Abstract: Objective: To collect and summarize the evidence on exercise interventions for adult patients with metabolic syndrome after liver transplantation to providing a reference for clinical practice. Methods: According to the "6S" model of evidence-based retrieval, a top-down search was conducted across 23 databases from inception of database to 31 Oct, 2023, including clinical decision systems, evidence-based databases, guideline websites, and comprehensive databases. This search focused on guidelines, evidence summaries, clinical decision, expert consensus, and systematic reviews related to exercise interventions for liver transplant patients with metabolic syndrome. Four researchers were responsible for the literature quality assessment, evidence extraction, and preliminary grading. Results: A total of 16 publications were included, comprising 1 clinical decision, 5 guidelines, 7 systematic reviews, and 3 expert consensuses. Finally 27 evidence recommendations were formed, covering the development, implementation, safety management, compliance management, and evaluation of intervention effects of exercise programs for patients with metabolic syndrome after liver transplantation. Conclusion: The results of this study can assist clinical medical staff in implementing exercise interventions for liver transplant patients with metabolic syndrome, providing an evidence-based foundation.

Key words: liver transplantation; metabolic syndrome; exercise; evidence summary; evidence-based nursing