Summary of the best evidence for exercise management in patients with inflammatory bowel disease
Objective To systematically search,select,and synthesize relevant evidence on exercise management in patients with inflammatory bowel disease(IBD).Methods All the evidence on exercise management in IBD patients were systematically searched in the domestic and foreign databases,guideline websites,and websites of relevant pro-fessional societies,including thematic evidence collection,clinical guidelines,evidence summary,systematic evalua-tion,and expert consensus.The search period was from inception of the database to 21 March 2023.The literature quality evaluation was completed by 4 researchers with evidence-based training,and the evidence was extracted by 2 researchers according to the theme and exercise prescription principles,and the relevant evidence was examined by the rehabilitation medicine exercise prescriber,and the evidence was integrated through 2 rounds of expert argumen-tation.Results A total of 15 articles were included,including 1 thematic evidence summary,2 guidelines,8 systemat-ic reviews,and 4 expert consensuses.A total of 25 pieces of evidence were collected from 7 dimensions,including multidisciplinary management,pre-exercise assessment,informed consent,exercise principles,exercise prescription,exercise guidance and support,and exercise supervision.Conclusion The best evidence on exercise management in IBD patients is synthesized in this study so as to aid clinical decision-making.Medical institutions should set up a multidisciplinary IBD team,patient-centered,weigh the benefits and risks of different types of exercise training based on evidence,formulate the most suitable exercise plan for IBD patients,and adopt multiple promotion strate-gies to improve patients'exercise compliance to improve patient prognosis.
inflammatory bowel diseasecrohn's diseaseulcerative colitisexercise managementsum-mary of evidenceevidence-based nursing
万方数据
维普
