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斯坦福简易活动调查在早发性冠状动脉疾病男性和女性中的临床应用

Clinical utility of the Stanford brief activity survey in men and women with early-onset coronary artery disease.

作者信息

Taylor-Piliae Ruth E, Haskell William L, Iribarren Carlos, Norton Linda C, Mahbouba Mohammed H, Fair Joan M, Hlatky Mark A, Go Alan S, Fortmann Stephen P

机构信息

Stanford Prevention Research Center, Stanford University-School of Medicine, Stanford, CA 94305-5705, USA.

出版信息

J Cardiopulm Rehabil Prev. 2007 Jul-Aug;27(4):227-32. doi: 10.1097/01.HCR.0000281768.97899.bb.

DOI:10.1097/01.HCR.0000281768.97899.bb
PMID:17667019
Abstract

PURPOSE

To determine the utility of the Stanford Brief Activity Survey (SBAS) as a quick screening tool in a clinical population, where no other measure of physical activity was available.

METHODS

The SBAS was administered to 500 younger cases in the Atherosclerotic Disease Vascular Function and Genetic Epidemiology (ADVANCE) study, a case-control genetic association study, between December 2001 and January 2004. Younger cases in the ADVANCE study included men (<46 years old) and women (<56 years old) diagnosed with early-onset coronary artery disease. Frequency distributions of the SBAS and associations between SBAS activity categories and selected cardiovascular disease risk factors by sex were calculated.

RESULTS

Subjects were 45.9 +/- 6.4 years old, 68% married, 61% women, 51% white, and 21% college graduates. Clinical diagnoses for early-onset coronary artery disease included 61% myocardial infarction, 23% coronary revascularization procedure, and 16% angina pectoris. In women, associations between all cardiovascular disease risk factors examined across SBAS categories were statistically significant (P trend < .01). In men, the associations across SBAS categories were statistically significant (P trend < .01), except for body mass index (P trend = .065). Adjustment for body mass index, age, ethnicity, and education with interactions by sex did not change the results.

CONCLUSION

Subjects in the higher SBAS activity categories had more favorable cardiovascular disease risk profiles than did their less active counterparts, regardless of sex. The SBAS can be recommended for use in clinical populations providing immediate feedback on current physical activity level.

摘要

目的

在没有其他身体活动测量方法的临床人群中,确定斯坦福简易活动调查问卷(SBAS)作为快速筛查工具的效用。

方法

在2001年12月至2004年1月期间,对动脉粥样硬化疾病血管功能与遗传流行病学(ADVANCE)研究中的500例年轻病例进行了SBAS调查,这是一项病例对照遗传关联研究。ADVANCE研究中的年轻病例包括被诊断为早发冠心病的男性(<46岁)和女性(<56岁)。计算了SBAS的频率分布以及按性别划分的SBAS活动类别与选定心血管疾病危险因素之间的关联。

结果

受试者年龄为45.9±6.4岁,68%已婚,61%为女性,51%为白人,21%为大学毕业生。早发冠心病的临床诊断包括61%心肌梗死、23%冠状动脉血运重建术和16%心绞痛。在女性中,SBAS各类别中所有检查的心血管疾病危险因素之间的关联具有统计学意义(P趋势<.01)。在男性中,除体重指数外(P趋势=.065),SBAS各类别之间的关联具有统计学意义(P趋势<.01)。对体重指数、年龄、种族和教育程度进行性别交互调整后,结果未改变。

结论

无论性别如何,SBAS活动类别较高的受试者比活动较少的受试者具有更有利的心血管疾病风险特征。SBAS可推荐用于临床人群,以提供有关当前身体活动水平的即时反馈。

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