定期体育活动对慢性阻塞性肺病住院的影响:一项全国性基于人口的研究
Bumhee Yang1, Hyun Lee2, Jiin Ryu2
11Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, Korea (the Republic of).
BMJ open respiratory research
|February 12, 2024
概括
身体活动显著影响慢性阻塞性肺病 (COPD) 患者的医疗保健使用. 较低的活动水平增加了急诊室的访问和住院,而增加的活动减少了这些风险.
科学领域:
- 肺病学和呼吸系统医学
- 公共卫生和流行病学
- 身体活动和健康结果
背景情况:
- 有限的研究全面评估了韩国慢性阻塞性肺病 (COPD) 患者体力活动 (PA) 水平和医疗保健利用之间的关联.
- 量化PA强度对于了解其对COPD管理中的急诊室 (ED) 访问和住院的影响至关重要.
研究的目的:
- 根据COPD的存在和不同程度的身体活动来评估所有原因和呼吸器ED访问或住院的风险.
- 在一个大规模的韩国队列中调查身体活动强度和医疗保健利用之间的关联.
主要方法:
- 从2009年到2017年进行的回顾性全国性队列研究.
- 包括3308名COPD患者和293,358名没有COPD的患者.
- 分析所有原因和呼吸器ED访问或住院的情况,按身体活动水平分层 (METs-min/week).
主要成果:
- 与高度活跃的对照组 (≥1500METs-min/week) 相比,COPD患者在所有PA级别的所有原因和呼吸器ED访问/住院的相对风险更高.
- 久坐不动的COPD组显示的风险最高 (aHR为所有原因的1.70,呼吸器ED访问/住院的5.45).
- 在COPD队列中,每增加500MET-min/week的PA都与所有原因 (aHR 0.92) 和呼吸 (aHR 0.87) 的ED访问/住院风险降低有关.
结论:
- 身体活动减少的COPD患者面临的急诊室访问和住院的风险明显更高.
- 保持较高的体力活动水平与COPD患者的医疗保健利用率下降有关.
- 促进体育活动的干预措施可能对管理COPD和减少医疗负担至关重要.
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