Evidence-based scientific exercise guidelines for adults with spinal cord injury: an update and a new guideline
Evidence-based scientific exercise guidelines for adults with spinal cord injury: an update and a new guideline
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DOI：
10.1038/s41393-017-0017-3
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发表时间：
2018-04-01
期刊：
影响因子：
2.2
通讯作者：
Goosey-Tolfrey, Victoria L.
中科院分区：
文献类型：
--
作者：
Ginis, Kathleen A. Martin;van der Scheer, Jan W.;Goosey-Tolfrey, Victoria L.
目的描述使用新的证据基础来制定科学指南的过程和结果，该指南规定了改善脊髓损伤（SCI）成人健身和心脏代谢健康所需的运动类型和最小剂量。（B）对有关文献进行系统的审查;（c）举行三次协商一致小组会议（欧洲、加拿大和国际），以制定准则;（d）获得利益攸关方的反馈;（e）由AGREE II顾问进行过程评价。利益相关者积极参与步骤（c）和（d）。结果对于心肺功能和肌肉力量的好处，SCI的成年人应该每周2次进行至少20分钟的中度到剧烈强度的有氧运动，并为每个主要功能肌肉群进行3组强度运动，每周2次（强烈建议）。对于心脏代谢健康的好处，成年人SCI建议从事至少30分钟的中度到剧烈强度的有氧运动每周3次（有条件的建议）。结论通过一个系统的，严格的，参与性的过程，涉及国际科学家和利益相关者，一个新的运动指南制定了心脏代谢健康的好处。先前发表的SCI指南被认可为实现健身益处。这些指南代表了SCI成年人运动指南国际协调的重要一步，也是为世界各地SCI患者制定运动政策和计划的基础。
Objectives To describe the process and outcomes of using a new evidence base to develop scientific guidelines that specify the type and minimum dose of exercise necessary to improve fitness and cardiometabolic health in adults with spinal cord injury (SCI).Setting International.Methods Using Appraisal of Guidelines, Research and Evaluation (AGREE) II reporting criteria, steps included (a) determining the guidelines' scope; (b) conducting a systematic review of relevant literature; (c) holding three consensus panel meetings (European, Canadian and International) to formulate the guidelines; (d) obtaining stakeholder feedback; and (e) process evaluation by an AGREE II consultant. Stakeholders were actively involved in steps (c) and (d).Results For cardiorespiratory fitness and muscle strength benefits, adults with a SCI should engage in at least 20 min of moderate to vigorous intensity aerobic exercise 2 times per week AND 3 sets of strength exercises for each major functioning muscle group, at a moderate to vigorous intensity, 2 times per week (strong recommendation). For cardiometabolic health benefits, adults with a SCI are suggested to engage in at least 30 min of moderate to vigorous intensity aerobic exercise 3 times per week (conditional recommendation).Conclusions Through a systematic, rigorous, and participatory process involving international scientists and stakeholders, a new exercise guideline was formulated for cardiometabolic health benefits. A previously published SCI guideline was endorsed for achieving fitness benefits. These guidelines represent an important step toward international harmonization of exercise guidelines for adults with SCI, and a foundation for developing exercise policies and programs for people with SCI around the world.