在患有外周动脉疾病的患者中,日常生活中的身体活动和死亡率
Parveen K Garg1, Lu Tian, Michael H Criqui
1New York University School of Medicine, New York City, NY, USA.
Circulation
|July 5, 2006
概括
患有外周动脉疾病 (PAD) 的身体活动较强的患者的死亡率较低. 每日更高的体力活动,包括爬楼梯,与PAD患者的死亡率和心血管事件降低有关.
科学领域:
- 心血管健康 心血管健康
- 老年学是指老年学的学科.
- 运动生理学 运动生理学
背景情况:
- 周围动脉疾病 (PAD) 影响日常体力活动水平和死亡率.
- 了解身体活动和PAD结果之间的关系对于患者管理至关重要.
研究的目的:
- 调查周围动脉疾病 (PAD) 患者的日常体力活动和死亡率之间的关联.
主要方法:
- 一组460名患有PAD的患者被跟踪了57个月.
- 在基线通过采访评估身体活动,并在7天内连续使用垂直加速度计对参与者的子集进行评估.
- 统计分析调整了多种潜在的混因素,包括年龄,BMI,高血压和并发症.
主要成果:
- 用加速度计测量较高的体力活动水平与较低的全因死亡率有显著的关联 (P(趋势) =0.003).
- 身体活动最低四分位数的PAD患者与最高四分位数的患者相比,总死亡风险增加了3.48倍 (P=0.019).
- 增加爬楼梯也与降低总死亡率有关 (P(趋势) =0.035),在心血管事件或死亡率方面也观察到类似的趋势 (P(趋势) =0.005).
结论:
- 患有PAD的患者每日增加的体力活动独立地与降低死亡率和心血管事件有关.
- 这些发现表明,促进身体活动可能会改善PAD患者的生存率.
- 需要进一步的研究来探索旨在增加每日体力活动以改善PAD的生存率的干预措施的有效性.
相关概念视频
01:23Atherosclerosis IV: Nursing Management
621
Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...
621
01:30Peripheral Artery Disease I: Introduction
663
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
663
01:21Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
773
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
773
01:27Peripheral Artery Disease III: Interprofessional Care
659
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
659
01:26Peripheral Artery Disease IV: Nursing Management
714
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
714
01:23Peripheral Artery Disease V: Postoperative Nursing Management
637
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
637