维护比率受损螺旋计患者的死亡风险:评估身体活动的作用
C-C Shu1,2, M K Tsai3,4, J H Lee3
1Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
QJM : monthly journal of the Association of Physicians
|January 31, 2024
概括
身体活动显著降低了保留比率受损螺旋计 (PRISm) 患者的死亡率. 在这个人群中,满足运动建议将所有原因和心血管疾病死亡率的过量降低三分之二.
科学领域:
- 肺部医学 肺部医学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 保留比率受损螺旋计 (PRISm) 与所有原因死亡率的增加有关.
- 之前的研究没有研究过减轻这种风险增加的干预措施.
研究的目的:
- 研究身体活动 (PA) 对PRISM患者死亡率的影响.
- 确定遵守PA指南是否可以降低PRISM患者的死亡风险.
主要方法:
- 这是一项从1994年到2018年对461,183名台湾成年人的前性队列研究.
- 不活跃个体与每周150分钟PA的人之间的死亡风险的比较.
- 考克斯比例危险模型和生命表方法用于分析死亡率和预期寿命.
主要成果:
- 14.3%的队列有PRISm,其中53.1%是身体不活跃的.
- 不活跃的PRISM患者面临28%更高的全因死亡率,45%更高的心血管疾病 (CVD) 死亡率,67%更高的呼吸道疾病死亡率,失去3年的预期寿命.
- 在PRISM患者中,遵守PA建议将所有原因的过度死亡率从28%降低到9%,心血管疾病死亡率从45%降低到15%.
结论:
- PRISm影响了相当一部分人口 (14.3%),并将预期寿命缩短了3年.
- 坚持体育活动 (150分钟/周) 与PRISM患者的多余全因和心血管疾病死亡率减少三分之二有关.
- 在PRISM个体中促进PA是非常有益的,尽管并不是完全消除风险.
相关概念视频
01:26COPD: Management Using Bronchodilators and Corticosteroids
207
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
207
01:29Chronic Obstructive Pulmonary Disease-V: Management
2.5K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.5K
01:25Pulmonary Function Tests
334
Pulmonary Function Tests (PFTs)
Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
PFTs involve using a spirometer, a...
Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
PFTs involve using a spirometer, a...
334
01:27Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
2.5K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
2.5K
01:20Chronic Obstructive Pulmonary Disease-I: Introduction
2.8K
Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
2.8K
01:27Physical Assessment of the Respiratory Tract II: Inspection
299
Physical assessment of the respiratory tract through inspection is a crucial step in understanding the patient's respiratory health. It provides insights into the functioning of the respiratory system, the musculoskeletal structure, and even the patient's nutritional status. This comprehensive approach involves observing several vital aspects: chest configuration, breathing patterns, respiratory rates, skin color, and use of accessory muscles.
Chest Configuration
The chest configuration...
Chest Configuration
The chest configuration...
299