Exercise in People With Comorbidity or Multimorbidity
Exercise in People With Comorbidity or Multimorbidity
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DOI：
10.1037/hea0000750
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发表时间：
2019-09-01
影响因子：
4.2
通讯作者：
van der Leeden, Marike
中科院分区：
文献类型：
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作者：
Dekker, Joost;Buurman, Bianca M.;van der Leeden, Marike
目标：运动可以有效地产生多种有益的健康结果。为了确保安全有效的锻炼，我们为看似健康的人和患有单一疾病的人制定了指南。不幸的是，对于除了指标疾病之外还患有合并症的人或患有多种疾病的人，还没有类似的指导。然而，研究人员最近开始探索运动在合并症或多病患者中的应用，这些创新的运动应用产生了令人鼓舞的结果：运动被证明是安全有效的。本文的目的是确定患有合并症或多病患者锻炼的基本原则。方法：我们对运动在合并症或多病患者中的应用进行了叙述性回顾。结果：患有合并症或多病的人的运动原则似乎包括（a）对健康状况进行严格评估，（b）根据合并症或多病进行运动调整，（c）将行为改变技术应用并整合到运动计划中，以及（d）支持卫生专业人员应用运动的临床推理。结论：我们认为这 4 项原则为成功制定针对合并症或多病患者的运动指导提供了框架。
Objective: Exercise is effective in producing a wide range of beneficial health outcomes. To ensure safe and effective exercise, guidance has been developed for seemingly healthy people and for people with a single disease. Unfortunately, similar guidance is not yet available for people with comorbidity in addition to the index disease or for people with multimorbidity. However, researchers have recently started to explore the application of exercise in people with comorbidity or multimorbidity, and these innovative applications of exercise have produced encouraging results: Exercise was shown to be safe and effective. The objective of the present article is to identify the underlying principles of exercise in people with comorbidity or multimorbidity. Method: We perform a narrative review of applications of exercise in people with comorbidity or multimorbidity. Results: Principles of exercise in people with comorbidity or multimorbidity appear to include (a) a rigorous assessment of health status, (b) the adaptation of exercise to comorbidity or multimorbidity, (c) the application and integration of behavior change techniques into the exercise plan, and (d) clinical reasoning to support the application of exercise by health professionals. Conclusions: We posit that these 4 principles provide a framework for the successful development of exercise guidance for people with comorbidity or multimorbidity.