在急性缺血性中风后,身体活动变化和事件骨折的影响
Dae Young Cheon1, Kyung-Do Han2, Jeen Hwa Lee1
1Division of Cardiology, Department of Internal Medicine, Dongtan Sacred Heart Hospital, Hwaseong, Korea.
Scientific reports
|October 4, 2023
概括
在中风后开始或继续炼的中风幸存者,骨折的风险较低. 这包括部,脊椎和其他骨折类型,强调了中风后体育活动的重要性.
科学领域:
- 神经学 神经学
- 流行病学 流行病学
- 康复医学 康复医学 康复医学
背景情况:
- 与普通人群相比,中风幸存者面临的跌倒和骨折风险更高.
- 众所周知,体育活动可以降低一般人群中骨折风险.
- 在中风前后身体活动水平的变化对骨折风险的影响尚不清楚.
研究的目的:
- 调查缺血性中风后身体活动习惯的变化与随后骨折的风险之间的联系.
- 确定中风后开始或维持身体活动是否会影响骨折发生率.
主要方法:
- 利用韩国国家健康保险计划对第一次缺血性中风 (2010-2016) 参与者的索赔数据库.
- 根据身体活动的变化将参与者分为四组:持续不炼者,炼中断者,新炼者和持续炼者.
- 采用多变量Cox比例危险回归来分析复合脊椎,部和其他骨折的风险.
主要成果:
- 在202,234名参与者中,16,621名 (8.22%) 患有骨折.
- 与持久不运动者相比,炼中断者 (aHR 0.932),新运动者 (aHR 0.938) 和持久运动者 (aHR 0.815) 的骨折风险明显降低.
- 在中风后炼≥1000个代谢等价的任务显著降低了骨折风险,无论中风前的活动水平如何.
结论:
- 在缺血性中风后开始或继续中度至强度的体力活动与发生骨折的风险明显降低有关.
- 在中风后定期炼,包括部,脊椎和其他类型的骨折,是减少骨折风险的关键因素.
- 在中风幸存者中促进身体活动可能是预防骨折的关键策略.
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