在三个主要的慢性呼吸道疾病中,身体活动模式的比较
Leandro Cruz Mantoani1,2,3, Karina Couto Furlanetto1,3, Carlos Augusto Camillo1,2,3
1Laboratory of Research in Respiratory Physiotherapy (LFIP), Department of Physiotherapy, Londrina State University (UEL), Londrina 86047-970, Brazil.
Journal of clinical medicine
|November 14, 2023
概括
患有喘的成年人表现出比COPD或IPF患者更高的日常体力活动水平. 然而,严重的异常性肺纤维化患者是最不活跃的,突出了疾病特异性的活动差异.
科学领域:
- 肺部医学 肺部医学
- 运动生理学 运动生理学
- 慢性肺病研究 慢性肺病研究
背景情况:
- 日常生活中的体力活动 (PADL) 对于慢性肺病管理至关重要.
- 了解COPD,喘和IPF等不同肺部疾病中的PADL变异至关重要.
- 疾病的严重程度显著影响身体活动行为.
研究的目的:
- 为了比较COPD,喘和IPF患者中的PADL水平.
- 调查疾病严重程度如何影响这些慢性肺部疾病中的PADL.
- 评估中度至强度体力活动 (MVPA) 以及与疾病类型和严重程度的相关性.
主要方法:
- 一项涉及119名稳定患者的比较研究 (47名喘患者,48名COPD患者,24名IPF患者) 最近在肺部康复中.
- 被试被分为轻度/中度和严重/非常严重的疾病亚组.
- 使用Actigraph GT3x在一周内测量了PADL,特别是MVPA中的时间;肺功能,肌肉力量和运动能力也被评估.
主要成果:
- 与COPD (8分钟/天) 和IPF (7分钟/天) 患者相比,喘患者的PADL (MVPA:18分钟/天) 显著增加 (p=0.002).
- 患有严重/非常严重IPF的患者在所有亚组中表现出最低的PADL水平.
- 年龄,BMI和性别在子组比较中进行了调整.
结论:
- 成年喘患者通常保持较高的日常体力活动水平比那些有COPD或IPF.
- 严重和非常严重的异常性肺纤维化与最严重的身体不活动有关.
- 可能需要定制干预措施来改善PADL在不同的慢性肺病群体,特别是IPF.
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