摘要
目的 总结膝骨关节炎患者体重管理的最佳证据.方法 检索BMJ Best Practice、UpToDate、Cochrane Library、CINAHL、PubMed、Embase等数据库中关于膝骨关节炎患者体重管理的临床决策、指南、专家共识、系统评价等,检索时限均为建库至2023年3月31日.由2名研究者分别对纳入文献进行质量评价、提取证据及推荐证据级别.结果 共纳入13篇文献,其中指南5篇、专家共识3篇、系统评价5篇,从体重管理原则、体重管理目标、运动管理策略、饮食管理策略和健康教育5个方面总结出30条证据.结论 膝骨关节炎患者体重管理的最佳证据可为医务人员管理膝骨关节炎患者体重提供参考.
Abstract
Objective To summarize the best evidence for weight management in patients with knee osteoarthritis.Methods Clinical decisions,guidelines,expert consensus,and systematic reviews regarding the weight management in patients with knee osteoarthritis were searched in databases such as British Medical Journal(BMJ)Best Practice,UpToDate,Cochrane Library,CINAHL,PubMed,and Embase.The search period was from database establishment to March 31,2023.Two researchers conducted quality evaluations,extracted evidence,and recommended evidence levels for the included literature.Results A total of 13 articles were included,including five guidelines,three expert consensus,and five systematic reviews.Thirty pieces of evidence were summarized from five aspects,namely the principles of weight management,weight management goals,exercise management strategies,dietary management strategies,and health education.Conclusions The best evidence for weight management in patients with knee osteoarthritis can provide a basis for medical staff.
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NSTL
维普
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