阻塞性呼吸道疾病的身体能力和不活动:一个"可以做,做做"的分析
Paola D Urroz Guerrero1,2,3, Hayley Lewthwaite1,2,3, Peter G Gibson1,3,4,5
1National Health and Medical Research Council Centre for Research Excellence in Treatable Traits, University of Newcastle, New Lambton Heights, Australia.
ERJ open research
|July 23, 2024
概括
许多患有阻塞性呼吸道疾病 (OAD) 的人由于身体能力低下而不活动,而不仅仅是缺乏动力. 解决轻度体力活动和久坐行为对于改善所有OAD患者的运动至关重要.
科学领域:
- 肺部医学 肺部医学
- 运动生理学 运动生理学
- 行为科学 行为科学
背景情况:
- 身体能力显著影响阻塞性呼吸道疾病 (OAD) 患者的身体活动水平.
- "可以做,做做"框架,评估身体能力和活动,提供了对运动行为的洞察力.
研究的目的:
- 将"能做,做做"的概念扩展到OAD人群中.
- 确定基于身体能力和活动的不同象限是否与OAD的临床和运动行为差异相关.
主要方法:
- 评估了281名参与者 (支气管炎症,严重喘,慢性肺炎,对照组).
- 身体能力定义为6分钟的步行距离 (预测≥70%vs<70%).
- 身体活动的定义是通过加速度计测量中度至强度的身体活动 (MVPA) (≥150分钟/周与<150分钟/周).
主要成果:
- 对照组显示",可以做,做"比例 (76%) 比OAD组 (10-33%) 高.
- 在"不能做,不做"象限中的OAD个体表现出较差的临床状态 (空气流量限制,并发症,QOL,呼吸障碍).
- "不能做,不要做"的群体在轻度体力活动 (LPA) 中花费的时间更少,而静坐的时间更长.
结论:
- 减少身体能力是OAD中不活动的主要驱动因素,由疾病严重程度加剧.
- 干预措施应考虑在所有OAD患者象限中改善LPA和减少久坐时间.
- 需要进一步的研究来评估基于OAD管理的象限分配的定制干预措施.
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