在40岁及以上患有慢性阻塞性肺病的患者中,久坐不动行为和肉症之间的关联:一个横截面研究
Dandan Wang1, Ming Zhang1, Jun Huang2
1School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, 44 Wenhua Xi Road, Lixia District, Jinan, Shandong Province, China.
BMC public health
|January 29, 2025
概括
久坐不动的行为 (SB) 与COPD患者的肉症风险增加有关,即使有体力活动. 减少每天的久坐时间对于管理这种人群的肉症至关重要.
科学领域:
- 肺部医学 肺部医学
- 老年病的医生 老年病的医生
- 代谢健康 代谢健康
背景情况:
- 慢性阻塞性肺部疾病 (COPD) 和皮症与患者的不良结果有关.
- 久坐不动行为 (SB) 是已知的COPD风险因素,但其与COPD患者的肉症的联系尚不清楚.
研究的目的:
- 调查COPD患者的久坐行为 (SB) 和肉症之间的关联.
- 为了确定SB是否在这个人群中是萨科佩尼亚的独立风险因素.
主要方法:
- 对414名COPD患者 (40岁以上) 进行了横截面调查.
- 使用亚洲专家共识标准定义了萨科佩尼亚.
- 静坐行为 (SB) 和体力活动 (PA) 使用国际体力活动问卷简单表格 (IPAQ-SF) 进行评估.
- 进行了后勤回归和受限立方线 (RCS) 分析,以检查SB和肉症之间的关系,并按性别分组分析.
主要成果:
- 在参与者中,肉类的患病率为22.9%.
- 患有肉症的患者表现出显著更长的SB持续时间和较低的中度至强度体力活动 (MVPA) 水平.
- 在调整了混因子后,SB独立地与肉症相关 (调整后β=1.47).
- 在SB中花费6个小时或更长时间显著增加了肉症的几率 (ORs从2.97到9.14不等).
- RCS分析显示,肉症患病率的趋势越来越高,SB超过5.7小时/天,性别特定的门 (男性5.7小时,女性8.0小时).
结论:
- 久坐不动行为 (SB) 是COPD患者肉症的独立决定因素,不管他们的MVPA水平如何.
- 随着SB的持续时间越长,肉类的风险逐渐增加.
- 建议将SB减少纳入自我管理策略中,以减轻COPD患者的肉症风险.
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