身体活动对呼吸系统疾病的影响:当前状态和治疗影响
1Department of Respiratory Medicine, Graduate School of Medicine, Osaka Metropolitan University, 1-4-3, Asahimachi, Abeno-Ku, Osaka, 545-8585, Japan.
定期体力活动 (PA) 对呼吸系统健康至关重要,改善了喘和COPD等疾病的肺功能和生活质量. 达到每天7500步或每周150分钟的中度活动可以提供显著的临床益处.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 运动生理学 运动生理学
- 公共卫生 公共卫生
背景情况:
- 低体力活动 (PA) 和长时间的久坐加速肺功能下降,并降低主要呼吸道疾病中的生活质量.
- 这些因素独立地预测了喘,COPD,ILD和COVID后肺部疾病的较差结果.
研究的目的:
- 审查有关身体活动在呼吸系统疾病管理中的作用的证据.
- 突出在临床实践中运动和PA促进的好处.
主要方法:
- 从队列分析和随机试验中综合当代证据.
- 对运动生理效应的机制学研究的审查.
- 分析国际指导方针和临床建议.
主要成果:
- 定期的PA和结构化的运动可以改善呼吸障碍,运动能力和炎症.
- 存在剂量反应关系,每天≥7500步或≥150分钟/周产生最大效益.
- 肺部康复和远程康复显示出有效性,改善了生存率和获得护理的机会.
结论:
- 在主要的呼吸道疾病中,体力活动被认为是"可治疗的特征".
- 在日常护理中吸收PA的障碍需要解决.
- 未来的研究应该专注于个性化处方,可穿戴技术和组合疗法.
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