代谢综合征患者饮食和运动管理方案最佳证据总结  

Summary of the best evidence of diet and physical activity management in patients with metabolic syndrome

作　　者：陈丹丹 张慧[2] 邵静 汤磊雯[1] 吴静洁 叶志弘[1,3] CHEN Dandan;ZHANG Hui;SHAO Jing;TANG Leiwen;WU Jingjie;YE Zhihong(Nursing Department,Sir Run Run Shaw Hospital,Zhejiang University School of Medicine,Hangzhou 310016,China;Department of Cardiology,Guizhou Provincial People’s Hospital,Guiyang 550002,China;Institute of Nursing Research,Zhejiang University School of Medicine,Hangzhou 310058,China)

机构地区：[1]浙江大学医学院附属邵逸夫医院护理部,浙江杭州310016 [2]贵州省人民医院心血管内科,贵州贵阳550002 [3]浙江大学医学院护理学研究所,浙江杭州310058

出　　处：《浙江大学学报（医学版）》2022年第1期27-37,共11页Journal of Zhejiang University(Medical Sciences)

基　　金：浙江省医药卫生科技计划(WKJ-ZJ-1925);国家社会科学基金(20BGL275)。

摘　　要：目的:评价并总结代谢综合征患者饮食和运动管理的相关证据,为临床开展代谢综合征患者的饮食和运动管理提供循证依据。方法:系统检索BMJ Best Practice、UpToDate、澳大利亚乔安娜布里格斯研究所(JBI)循证卫生保健中心数据库、美国医疗保健研究与质量局(AHRQ)网站、英国国家医疗保健优化研究所(NICE)网站、苏格兰学院指南网(SIGN)、国际指南协作网(GIN)、中国医脉通指南网、加拿大安大略注册护士协会(RNAO)网站、美国糖尿病协会(ADA)网站、新西兰指南协作组(NZGG)网站、加拿大医学会临床实践指南网站、PubMed、EmBase、Web of Science、CINAHL、Cochrane Library、中国知网、中文科技期刊数据库、万方数据知识服务平台和中国生物医学文献数据库以获取与代谢综合征患者饮食和运动相关的证据,包括指南、证据总结、专家共识、最佳实践信息册、临床决策、推荐实践、系统评价等。检索时限为建库至2021年11月。由2名具有循证医学背景的研究人员对所纳入的文献进行质量评价及证据级别评定。结果:共纳入36篇文献,包括3篇指南、5篇专家共识、1篇临床决策和27篇系统评价。总结了49条与代谢综合征患者饮食和运动相关的证据,包括饮食目标、饮食模式、饮食时间、碳水化合物摄入、脂肪摄入、纤维摄入、盐摄入、果蔬和谷物摄入、咖啡摄入、饮食效果、运动原则、运动强度/形式/时间、运动效果、代谢综合征合并心血管疾病患者的运动处方、饮食和运动联合效果等15个方面。结论:饮食和运动管理方案可以有效改善代谢综合征患者的健康结局,医护人员应结合临床情境、患者偏好有针对性地选择并采用最佳证据。Objective:To evaluate and summarize the evidence of diet and physicalactivity management in patients with metabolic syndrome(MS).Methods:BMJ BestPractice,Up To Date,Joanna Briggs Institute(JBI) database,Agency for HealthcareResearch and Quality(AHRQ) network,National Institute for Health and ClinicalExcellence(NICE) network,Scottish Intercollegiate Guidelines Network(SIGN),Guidelines International Network(GIN),Medlive,Registered Nurses’ Association of Ontario(RNAO) network,American Diabetes Association(ADA) network,New Zealand GuidelineGroup(NZGG) network,Canadian medical association clinical practice guidelinesnetwork,Pub Med,Em Base,Web of Science,CINAHL,Cochrane Library,CNKI,ChinaScience and Technology Journal Database,Wanfang Knowledge Data Service Platformand Chinese biomedical database were searched systematically to obtain guidelines,evidence summary,expert consensus,best practice information book,clinical decisionmaking,recommended practice,and systematic review on diet and physical activitymanagement in patients with MS.The retrieval period is from the establishment ofdatabase to November 2021.Two researchers with evidence-based medicine backgroundevaluated the quality and evidence level of the included literature.Results:A total of 36 articles met the criteria,including 3 guidelines,5 expert consensus,1 clinical decisionand 27 systematic reviews.We summarized 49 pieces of evidence related to diet andphysical activity in patients with MS,involving 15 aspects,namely diet goals,dietpatterns,diet time,carbohydrate intake,fat intake,fiber intake,salt intake,fruits,vegetables and grains intake,coffee intake,effects of diet,principle of physical activity,intensity,form,time of physical activity,effects of physical activity,physical activityprescription of patients with MS and cardiovascular disease,and the joint effects of dietand physical activity.Conclusions:Diet and physical activity management can effectivelyimprove the health outcomes of patients with MS.Health professionals should choose andapply the b

关 键 词：代谢综合征 饮食 运动 循证护理学 证据总结 

分 类 号：R589[医药卫生—内分泌]