患有中风的人是否符合有氧和肌肉强化活动指南? 来自加拿大老龄化纵向研究的数据
Kenneth S Noguchi1, Lisa C Carlesso, Marla K Beauchamp
1School of Rehabilitation Science, McMaster University, Ontario, Canada (K.S.N., L.C.C., M.K.B., L.T., and A.T.); Department of Kinesiology, McMaster University, Ontario, Canada (S.M.P.); Department of Health Research Methods, Evidence and Impact, McMaster University, Ontario, Canada (L.T.); Biostatistics Unit, St Joseph's Healthcare-Hamilton, Hamilton, Ontario, Canada (L.T.); and Faculty of Health Sciences, University of Johannesburg, Johannesburg, South Africa (L.T.).
Journal of neurologic physical therapy : JNPT
|December 10, 2024
概括
大多数患有中风的加拿大人不符合体力活动指南. 较低的内在能力,功能移动性和环境支持与较少的活动有关,突出显示了临床鼓励的需要.
科学领域:
- 脑卒中康复治疗 脑卒中康复治疗
- 身体活动和运动科学
- 公共卫生 公共卫生
背景情况:
- 卒中幸存者通常会减少体力活动水平,影响恢复和生活质量.
- 加拿大中风患者目前对中等强度体力活动 (MVPA) 和肌肉强化活动 (MSA) 的参与程度尚不清楚.
- 了解身体活动模式对于开发有针对性的干预措施至关重要.
研究的目的:
- 量化加拿大中风患者的体力活动,有氧MVPA和MSA参与.
- 通过使用隐性类分析,在这个人群中识别不同的健康和残疾类别.
- 调查这些健康类别与身体活动水平之间的关联.
主要方法:
- 利用了来自2094名加拿大成年人中风或CLSA过渡性缺血性发作的数据.
- 使用老年人身体活动量表 (PASE) 评估身体活动.
- 采用隐性类分析来定义健康/残疾层,并比较不同类别的PASE和MVPA分数.
主要成果:
- 只有6.2%的参与者符合MVPA和MSA指南.
- 显著的大多数 (88.2%) 参与MVPA不到每周3次,而76.7%从未进行过MSA.
- 潜在类分析显示了基于内在能力,功能移动性和环境的两个类 (高阳性和低阴性);低阴性类表现出较低的PASE和MVPA分数.
结论:
- 加拿大中风患者在推的身体活动水平上表现不够积极.
- 具有较低内在能力,功能移动性和环境支持的个人特别不活跃.
- 临床医生应该积极促进中风幸存者的定期体育活动参与,特别是那些功能较低的班级.
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