在使用队列和个性化模型的情况下,自由生活活动,疲劳和肌痛性肌痛症症状严重程度之间的纵向关系
Hannah L Dimmick1, Gordon Jewett2,3, Lawrence W Korngut2,3
1Human Performance Laboratory, Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada.
Muscle & nerve
|October 30, 2024
概括
在肌痛性骨髓灰质炎 (MG) 中,人口层面的分析表明身体活动和睡眠影响症状. 然而,个别患者的数据显示,这些关联存在很大差异,这凸显了个性化管理策略的必要性.
科学领域:
- 神经学 神经学
- 临床研究 临床研究
- 患者报告的结果
背景情况:
- 骨髓灰质炎 (MG) 通常呈现出波动的症状和疲劳.
- 日常体力活动,睡眠模式和MG症状严重程度之间的关系尚不清楚.
研究的目的:
- 在12周的时间内,调查患者报告的症状,疲劳,体力活动和一般性MG患者的睡眠之间的日常联系.
主要方法:
- 十六名患有泛性MG的参与者连续佩戴手腕加速度计.
- 参与者报告了日常症状和疲劳.
- 累积链接混合模型被用于分析关联,利用队列,参与者内部缩放和个人模型.
主要成果:
- 队列模型显示,增加症状严重程度/疲劳和更高的疾病严重程度,女性性别,并发症,体力活动减少,更长的不活动时间和更低的睡眠量之间存在显著的关联.
- 相比之下,参与者内部缩放模型发现身体活动或睡眠与症状之间存在很小的显著关联.
- 个体模型显示异质性,一些参与者反映了队列发现,而另一些则显示没有关联或反向关系.
结论:
- 虽然人口层面的数据表明身体活动,睡眠和MG症状/疲劳之间存在联系,但这些关联并不普遍适用于个人.
- 个性化方法对于理解和管理身体活动和睡眠对MG结果的影响至关重要.
- 这些发现对肌痛性骨髓灰质炎的个性化临床和自我管理策略有影响.
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