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首页> 外文期刊>Arthritis care & research >Use of Wearable Activity Trackers to Improve Physical Activity Behavior in Patients With Rheumatic and Musculoskeletal Diseases: A Systematic Review and Meta‐Analysis
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Use of Wearable Activity Trackers to Improve Physical Activity Behavior in Patients With Rheumatic and Musculoskeletal Diseases: A Systematic Review and Meta‐Analysis

机译：使用可穿戴活动跟踪器来改善风湿症和肌肉骨骼疾病患者的身体活动行为：系统评价和荟萃分析

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摘要

Objective Wearable activity trackers (WATs) could be a promising strategy to improve physical activity in patients with rheumatic and musculoskeletal diseases (RMDs). The aim was to assess the adherence to and effectiveness of WATs to increase physical activity levels in patients with RMDs. Methods A systematic review was performed to identify all cohorts and controlled trials evaluating WATs in patients with RMDs, published between 2000 and 2018, by searching Medline, Embase, PsycINFO, and Cochrane. Data collected pertained to adherence, effectiveness on physical activity, or effectiveness on symptoms (pain, function, quality of life, or fatigue). Meta‐analyses were performed with a random effects model. Results Of 2,806 references, 17 studies were included, with a total of 1,588 patients: 8 studies (47%) in osteoarthritis, 5 (29%) in low‐back pain, and 3 (18%) in inflammatory arthritis. Adherence assessed in 4 studies was high (weighted mean ± SD time worn was 92.7% ± 4.6%). A significant increase in physical activity was noted (mean difference 1,520 steps [95% confidence interval (95% CI) 580, 2,460], I2 = 77%; or 16 minutes [95% CI 2, 29] of moderate‐to‐vigorous physical activity, I2 = 0%). A significant increase in pain was found for long interventions (8 weeks) (standardized mean difference 0.25 [95% CI 0.07, 0.43], I2 = 0%). Conclusion WATs in patients with RMDs had a high short‐term adherence, with a significant increase in the number of steps and time spent in moderate‐to‐vigorous physical activity, although pain should be monitored. WATs may be an effective option to increase physical activity in this at‐risk population.
机译：客观可穿戴活动跟踪器（WATS）可能是提高风湿性和肌肉骨骼疾病（RMDS）患者身体活动的有希望的策略。目的是评估WAT的依从性和有效性，以增加RMD患者的身体活性水平。方法通过搜索Medline，Embase，Psycinfo和Cochrane，进行系统审查，以识别评估RMDS患者患者患者的所有群组和受控试验，从2000年至2018年之间发表。收集的数据有关依从性，身体活动的有效性，或对症状的有效性（疼痛，功能，生活质量或疲劳）。用随机效应模型进行META分析。结果2,806参考文献，其中17项研究，共有1,588名患者：8例研究（47％）在骨关节炎，炎症性关节炎的低背部疼痛中的5（29％），3（18％）。在4项研究中评估的依从性高（加权平均值±SD时间磨损92.7％±4.6％）。注意到物理活性的显着增加（平均差异1,520步[95％置信区间（95％CI）580,2,460]，I2 = 77％;或16分钟[95％CI 2,29]中等剧烈身体活动，I2 = 0％）。发现疼痛疼痛显着增加（＆ 8周）（标准化平均差0.25 [95％CI 0.07,0.43]，I2 = 0％）。结论RMD患者的粘附性高依从性高，在中度至剧烈的身体活动中花费的步骤和时间的数量显着增加，尽管应监测疼痛。 Wats可能是在这种风险群体中提高身体活动的有效选择。

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