Evidence summary of lifestyle management in patients with peripheral artery disease

Objective The aim of this study is to synthesize the optimal evidence regarding lifestyle management for patients with peripheral artery disease. Methods Based on the "6S" model of evidence-based resources, a systematic search was conducted in a sequential manner from top to bottom in databases and relevant websites (UpToDate, Cochrane Library, PubMed, Web of science, CINAHL, Embase, Sinomed, Medlive, Website of Chinese Vascular Surgery Association, VIP, Wanfang Data and CNKI) to retrieve relevant literature involving lifestyle management for patients with peripheral artery disease. The search period ranged from the establishment date of the database to March 10, 2025. Four researchers independently assessed the quality of the guidelines, while the quality of the remaining literature was evaluated by two researchers. The best evidence was ultimately extracted and consolidated. Results A total of 18 articles were incorporated, and 26 optimal evidence items were extracted from four aspects: diet, exercise, behavior, and health assessment management. Conclusion The best evidence for lifestyle management in patients with peripheral artery disease can furnish an evidence-based foundation for clinical medical staff to formulate personalized lifestyle management plans for patients, facilitating the control of disease-related risk factors, the retardation of disease progression, and the improvement of quality of life. (目的 总结外周动脉疾病患者生活方式管理的最佳证据。方法 按照循证资源“6S”模型自上而下依次系统检索UpToDate、Cochrane Library、PubMed、Web of science、CINAHL、Embase 、Sinomed、医脉通、中华医学会血管外科分会网站、维普网(VIP)、万方数据库(Wanfang Data)和中国知网(CNKI)中关于外周动脉疾病患者生活方式管理的证据。证据来源包括临床指南、证据总结、专家共识、系统评价及Meta分析等。检索时限为自该库建成之日起至2025年3月10日止。由4名研究人员独立评估指南质量, 其余文献则由2名研究人员进行质量评价, 最终提取并汇总形成最佳证据。结果 共纳入18篇文献, 从饮食、运动、行为和健康评估管理4个方面提取了26条最佳证据。结论 外周动脉疾病患者生活方式管理的最佳证据可为临床医护人员给患者制定个性化的生活方式管理方案提供循证依据, 帮助患者控制疾病相关风险因素, 延缓疾病进展, 提高生活质量。)