随着时间的推移,日常步骤与成人喘发病率的关联
Joshua C Halevi1, Jeffrey Annis2, Hiral Master2
1Department of Medicine, Vanderbilt University Medical Center, Nashville, Tenn.
The Journal of allergy and clinical immunology
|March 12, 2025
概括
较少的每日步骤与新的成人喘病例有关. 增加体力活动,以每天的步骤来衡量,可能有助于预防喘. 建议进行进一步的研究.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 呼吸系统医学 呼吸系统医学
背景情况:
- 较高的每日步数与许多慢性疾病的风险降低相关.
- 已知增加体力活动可以改善喘的结果.
- 目前,对于成人发作的喘,还没有确定的预防策略.
研究的目的:
- 调查客观身体活动水平与成人喘发病率之间的关联.
主要方法:
- 利用了我们所有人研究计划队列,包括18岁及以上的参与者,与链接的活动跟踪器和电子健康记录数据.
- 根据相关的ICD-9/10代码和药物处方定义的喘发病率,根据诊断时间与活动监测相比,区分流行和发病病例.
- 包括8,360名参与者,分析每天的步数和它们与喘发展的关系.
主要成果:
- 与没有喘的个人相比,患有喘的参与者每天的中位数步数明显较低.
- 在发生喘队列中,随着时间的推移,每日步骤的显著下降被观察到.
- 平均每日步骤和喘发病率之间发现了反向关系,即使经过对各种混因素进行调整 (调整后的危险比率:每1000日步骤增加0.93).
结论:
- 在成年人中,客观测量的每日步数较低,这些成年人患有喘发作.
- 每天的体力活动,通过步数量化,可以作为减少喘发病率的可修改风险因素.
- 未来的研究应该专注于客观地监测喘风险或被诊断患有喘的成年人的身体活动.
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