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The Role of Technology in Adherence to Physical Activity Programs in Patients with Chronic Diseases Experiencing Fatigue: a Systematic Review

机译:技术在坚持疲劳的慢性疾病患者的体育锻炼计划中的作用:系统评价

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Abstract BackgroundThe beneficial role of physical activity (PA) to manage the health condition of patients with chronic diseases is well known. However, adherence to PA guidelines in this group is still low. Monitoring and user-interface technology could represent a significant tool to increase exercise adherence to those particular groups who experience difficulties in adhering to regular and substantial physical activity, and could be supportive in increasing the success of PA programs and interventions. This systematic review aimed at evaluating the effect of physical activity monitoring technology in improving adherence to a PA program in patients with chronic diseases experiencing fatigue.MethodsThis systematic review was conducted according to PRISMA guidelines. The literature search was performed in Embase, Medline, Biosis, Scopus, and SPORTDiscus. We filtered the literature according to the question: “Does monitoring technology affect adherence to physical activity and exercise programs in patients with chronic diseases perceiving fatigue?”.ResultsThe search resulted in 1790 hits; finally, eight studies were included, with a total number of 205 patients. Study quality was moderate except for one study of high quality. Only three disease types emerged, COPD, HF, and cancer. PA programs were rather short (from 8 to 13 weeks) except for one 3-year-long study. Five studies employed pedometers and two an activity monitor. Three studies based their adherence on steps, the remaining studies focused on active minutes. Adherence was explicitly reported in two studies, and otherwise derived. Four studies showed high adherence levels (85% week-10, 89% week-8, 81% week-13, 105% week-13, 83% average week-1–12) and three low levels (56% week-12, 41% year-2, 14 year-3).ConclusionThe small number of studies identified did not allow to establish whether the use of monitoring technology could improve adherence to PA programs in patients with chronic diseases experiencing fatigue, but the current evidence seems to suggest that this is a field warranting further study, particularly into how monitoring technology can help to engage patients to adhere to PA programs.
机译:摘要背景体育活动(PA)对控制慢性病患者健康状况的有益作用是众所周知的。但是,该组对PA指南的遵守率仍然很低。监测和用户界面技术可能是增加锻炼依从性的重要工具,这些特殊群体在坚持规律和大量的体育锻炼方面遇到困难,并可能有助于提高PA计划和干预措施的成功率。本系统评价旨在评估体育活动监测技术对改善患有疲劳的慢性疾病患者对PA程序的依从性的作用。方法本系统评价是根据PRISMA指南进行的。文献检索在Embase,Medline,Biosis,Scopus和SPORTDiscus中进行。我们根据以下问题对文献进行了过滤:“监测技术是否会影响患有疲劳感的慢性疾病患者对体育锻炼和锻炼计划的坚持?”结果搜索到1790笔结果;最后,纳入八项研究,总计205例患者。除一项高质量研究外,研究质量中等。仅出现了三种疾病类型:COPD,HF和癌症。除一项为期3年的研究外,PA课程相当短(8至13周)。五项研究使用计步器,两项研究活动监测器。其中三项研究基于坚持的步骤,其余研究则关注活动时间。在两项研究中明确报告了依从性,或以其他方式得出。四项研究显示高依从性水平(第10周为85%,第8周为89%,第13周为81%,第13周为105%,在第1-12周平均为83%)和三个较低的依从性(第12周为56%) ,41%的2年级学生,14%的3年级学生。)结论结论所确定的少数研究无法确定使用监测技术是否可以改善患有疲劳的慢性病患者对PA程序的依从性,但目前的证据似乎建议这是一个值得进一步研究的领域,尤其是在监测技术如何帮助患者参与PA计划方面。

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