增强基于心率的能量消耗和运动强度的估计,用于中风后患者
Anna Roto Cataldo1, Jie Fei1, Karen J Hutchinson1
1Department of Physical Therapy, Sargent College of Health and Rehabilitation Sciences, Boston University, Boston, MA 02215, USA.
Bioengineering (Basel, Switzerland)
|January 8, 2025
概括
仅使用心率来估计中风幸存者的氧气消耗 (VO2) 是不准确的. 包括BMI和年龄等临床因素在内,可以显著改善这些能源消耗估计,从而更好地对运动强度进行分类.
科学领域:
- 运动生理学 运动生理学
- 康复科学 康复科学 康复科学
- 生物医学工程 生物医学工程
背景情况:
- 间接热量计是衡量氧气消耗 (VO2) 和运动强度的黄金标准.
- 心率通常被用作VO2的代理值,但由于心肺呼吸反应的改变,其准确性可能会在中风后受到影响.
- 这项研究解决了对中风幸存者在行走过程中精确评估能量消耗的需求.
研究的目的:
- 评估基于心率的步行VO2 (wVO2) 估计和中风后个体的运动强度分类的准确性.
- 确定是否结合临床变量可以提高这些估计的准确性.
主要方法:
- 在中风后,16名患者接受了跑步机行走,同时进行间接热量计和心率监测.
- 使用70%的数据开发回归模型,仅从心率和临床变量 (BMI,年龄,性别,步行速度) 来预测wVO2.
- 剩下的30%的数据通过比较估计和实际的wVO2和运动强度分类来验证模型.
主要成果:
- 仅对心率的wVO2估计是不准确的 (MAE=3.11 mL O2/kg/min) 和不可靠的 (ICC=0.68).
- 结合BMI,年龄和性别,提高了wVO2估计的准确性 (MAE减少了36%) 和可靠性 (ICC增加到0.88).
- 运动强度分类的准确性显著提高,准确性,卡帕,灵敏度和特异性更高.
结论:
- 在中风后的人群中,基于心率的wVO2估计是不可靠的.
- 整合现有的临床变量可以大大提高wVO2估计的准确性和可靠性.
- 这些发现支持使用增强型模型,在中风康复中更精确地进行运动处方和监测.
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