在患有慢性心力衰竭的患者中,坚持长期远程监控支持的体育活动
Pauline Lödding1, Sebastian Beyer2, Christoph Pökel3
1Department of Rehabilitation and Sports Medicine, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany. loedding.pauline@mh-hannover.de.
Scientific reports
|September 26, 2024
概括
远程监控改善了慢性心力衰竭 (CHF) 患者的体力活动 (PA),但随着时间的推移,对运动的坚持下降了. 运动能力和年龄等基线特征预测了PA变化,突出了个性化干预的必要性.
科学领域:
- 心脏病学 心脏病学
- 康复医学 康复医学 康复医学
- 数字健康数字健康
背景情况:
- 慢性心力衰竭 (CHF) 影响1-2%的成年人,主要是老年人.
- 身体活动 (PA) 对心血管疾病管理至关重要,但对运动干预措施的坚持往往很差.
- 在CHF患者中持续的PA的预测因子和障碍仍然不清楚.
研究的目的:
- 研究基于远程监测的运动干预对CHF患者的PA的影响.
- 确定影响PA坚持和CHF进展的预测因素和障碍.
主要方法:
- 这是一项前性,随机对照的多中心试验,涉及699名心血管衰竭患者.
- 干预组通过在线应用程序获得基于远程监控的运动指导.
- 收集的数据包括自我报告的PA (MET*h/week),每日步数,以及12个月内完成的运动视频.
主要成果:
- 两组都显示了自我报告的PA增加和久坐行为减少.
- 运动组的每日步数保持稳定;然而,随着时间的推移,视频完成量显著下降.
- 多变量回归确定了基线运动能力,CHF严重程度,心房动和年龄作为PA变化的预测因素.
结论:
- 远程监测可以增加CHF患者的整体PA,但保持与特定炼模块的参与是具有挑战性的.
- 个体基线特征显著影响炼干预措施的坚持和进展.
- 未来的炼计划应该包含个性化的目标设定策略,以增强慢性心血管疾病患者的长期坚持和可持续性.
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