mHealth 炎症性肠病患者的身体活动和患者报告的结果:集群分析
Ashley C Griffin1,2, Lucas Mentch3, Feng-Chang Lin4
1VA Palo Alto Health Care System, Palo Alto, CA, United States.
来自可穿戴设备的客观体育活动数据表明,炎症性肠病 (IBD) 患者的较低活动水平与更严重的疾病和心理社会结果相关. 大多数患者随着时间的推移保持了一致的活动模式.
科学领域:
- 可穿戴技术和数字健康
- 炎症性肠病 (IBD) 的研究.
- 患者报告的结果 (PROs)
背景情况:
- 身体活动可以改善IBD患者的生活质量,但研究通常依赖于自我报告的数据.
- 可穿戴设备提供身体活动的客观测量 (步骤,持续时间,强度).
- 了解IBD患者如何从事不同的体力活动维度及其对结果的影响是有限的.
研究的目的:
- 用IBD患者的可穿戴设备数据对身体活动模式进行集群.
- 评估已识别的体育活动集群与患者报告的结果 (PROs) 之间的关联.
主要方法:
- 成年IBD患者的横截面和纵向队列研究.
- 通过可穿戴设备和智能手机应用程序收集的体育活动数据.
- K-意味着对步骤,中度至强度活动持续时间和距离进行集群分析.
- 使用经过验证的调查问卷 (PROMIS,IBD特定) 分析PROs.
主要成果:
- 确定了三个体育活动群:低 (33.7%),中等 (46%) 和高 (20.3%).
- 较低的体力活动与抑郁,疼痛,疲劳,睡眠,社会满意度和IBD活动的较差得分相关 (所有P<.001).
- 低活动群体的参与者年龄较大,体重指数较高,疾病持续时间较长.
- 大多数参与者 (67.8%) 在6个月内保持了他们的活动集群;低活动集群和高活动集群之间的过渡最小.
结论:
- 在IBD患者的身体活动水平和PRO之间存在积极的关联,影响疾病活动和心理社会福祉.
- 在没有干预的情况下,IBD患者的体力活动模式通常随着时间的推移而稳定.
- 现实世界的数据可以确定生活方式子组,用于个性化IBD护理的有针对性的干预.
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