109906
论文已发表
注册即可获取德孚的最新动态
IF 收录期刊
- 3.4 Breast Cancer (Dove Med Press)
- 3.2 Clin Epidemiol
- 2.6 Cancer Manag Res
- 2.9 Infect Drug Resist
- 3.7 Clin Interv Aging
- 5.1 Drug Des Dev Ther
- 3.1 Int J Chronic Obstr
- 6.6 Int J Nanomed
- 2.6 Int J Women's Health
- 2.9 Neuropsych Dis Treat
- 2.8 OncoTargets Ther
- 2.0 Patient Prefer Adher
- 2.2 Ther Clin Risk Manag
- 2.5 J Pain Res
- 3.0 Diabet Metab Synd Ob
- 3.2 Psychol Res Behav Ma
- 3.4 Nat Sci Sleep
- 1.8 Pharmgenomics Pers Med
- 2.0 Risk Manag Healthc Policy
- 4.1 J Inflamm Res
- 2.0 Int J Gen Med
- 3.4 J Hepatocell Carcinoma
- 3.0 J Asthma Allergy
- 2.2 Clin Cosmet Investig Dermatol
- 2.4 J Multidiscip Healthc
已发表论文
慢性阻塞性肺疾病患者远程运动干预对身体活动量及生活质量改善的有效性比较：一项系统综述与网络荟萃分析
Authors Tang H, Shen H, Chen G, Luo X, Wu Q, Liu Y
Received 17 July 2025
Accepted for publication 28 October 2025
Published 8 November 2025 Volume 2025:20 Pages 3607—3629
DOI https://doi.org/10.2147/COPD.S552283
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Jill Ohar
Huan Tang,* Huapeng Shen,* Guihua Chen, Xiaoqing Luo, Qian Wu, Yiqun Liu
Department of Respiratory and Critical Care Medicine, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400010, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Guihua Chen; Xiaoqing Luo, Department of Respiratory and Critical Care Medicine, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400010, People’s Republic of China, Email 300278@hospital.cqmu.edu.cn; 79534846@qq.com
Background: Remote technology is recommended for exercise management in chronic obstructive pulmonary disease (COPD) patients to enhance health and exercise function. Despite numerous studies, the optimal combination of remote technologies and auxiliary interventions remains unclear.
Objective: Evaluate which remote exercise interventions and their additional behavioral support measures are most effective in improving exercise function, exercise behavior, and healthy quality of life in COPD patients.
Methods: A systematic review using a network meta-analysis (NMA) of randomized controlled trials (RCTs). We searched PubMed, the Cochrane Central Register of Controlled Trials, Web of Science, EMBASE, CINAHL, and Medline from their inception to December 31, 2024. RCTs evaluating remote exercise interventions were included. The NMA was performed using STATA software.
Results: Twenty-nine RCTs were included (3,234 participants). Remote device & Exercise was superior in improving 6-minute walking distance (6MWD, SMD 0.51, 95% CI 0.10− 0.93, SUCRA 81.8%) compared to usual care, traditional face-to-face rehabilitation, and other remote exercise intervention types; Online self-management & Exercise was superior in facilitating daily activity time (SMD 0.48, 95% CI 0.08− 0.88, SUCRA 90.1%); Application & Exercise significantly improved healthy quality of life (Negative scale, SMD -0.67, 95%CI-1.05−-0.29, SUCRA 81.1%); increased behavioral aids had an integrative effect with the remote exercise intervention, Motivation & Feedback + Health education significantly improved exercise function and quality of life; Motivational interviewing + Goal setting + Activity monitor/Pedometer + Health education significantly promoted exercise behavior. On average, the quality of evidence ranged from low to very low.
Conclusion: This review found evidence that remote exercise series of interventions is superior in improving outcomes such as exercise function, promoting exercise behavior and enhancing healthy quality of life in patients with COPD. Additional behavioral aids had an integrative effect on outcome improvement.
Plain Language Summary: Clinical guidelines recommend remote technology for home-based COPD exercise rehabilitation to overcome constraints, yet evidence supporting specific remote exercise interventions remains limited. This review found:Remote device & Exercise was the most effective remote-exercise intervention to improve exercise function.Online self-management & Exercise, Application & Exercise and Telephone & Exercise were the most effective in improving exercise behaviour and quality of life, respectively.The effectiveness of the remote-exercise interventions utilised a limited range of behaviour change interventions.
Keywords: chronic obstructive pulmonary disease, remote exercise, physical activity, network meta-analysis
Department of Respiratory and Critical Care Medicine, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400010, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Guihua Chen; Xiaoqing Luo, Department of Respiratory and Critical Care Medicine, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400010, People’s Republic of China, Email 300278@hospital.cqmu.edu.cn; 79534846@qq.com
Background: Remote technology is recommended for exercise management in chronic obstructive pulmonary disease (COPD) patients to enhance health and exercise function. Despite numerous studies, the optimal combination of remote technologies and auxiliary interventions remains unclear.
Objective: Evaluate which remote exercise interventions and their additional behavioral support measures are most effective in improving exercise function, exercise behavior, and healthy quality of life in COPD patients.
Methods: A systematic review using a network meta-analysis (NMA) of randomized controlled trials (RCTs). We searched PubMed, the Cochrane Central Register of Controlled Trials, Web of Science, EMBASE, CINAHL, and Medline from their inception to December 31, 2024. RCTs evaluating remote exercise interventions were included. The NMA was performed using STATA software.
Results: Twenty-nine RCTs were included (3,234 participants). Remote device & Exercise was superior in improving 6-minute walking distance (6MWD, SMD 0.51, 95% CI 0.10− 0.93, SUCRA 81.8%) compared to usual care, traditional face-to-face rehabilitation, and other remote exercise intervention types; Online self-management & Exercise was superior in facilitating daily activity time (SMD 0.48, 95% CI 0.08− 0.88, SUCRA 90.1%); Application & Exercise significantly improved healthy quality of life (Negative scale, SMD -0.67, 95%CI-1.05−-0.29, SUCRA 81.1%); increased behavioral aids had an integrative effect with the remote exercise intervention, Motivation & Feedback + Health education significantly improved exercise function and quality of life; Motivational interviewing + Goal setting + Activity monitor/Pedometer + Health education significantly promoted exercise behavior. On average, the quality of evidence ranged from low to very low.
Conclusion: This review found evidence that remote exercise series of interventions is superior in improving outcomes such as exercise function, promoting exercise behavior and enhancing healthy quality of life in patients with COPD. Additional behavioral aids had an integrative effect on outcome improvement.
Plain Language Summary: Clinical guidelines recommend remote technology for home-based COPD exercise rehabilitation to overcome constraints, yet evidence supporting specific remote exercise interventions remains limited. This review found:Remote device & Exercise was the most effective remote-exercise intervention to improve exercise function.Online self-management & Exercise, Application & Exercise and Telephone & Exercise were the most effective in improving exercise behaviour and quality of life, respectively.The effectiveness of the remote-exercise interventions utilised a limited range of behaviour change interventions.
Keywords: chronic obstructive pulmonary disease, remote exercise, physical activity, network meta-analysis