Hirayama Fumi, Lee Andy H, Binns Colin W, Leong Choon C, Hiramatsu Tetsuo
School of Public Health, Curtin University of Technology, Perth, WA, Australia.
J Cardiopulm Rehabil Prev. 2008 Sep-Oct;28(5):330-4. doi: 10.1097/01.HCR.0000336145.79192.17.
This study ascertained the extent to which Japanese patients with chronic obstructive pulmonary disease (COPD) were involved in various modes of physical activity in daily life and factors affecting their physical activity levels.
Information on physical activity, demographics, and lifestyle characteristics was obtained by face-to-face interviews with 257 eligible patients (227 men and 30 women) recruited from 6 hospitals in central Japan.
Overall, 77% of patients participated in weekly physical activities, but only 25% engaged in moderate or vigorous activities. The mean metabolic equivalent tasks devoted to all physical activities were 1807 (SD = 3124) minutes per week for men and 1656 (SD = 3931) minutes per week for women. Stepwise regression analyses found that disease severity and perceived lifelong physical activity involvement were significant factors related to total physical activity, whereas age, COPD severity, and current smoking were negatively associated with walking.
Patients with COPD had lower physical activity levels than the general elderly population. They should be encouraged to increase their participation in exercise activities.
本研究确定了日本慢性阻塞性肺疾病（COPD）患者在日常生活中参与各种体育活动的程度以及影响其身体活动水平的因素。
通过对从日本中部6家医院招募的257名符合条件的患者（227名男性和30名女性）进行面对面访谈，获取有关体育活动、人口统计学和生活方式特征的信息。
总体而言，77%的患者每周参与体育活动，但只有25%的患者进行中度或剧烈活动。男性每周所有体育活动的平均代谢当量任务为1807（标准差=3124）分钟，女性为1656（标准差=3931）分钟。逐步回归分析发现，疾病严重程度和感知到的终身体育活动参与度是与总体体育活动相关的重要因素，而年龄、COPD严重程度和当前吸烟与步行呈负相关。
COPD患者的身体活动水平低于一般老年人群。应鼓励他们增加对运动活动的参与。
