在轻度缺血性中风患者中,退院后的久坐行为和光强度体力活动相关的中风复发:初步回顾性观察性研究
Ryota Ashizawa1,2, Hiroya Honda3, Koki Take4
1Department of Rehabilitation, Seirei Mikatahara General Hospital, Hamamatsu-shi, Shizuoka, Japan.
概括
在轻微缺血性中风后,减少久坐行为和增加光强度体力活动 (LPA) 可能会降低复发风险. 在这项初步研究中,较长的静坐时间和较低的LPA与复发性中风有关.
科学领域:
- 神经学 神经学
- 心血管健康 心血管健康
- 康复医学 康复医学 康复医学
背景情况:
- 有限证据表明,久坐不动的行为和体力活动对中风复发的影响是有限的.
- 轻度缺血性中风患者需要有效的策略来预防次要事件.
研究的目的:
- 为了研究退院后的久坐行为和身体活动水平与轻度缺血性中风患者中风复发之间的关联.
- 为了确定中风复发的可修改风险因素.
主要方法:
- 对73名轻度缺血性中风患者进行了回顾性观察性研究.
- 坐着的行为和体力活动通过加速度计测量6个月后下院.
- 在2年内评估中风复发情况;用于分析的逻辑回归.
主要成果:
- 在2年内,在8.2%的患者中观察到中风复发.
- 复发组表现出明显更高的久坐行为 (68.0%对52.0%) 和较低的光强度体力活动 (LPA) (21.0%对37.0%).
- 久坐不动的行为 (OR=1.083) 和LPA (OR=0.874) 是中风复发的独立预测因素.
结论:
- 出院后的久坐行为和LPA显著与轻度缺血性中风患者中风复发有关.
- 减少静坐时间和增加LPA可能是预防中风的关键干预措施.
- 需要进一步的研究来证实这些发现并指导临床实践.
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