在患有慢性阻塞性肺病和相关因素的人群中长时间的久坐行为
Katelyn E Webster-Dekker1, Weijiao Zhou2, Seoyoon Woo3
1University of Michigan School of Nursing, Ann Arbor, 400 North Ingalls Building, Ann Arbor, MI 48109, USA; Indiana University School of Nursing, 600 Barnhill Dr, Indianapolis, IN 46202, USA.
Heart & lung : the journal of critical care
|July 27, 2023
概括
患有慢性阻塞性肺病 (COPD) 的不活动成年人花费大量时间在久坐行为中,通常是长时间的. 提高自我效能和平衡可能有助于减少这种久坐时间.
科学领域:
- 肺部医学 肺部医学
- 老年学是一门学科.
- 行为科学 行为科学
背景情况:
- 久坐不动行为 (SB),特别是长时间的久坐不动行为,与负面的健康结果有关.
- 慢性阻塞性肺病 (COPD) 患者的SB模式尚不清楚.
- 了解SB对于患有慢性疾病的老年人群的健康管理至关重要.
研究的目的:
- 在被诊断患有COPD的不活跃的社区成年人中描述SB模式.
- 在这个人群中确定与长时间的久坐活动相关的因素.
- 为减少COPD患者静坐时间的有针对性的干预措施提供信息.
主要方法:
- 在参加运动计划之前,对不活跃的COPD成年人 (年龄≥50岁,FEV1<80%) 进行横截面分析.
- 使用activPAL设备在七天内客观测量SB.
- 统计分析包括多重回归来检查关联.
主要成果:
- 参与者平均每天总坐时间为742分钟.
- 很大一部分 (254分钟/天) 是长达60分钟或更长时间的久坐.
- 长时间的SB与较低的自我效能,较差的平衡,较弱的下肢力量 (椅子站测试),较低的FEV1%预测和较高的BMI有关.
结论:
- 不活跃的COPD患者表现出大量的久坐行为,经常持续时间长.
- 自我效能,平衡和下肢力量是与长时间的SB相关的可修改因素.
- 这些因素代表了旨在减少COPD患者静坐时间的干预措施的潜在目标.
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