患有COPD的患者的体力活动和久坐行为:相关因素
Cristóbal Esteban1, Ane Antón-Ladislao2, Amaia Aramburu3
1Respiratory Department, Hospital Galdakao, Galdakao, Bizkaia, Spain; BioCruces-Bizkaia Health Research Institute, Barakaldo, Spain; Health Services Research on Chronic Patients Network (REDISSEC), Spain; Red de Investigación en Cronicidad, Atención Primaria y Promoción de la Salud (RICAPPS), Spain.
高龄,肥胖和残疾与慢性阻塞性肺病 (COPD) 患者的体力活动 (PA) 降低有关. 了解这些因素可以帮助改善患者的福祉,减少久坐不动的行为.
科学领域:
- 肺部医学 肺部医学
- 临床研究 临床研究
- 公共卫生 公共卫生
背景情况:
- 慢性阻塞性肺病 (COPD) 是全球疾病和死亡的主要原因之一.
- 身体活动和久坐行为显著影响COPD患者的结果.
- 确定与COPD患者的体力活动水平相关的因素对于开发有针对性的干预措施至关重要.
研究的目的:
- 调查COPD住院患者的身体活动和久坐行为相关的因素.
- 确定旨在改善COPD患者身体活动的干预措施的潜在可修改目标.
主要方法:
- 一项前性观察队列研究,涉及9家西班牙医院的1638名COPD患者.
- 收集的数据包括临床基线状态 (COPD评估测试,HADS,并发症),耶鲁体力活动调查,以及出院后最多两个月的信息.
- 用多变量线性回归分析来确定相关因素.
主要成果:
- 慢性肺炎患者的体力活动较低与年龄较大,肥胖,血红蛋白水平较高,残疾较大 (巴塞尔指数较低),生活质量较差 (EuroQoL-5d,CAT) 和呼吸不良有关.
- 久坐不动的行为与老年,阻塞性呼吸暂停综合征,更高的残疾,抑郁症状和呼吸障碍有关.
结论:
- 一些因素,包括可修改的因素,与住院COPD患者的体力活动和久坐行为有关.
- 这些发现强调了解决年龄,肥胖,残疾和心理健康等因素的重要性,以促进COPD管理中的身体活动.
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