Examiner l'évaluation de la qualité : 8 (strong)
Référence: Vaes AW, Cheung A, Atakhorrami M, Groenen MTJ, Amft O, Franssen FME, Wouters EFM, Spruit MA. (2013). Effect of 'activity monitor-based' counseling on physical activity and health-related outcomes in patients with chronic diseases: A systematic review and meta-analysis. Annals of Medicine, 45(5-6), 397-412.Résumé des données probantes Lien vers PubMed Résumé en langage simple
AIM: This review evaluated the effects of activity monitor-based counseling on physical activity (PA) and generic and disease-specific health-related outcomes in adults with diabetes mellitus type II (DMII), chronic obstructive pulmonary disease (COPD), or chronic heart failure (CHF).
METHODS: Four electronic databases were searched for randomized controlled trials using activity monitor-based counseling versus control intervention or usual care in adults with DMII, COPD, or CHF. Pooled effect sizes were calculated using a random effects model.
RESULTS: Twenty-four articles were included: 21 DMII studies and 3 COPD studies. No CHF studies were identified. Pooled analysis showed that activity monitor-based counseling resulted in a significantly greater improvement in PA compared to control intervention or usual care in DMII. Furthermore, these interventions had a beneficial effect on hemoglobin A1c (HbA1c), systolic blood pressure, and body mass index (BMI) (P < 0.05), whereas no differences were found on diastolic blood pressure, and health-related quality of life. Meta-analysis of COPD studies was not possible due to lack of available data.
CONCLUSION: Activity monitor-based counseling had a beneficial effect on PA, HbA1c, systolic blood pressure, and BMI in patients with DMII. Data in patients with COPD and CHF are limited or non-existing, respectively.
activité physique, adultes (20-59), aînés (60+), diabète, domicile, maladies cardiovasculaires, maladies chroniques, méta-analyse, modification du comportement