美国中风幸存者遵守身体活动建议
Ajith Kumar Vemuri1, Seyyed Sina Hejazian1, Alireza Vafaei Sadr2
1Department of Neurology (A.K.V., S.S.H., J.H., R.Z.), College of Medicine, The Pennsylvania State University, Hershey.
Stroke
|December 5, 2024
概括
许多中风幸存者不符合体力活动指南,突出了针对性干预的需要. 根据年龄,教育和种族,坚持的程度有很大差异,特定群体需要专注的支持以获得更好的健康结果.
科学领域:
- 心血管健康 心血管健康
- 公共卫生 公共卫生
- 行为科学 行为科学
背景情况:
- 身体活动对于预防复发性中风至关重要.
- 卒中幸存者在坚持推的体力活动水平方面经常面临挑战.
- 了解坚持率对于开发有效的二次中风预防策略至关重要.
研究的目的:
- 为了确定美国中风幸存者的身体活动建议遵守情况.
- 为了比较中风幸存者,心肌梗塞 (MI) 幸存者和健康成年人之间的坚持率.
- 确定影响中风幸存者的身体活动坚持因素.
主要方法:
- 利用了2011-2019年行为风险因素监测系统 (BRFSS) 的数据.
- 根据美国心脏协会 (AHA) 的中风指南 (2011年,2014年,2021年),AHA冠状动脉疾病指南 (2011年) 和世卫组织体育活动指南 (2020年) 进行了评估.
- 采用多变量逻辑回归来比较跨人群的坚持,并确定影响因素.
主要成果:
- 在中风幸存者中,总体遵守2021年指南的比例为69.2%,在独立移动的个人中增加到69.9%.
- 与使用2021年基准的健康成年人 (72%) 相比,中风幸存者 (69.2%) 和心肌梗塞幸存者 (42.7%) 的坚持率较低.
- 年龄较大,受过高等教育和非西班牙裔黑人中风幸存者表现出不同的坚持模式,后者表现出较低的坚持 (aOR=0.81).
结论:
- 很大一部分中风幸存者不符合身体活动建议.
- 干预措施应针对风险人群,包括非西班牙裔黑人和受教育程度较低的中风幸存者.
- 解决身体活动坚持的差异对于二次中风预防至关重要.
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