长期家庭炼对患有外周动脉疾病的参与者的影响
Andrew W Gardner1, Polly S Montgomery1, Ming Wang2
1University of Oklahoma Health Sciences Center Oklahoma City OK USA.
Journal of the American Heart Association
|November 6, 2023
概括
家庭炼计划 (HEP) 和监督的运动疗法过渡到HEP (SET/HEP) 在外周动脉疾病患者中显著改善了步行时间和小腿肌肉氧气和. 这些运动干预措施在改善运动能力方面表现出长期的有效性.
科学领域:
- 心脏病学 心脏病学
- 运动生理学 运动生理学
- 康复医学 康复医学 康复医学
背景情况:
- 周围动脉疾病 (PAD) 显著影响生活质量和运动能力.
- 症状性PAD往往导致步行高峰时间 (PWT) 减少和小腿肌肉氧化能力受损.
- 目前的治疗指南强调运动疗法用于PAD管理.
研究的目的:
- 为了比较PWT和运动时间的长期变化,在有症状的PAD患者中比较小腿肌氧和度 (StO2).
- 评估长期家庭炼计划 (HEP) 与监督炼治疗过渡到HEP (SET/HEP) 和对照组的有效性.
- 确定PWT和小腿肌肉 StO2.2 的改善之间的相关性.
主要方法:
- 一个随机对照试验,涉及有症状的PAD参与者.
- 干预包括一个3个月的HEP,一个3个月的SET,然后是HEP (SET/HEP),以及一个对照组.
- 在18个月的时间内,对运动持续时间和小腿肌肉的StO2进行了监测.
主要成果:
- 无论是HEP和SET/HEP组,从基线到18个月,PWT和运动时间到小腿肌StO2的显著增加.
- 与对照组相比,在运动组中,PWT和小腿肌肉StO2的改善明显大于运动组.
- 在运动组中,在PWT和小腿肌肉StO2的变化之间观察到显著的正相关性.
结论:
- 长期的家庭炼计划和监督的炼治疗过渡到家庭计划是有效的改善PAD患者的运动能力.
- 这两种干预都导致了 significant 和持续改善的行走性能和肌肉氧化.
- 改善步行时间和肌肉氧气和之间的相关性表明,运动在PAD中具有共同的生理益处.
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