Effect of Behavior-change Interventions on Daily Physical Activity in Patients with Intermittent Claudication: The OPTIMA Systematic Review with Meta-Analysis.

Autor: Abaraogu UO; Research Centre for Health (ReaCH), School of Health and Life Sciences, Glasgow Caledonian University, Glasgow  UK.; Division of Biological Sciences and Health, School of Health and Life Sciences, University of the West of Scotland, UK.; Department of Medical Rehabilitation, College of Medicine, University of Nigeria, Enugu  Nigeria., Dall P; Research Centre for Health (ReaCH), School of Health and Life Sciences, Glasgow Caledonian University, Glasgow  UK., Seenan C; Research Centre for Health (ReaCH), School of Health and Life Sciences, Glasgow Caledonian University, Glasgow  UK., Rhodes S; Division of Population Health, Health Services Research & Primary Care University of Manchester., Gorely T; Department of Nursing and Midwifery, University of the Highlands and Islands, Inverness  UK., McParland J; Research Centre for Health (ReaCH), School of Health and Life Sciences, Glasgow Caledonian University, Glasgow  UK., Brittenden J; Institute of Cardiovascular Research, University of Glasgow, Glasgow  UK., Anieto EM; Research Centre for Health (ReaCH), School of Health and Life Sciences, Glasgow Caledonian University, Glasgow  UK.; School of Allied Health Sciences, University of Suffolk, Ipswich, UK., Booth L; Research Centre for Health (ReaCH), School of Health and Life Sciences, Glasgow Caledonian University, Glasgow  UK., Gormal C; Patient and Public Involvement Representative., Dearling J; Patient and Public Involvement Representative., Fenton C; Nessie Evidence Synthesis, University of Edinburgh, Edinburgh  UK., Audsley S; Sport, Exercise and Rehabilitation, Northumbria University., Fairer K; Allied Health Professions Research and Innovation Unit, Oxford University Hospitals NHS Foundation Trust, Oxford  UK.; Croydon University Hospital, Croydon Health Services NHS Trust, London  UK., Bearne L; Population Health Research Institute St George's School of Health and Medical Sciences, City St George's, University of London., Skelton DA; Research Centre for Health (ReaCH), School of Health and Life Sciences, Glasgow Caledonian University, Glasgow  UK.
Jazyk: angličtina
Zdroj: European journal of preventive cardiology [Eur J Prev Cardiol] 2024 Sep 12. Date of Electronic Publication: 2024 Sep 12.
DOI: 10.1093/eurjpc/zwae296
Abstrakt: Aims: The study aimed to synthesize evidence of daily physical activity (PA) following Behavior-change technique (BCT)-based interventions compared to any control in individuals with peripheral arterial disease/intermittent claudication (PAD/IC); and examine the relationship between BCTs and daily PA.
Methods: Systematic search of 11 databases from inception to 30/11/2022 was conducted, plus weekly email alerts of new literature until 31/8/2023. Studies comparing BCT-based interventions with any control were included. Primary analysis involved a pairwise random-effects meta-analysis. Risk of bias was assessed using the Cochrane-RoB-2 and ROBINS-I tools. Certainty of evidence was evaluated with the GRADE system. The Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guideline was followed. Outcome measures were short-term (<6 months) change in daily PA, and maintenance of the daily PA (6 months or longer) reported as standardized mean differences (SMDs) with 95% confidence intervals (95%CIs).
Results: Forty-one studies (4,339 patients; 26 RCTs/3,357 patients; 15 non-RCTs/982 patients; study mean age 60.3 to 73.8, 29.5% female) were included. Eleven RCTs (15 comparisons, 952 participants) suggested that BCT-based interventions increased daily PA in the short term compared to non-SET [increase of 0.20 SMD (95%CI: 0.07 to 0.33), ∼473 steps/day] with high certainty. Evidence of maintenance of daily PA (≥6 months) is unclear [increase of 0.12 SMD (95%CI: -0.04 to 0.29); ∼288 steps/day; 6RCTs, 8 comparisons, 899 participants], with moderate certainty. For daily PA, compared to SET it was inconclusive both for < 6months change [-0.13 SMD, 95%CI: -0.43 to 0.16); 3RCTs, 269 participants; low certainty] and ≥6months [-0.04 SMD, 95%CI: -0.55 to 0.47); 1 RCT, 89 participants; very low certainty]. It was unclear whether the number of BCTs or any BCT domain were independently related to an increase in PA.
Conclusion: BCT-based interventions improve short-term daily PA in people with PAD/IC compared to non-SET controls. Evidence for maintenance of the improved PA at 6 months or longer and comparison with SET is uncertain. BCT-based interventions are effective choices for enhancing daily PA in PAD/IC.
(© The Author(s) 2024. Published by Oxford University Press on behalf of the European Society of Cardiology.)
Databáze: MEDLINE
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