慢性呼吸道疾病中的身体不活动:可治疗特征范式中的重要候选者
Benjamin Griffiths1, Reem Alajmi1,2, Ian J Clifton3,4
1School of Biomedical Sciences, Faculty of Biological Sciences, University of Leeds, Leeds, UK.
概括
身体不活动在慢性呼吸道疾病 (如COPD和喘) 中很常见,活动水平低于健康个体. 客观评估是治疗性特征框架内管理的关键.
科学领域:
- 肺部医学 肺部医学
- 运动生理学 运动生理学
- 慢性疾病管理 慢性疾病管理
背景情况:
- 身体不活动在慢性呼吸道疾病中很普遍.
- 疾病特异性体育活动概况和决定因素的了解很少.
- 慢性呼吸道疾病包括COPD,喘,支气管病变,囊性纤维化和原发性纤维功能障碍.
研究的目的:
- 描述慢性呼吸道疾病的范围内的身体活动概况.
- 确定身体活动的临床决定因素.
- 探索身体活动与临床结果之间的关联.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 包括对长期呼吸道疾病的成年人客观测量的体力活动的研究.
- 使用回归分析分析了每天的步数和中度至强度的体力活动 (MVPA).
主要成果:
- 包括236项研究 (25278名参与者).
- 平均每日步数为5494步,MVPA为48.2分钟/天;在COPD中最低.
- 身体活动低于对照组;与BMI,FEV1,6分钟步行距离和MRC得分相关.
结论:
- 身体不活动非常普遍,并且与慢性呼吸道疾病的临床结果有关.
- 客观的体力活动评估在临床上是相关的.
- 支持通过可治疗特征框架将体育活动评估纳入常规疾病管理.
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