体育运动改善原发性高血压的系统评价再评价

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Physical exercise improving essential hypertension：a re-evaluation of systematic review

YAN Yibo，HE FeiThe Second Clinical Medical College of Anhui Medical University，Anhui 230601 China Corresponding Author HE Fei

Abstract Objective：To evaluate the methodological quality and the evidence quality of the conclusions of systematic reviews on the effect of physical exercise on the improvement of blood pressure in patients with essential hypertension.Methods：Systematic reviews related to physical exercise in patients with essential hypertension were retrieved from the Cochrane Library，EMbase，CINAHL，PubMed，Web of Science，WanFang Database，China National Knowledge Infrastructure （CNKI），and VIP Database，from the establishment of the database to March 1，2022. Two researchers used the same search strategy to independently screen literature and extract data according to the established inclusion and exclusion criteria. The PRISMA statement was used to evaluate the literature quality report of the included systematic reviews，and the R-AMSTAR evaluation checklist and GRADE grading tool were used to evaluate the methodological quality and evidence quality level of the included studies.Results：A total of 16 meta-analyses were included in this study. According to the evaluation results of the PRISMA statement，the reporting quality of the 16 meta-analyses was all good. The R-AMSTAR evaluation results showed that the included literature′s methodological quality was high. GRADE evidence quality evaluation showed that the quality of evidence for 5 outcome indicators was high，17 was intermediate，18 was low，and 4 was extrmely low.Conclusions：The existing research results show that there is moderate quality evidence-based medical evidence to support the improvement of essential hypertension by physical exercise，but the methodological quality and evidence level of related systematic reviews or Meta-analyses are not high，and more high-quality clinical trial research could be carried out in the future to further confirm the conclusion.

Keywords physical exercise;essential hypertension;systematic review;re-evaluation;evidence-based nursing

摘要 目的：评价体育运动对原发性高血压病人血压改善效果相关系统评价的方法学质量及其结论的证据质量。（剩余12059字）