缺血性中风后的身体活动轨迹:探索改变预测的变化
Andreas Gammelgaard Damsbo1,2,3, Rolf Ankerlund Blauenfeldt1,2, Grethe Andersen1,2
1Department of Neurology, Danish Stroke Centre, Aarhus University Hospital, Aarhus, Denmark.
European journal of neurology
|November 20, 2024
概括
卒中后的体力活动 (PA) 水平有所不同,一半的不活跃患者增加了他们的活动,五分之一减少了. 社会经济地位 (SES) 是这些变化的关键预测因素.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 公共卫生 公共卫生
背景情况:
- 身体活动 (PA) 对于中风恢复和降低中风风险至关重要.
- 低PA水平在中风幸存者中很常见,阻碍了最佳结果.
研究的目的:
- 为了确定第一个缺血性中风后的PA变化的预测因素.
- 开发模型来预测中风幸存者的PA变化.
主要方法:
- 使用老年人体力活动量表 (PASE) 量化PA前中风和中风后6个月.
- 分析了临床数据,人口统计和社会经济地位 (SES) 作为预测因素.
- 采用混合效应模型和弹性净回归用于PASE变化分析和预测.
主要成果:
- 分析了523名首次缺血性中风患者;中位数年龄69岁,女性35%.
- 总体而言,PASE分数保持稳定,但20%降至最低四分位数,48%从最低升至最高.
- 社会经济地位 (SES) 成为PA变化最一致的预测因素.
结论:
- 虽然一半的最不活跃的中风幸存者增加了他们的血压,但五分之一的人变得不那么活跃.
- 预测模型表现适度 (AUC为0.679的下降,0.619的增加).
- 干预措施应针对所有中风幸存者,以促进不活跃个体的PA,并防止下降,考虑到SES因素.
相关概念视频
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