身体质量指数和胸部扩张在COVID后呼吸障碍:二次分析
Sandra P Morgan1, Bini Thomas1, Zoe Morris2
1University of South Florida, Tampa, USA.
Clinical nursing research
|May 21, 2024
概括
在COVID-19后持久性呼吸不良与胸部移动性降低有关,特别是在体重指数 (BMI) 高的人群中. 肺部康复改善了非肥胖参与者的胸部扩张,突出显示了BMI.
科学领域:
- 肺病学和呼吸系统医学
- 康复科学 康复科学 康复科学
- 临床生物力学 临床生物力学
背景情况:
- 持续性呼吸不良是COVID-19的常见后果,影响呼吸功能和生活质量.
- 通过胸部扩张评估的胸壁流动性对于呼吸机制至关重要,并且可以受到诸如高体重指数 (BMI) 等因素的影响.
- 了解BMI对COVID-19后呼吸系统结果的影响对于有针对性的康复策略至关重要.
研究的目的:
- 调查COVID-19后经历持续性呼吸障碍的人体体重指数 (BMI) 和胸部扩张之间的关系.
- 评估BMI对肺部症状和在家庭肺部康复计划后的运动能力的影响.
- 为了确定BMI是否影响胸腔膨胀和强迫呼气体积在康复后1秒内 (FEV1) 的变化.
主要方法:
- 对19名患有COVID-19后持续性呼吸障碍的成年人进行了二次分析,他们完成了为期12周的家庭肺部康复计划.
- 参与者被分为肥胖 (BMI > 30 kg/m2) 和非肥胖 (BMI < 30 kg/m2) 的两组.
- 测量包括胸部膨胀,FEV1,肺部症状,运动能力 (步行距离) 和BMI;用变化得分来评估相关性.
主要成果:
- 在12周的肺部康复后,非肥胖组的胸部扩张显著改善 (p = .012).
- 增加的步行距离与胸部扩张 (r = .544,p = .020) 有正相关性,与肺部症状 (r = -.738,p < .001) 有负相关性,独立于BMI.
- 在高BMI的COVID后个体中,胸腔膨胀的测量显着较低;FEV1没有显著变化.
结论:
- 体重指数升高与COVID-19后持久性呼吸障碍患者的胸部扩张减少有关.
- 在家进行肺部康复可以改善胸部扩张,特别是在非肥胖个体.
- 较高的BMI可能需要量身定制的干预措施来增强胸部移动性,并监测COVID-19后患者的肺部变化.
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