在患有多发性硬化症的人中,疲劳和抑郁是否与设备测量的身体活动行为有两种联系?
C Danielle Jones1, Ariel Kidwell-Chandler2, Katie L Cederberg3
1Department of Physical Therapy, University of AL at Birmingham, Birmingham, AL, USA.
Disability and rehabilitation
|June 23, 2023
概括
疲劳,而不是抑郁,显著影响多发性硬化症 (MS) 患者的身体活动. 这一发现对于为患有多发性硬化症的人制定有效的康复策略和干预措施至关重要.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 运动科学 运动科学
背景情况:
- 疲劳和抑郁是常见的,在多发性硬化症 (MS) 中具有衰弱的症状.
- 这些症状可能会对MS患者的心理健康和功能能力产生负面影响.
- 了解这些症状与身体活动之间的关系对于有效的管理至关重要.
研究的目的:
- 研究MS患者疲劳和抑郁症状与体力活动行为之间的关联.
- 为了确定疲劳或抑郁是否对身体活动水平有更大的影响.
主要方法:
- 患有多发性硬化症的成年人完成了疲劳和抑郁症问卷 (FSS和HADS).
- 参与者佩戴加速度计七天,以测量身体活动 (久坐,LPA,MVP) 和步骤.
- 使用双向MANOVA来分析数据.
主要成果:
- 在疲劳和抑郁症结合和整体体力活动之间没有发现直接联系.
- 疲劳症状与中度至强度体力活动 (MVPA) 和日常步骤有显著的关联,独立于抑郁症.
- 仅抑郁症症状本身就没有与身体活动行为有显著的关联.
结论:
- 疲劳症状,而不是抑郁症,与MS患者的MVPA和日常步骤有显著的关系.
- 这些发现强调了在为MS患者设计体育活动干预措施时解决疲劳的重要性.
- 在制定行为改变策略时,康复计划应该考虑疲劳对出行活动的影响.
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