline, EMBASE, CINAHL, CENTRAL, ClinicalTrials.gov, opengrey.eu and google.com from inception up until 18th of January 2022. Risk of bias was assessed with a modified version of the Quality Assessment Tool for Quantitative Studies. A random-effects meta-analyses was performed to estimate daily minutes of sedentary behavior (SB), light PA (LPA), moderate PA (MPA), moderate to vigorous PA (MVPA) and steps. Proportions adhering to PA guidelines was narratively synthesized. Certainty of evidence was determined using The Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. Results Fifteen studies (2,172 participants) were included. The most frequent combination of conditions were type 2 diabetes and hypertension (six studies). Participants spent a daily average of 500.5 (95% CI: 407.1 to 593.9) minutes in SB, 325.6 (95% CI: 246.4 to 404.7 minutes in LPA and 32.7 (95% CI: 20.2 to 45.3) minutes in MVPA. The mean daily number of steps was 5,145 (95% CI: 4264 to 6026) for people in free-living conditions. The proportion adhering to PA guidelines ranged widely (7.4% to 43%). All studies were rated as at high risk of bias and the certainty of evidence was very low. Conclusions PA levels and adherence varied from low to above guideline recommended levels for adults with chronic conditions, depending on PA intensity. The very low certainty of evidence calls for high quality studies focusing on detailed descriptions of PA behavior in people with multimorbidity.

引用

页数：22