Affordable Access

Access to the full text

Adding exercise to usual care in patients with hypertension, type 2 diabetes mellitus and/or cardiovascular disease: a protocol for a systematic review with meta-analysis and trial sequential analysis

Authors
  • Rijal, Anupa1, 2
  • Nielsen, Emil Eik1, 2
  • Hemmingsen, Bianca3
  • Neupane, Dinesh4
  • Gæde, Peter Haulund5
  • Olsen, Michael Hecht1, 2, 2
  • Jakobsen, Janus Christian1, 2, 6
  • 1 Holbæk Hospital, Holbæk, Denmark , Holbæk (Denmark)
  • 2 University of Southern Denmark, Odense, Denmark , Odense (Denmark)
  • 3 Nordsjællands Hospital, Hillerød, Denmark , Hillerød (Denmark)
  • 4 Johns Hopkins University, Baltimore, USA , Baltimore (United States)
  • 5 Næstved-Slagelse-Ringsted (NSR) Hospital, Slagelse, Denmark , Slagelse (Denmark)
  • 6 Rigshospitalet, Copenhagen, Denmark , Copenhagen (Denmark)
Type
Published Article
Journal
Systematic Reviews
Publisher
BioMed Central
Publication Date
Dec 17, 2019
Volume
8
Issue
1
Identifiers
DOI: 10.1186/s13643-019-1233-z
Source
Springer Nature
Keywords
License
Green

Abstract

BackgroundHypertension, type 2 diabetes mellitus and cardiovascular disease are among the leading causes of mortality globally. Exercise is one of the commonly recommended interventions/preventions for hypertension, type 2 diabetes mellitus and cardiovascular disease. However, the previous reviews have shown conflicting evidence on the effects of exercise. Our objective is to assess the beneficial and harmful effects of adding exercise to usual care for people with hypertension, type 2 diabetes mellitus and/or cardiovascular disease.MethodsThis protocol for a systematic review was undertaken using the recommendations of The Cochrane Collaboration, the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA-P) and the eight-step assessment procedure suggested by Jakobsen et al. We plan to include all relevant randomised clinical trials and cluster-randomised trials assessing the effects of adding exercise to usual care for people with hypertension, type 2 diabetes mellitus and/or cardiovascular disease. We will search the Cochrane Central Register of Controlled Trials (CENTRAL), Medical Literature Analysis and Retrieval System Online (MEDLINE), Excerpta Medica database (EMBASE), Latin American and Caribbean Health Sciences Literature (LILACS), Science Citation Index Expanded on Web of Science, Chinese Biomedical Literature Database (CBM), China National Knowledge Infrastructure (CNKI), Chinese Science Journal Database (VIP) and BIOSIS. We will systematically assess the risks of random errors using Trial Sequential Analysis as well as risks of bias of all included trials. We will create a ‘Summary of Findings’ table in which we will present our primary and secondary outcomes, and we will assess the quality of evidence using the Grading of Recommendations Assessment, Development and Evaluation (GRADE).DiscussionThe present systematic review will have the potential to aid patients, clinicians and decision-makers recommending exercise and thereby, benefit patients with hypertension, type 2 diabetes mellitus and/or cardiovascular disease.Systematic review registrationPROSPERO CRD42019142313

Report this publication

Statistics

Seen <100 times