在患有甲状腺功能障碍的患者和对照者中比较运动能力和体力活动
Fidan Yılmaz1, Afruz Babayeva2, İlhan Yetkin2
1Gazi University, Faculty of Health Sciences, Department of Physical Therapy and Rehabilitation, Ankara, Turkey.
Journal of bodywork and movement therapies
|November 27, 2024
概括
新诊断的甲状腺功能障碍会影响运动能力,呼吸肌功能和生活质量. 建议对受影响的患者进行早期评估和心肺康复.
科学领域:
- 内分泌学 在内分泌学.
- 肺部病理学 肺部病理学
- 心脏病学 心脏病学
- 康复医学 康复医学 康复医学
背景情况:
- 甲状腺功能障碍会对肌肉线粒体代谢和各种身体系统产生负面影响.
- 关于新诊断的甲状腺功能障碍 (NDH) 患者的身体和生理障碍程度的数据有限.
- 这项研究旨在比较NDH患者和健康对照者之间的肺功能,运动能力,呼吸肌功能,体力活动,呼吸障碍和生活质量 (QoL).
研究的目的:
- 评估新诊断的甲状腺功能障碍对身体和生理结果的影响.
- 为了比较肺功能,运动能力,呼吸肌肉强度和耐力,身体活动水平 (PAL),呼吸障碍和生活质量 (QoL) 在NDH患者与对照者之间.
- 确定甲状腺功能过高患者早期干预和康复的需要.
主要方法:
- 与16名甲状腺功能过高患者 (在诊断时和甲状腺功能良好状态) 与健康对照进行了比较.
- 通过螺旋计测量评估肺功能.
- 使用6分钟步行测试 (6-MWT) 评估功能性运动能力.
- 测量呼吸肌肉强度 (口压) 和耐力 (临界负荷测试).
- 使用代谢霍尔特量化PAL.
- 用修改后的医学研究委员会 (MMRC) 尺度评估呼吸障碍.
- 使用甲状腺患者生活质量尺度 (ThyPRO) 测量了QoL.
主要成果:
- 与对照人群相比,甲状腺功能增高患者的6-MWT距离和呼吸肌肉耐力显著减少.
- 在高甲状腺患者 (NDH和euthyroid状态) 和对照患者中,MMRC呼吸障碍得分和ThyPRO得分升高.
- 在NDH患者中最大吸气和呼气压的降低.
- 在无甲状腺功能高甲状腺患者中观察到较低的体力活动水平 (步数).
- 肺功能测试显示,两组之间没有显著差异.
结论:
- 甲状腺功能障碍严重影响运动能力,呼吸肌功能,体力活动,呼吸障碍和生活质量.
- 患有甲状腺功能障碍的患者在诊断时需要全面评估.
- 对于甲状腺功能过高的患者来说,早期转诊到心肺康复计划至关重要.
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