Dropout From Exercise Interventions in Adults With Knee or Hip Osteoarthritis: A Systematic Review and Meta-analysis.

Autor:	Vancampfort D; Department of Rehabilitation Sciences, KU Leuven, Leuven, Belgium; University Psychiatric Centre KU Leuven, Kortenberg - Leuven, Belgium. Electronic address: Davy.Vancampfort@kuleuven.be., Van Damme T; Department of Rehabilitation Sciences, KU Leuven, Leuven, Belgium; University Psychiatric Centre KU Leuven, Kortenberg - Leuven, Belgium., McGrath RL; Department of Rural Health, The University of Melbourne, Shepparton, Australia; School of Allied Health, Exercise and Sports Sciences, Charles Sturt University, Albury, Australia; Allied Health Education and Research Unit, Goulburn Valley Health, Shepparton, Australia., Hemmings L; University of Birmingham, School of Sport, Exercise and Rehabilitation Sciences, Birmingham, UK., Gillis V; University Hospital Gasthuisberg, Leuven, Belgium., Bernar K; University Hospital Pellenberg, Pellenberg, Belgium., Bitencourt E; Department of Sports Methods and Techniques, Federal University of Santa Maria, Santa Maria, Brazil., Schuch F; Department of Sports Methods and Techniques, Federal University of Santa Maria, Santa Maria, Brazil; Faculty of Health Sciences, Universidad Autónoma de Chile, Providencia, Chile.
Jazyk:	angličtina
Zdroj:	Archives of physical medicine and rehabilitation [Arch Phys Med Rehabil] 2024 Mar 12. Date of Electronic Publication: 2024 Mar 12.
DOI:	10.1016/j.apmr.2024.02.735
Abstrakt:	Objective: To investigate the prevalence and moderators of dropout rates among adults with knee or hip osteoarthritis participating in exercise randomized controlled trials (RCTs). Data Sources: Two authors searched Embase, CINAHL, PsycARTICLES, and PubMed up to 01/09/2023. Study Selection: We included RCTs of exercise interventions in people with knee or hip osteoarthritis that reported dropout rates. Data Extraction: Dropout rates from exercise and control conditions and exerciser/participant, provider, and design/implementation related moderators. Data Synthesis: In total, 209 RCTs involving 277 exercise arms in 13,102 participants were included (mean age at study level=64 years; median prevalence of men participants=26.8%). The trim-and-fill-adjusted prevalence of dropout across all RCTs was 17.5% (95% CI=16.7%-18.2%), which is comparable with dropout observed in control conditions (trim-and-fill-adjusted odds ratio=0.89; 95% CI=0.71-1.12, P=.37). Higher prevalence of antidepressant use at study-level predicted higher dropout (R 2 =0.75, P=.002, N RCTs=6, n exercisers=412). Supervision by an exercise professional was associated with lower dropout rates, with a trim-and-fill-adjusted rate of 13.2% (95% CI=11.7%-14.9%) compared with 20.8% without supervision (95% CI=18.3%-23.5%) (P<.001). Conclusions: Dropout rates for exercise in RCTs are comparable with control conditions, suggesting that exercise is a generally well-accepted intervention. However, interventions should be supervised by an exercise professional, such as a physiotherapist or exercise physiologist, to further minimize the risk of dropout. Health professionals should consider participants' use of antidepressants as a risk factor for dropout from exercise. (Copyright © 2024 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu