慢性阻塞性肺疾病肺移植患者日常身体活动的横断面评估
Cross-sectional assessment of daily physical activity in chronic obstructive pulmonary disease lung transplant patients.
作者信息
Bossenbroek Linda, ten Hacken Nick H T, van der Bij Wim, Verschuuren Erik A M, Koëter Gerard H, de Greef Mathieu H G
机构信息
Department of Pulmonology, University Medical Center Groningen, Groningen, The Netherlands.
出版信息
J Heart Lung Transplant. 2009 Feb;28(2):149-55. doi: 10.1016/j.healun.2008.11.905.
BACKGROUND
Information about daily physical activity of chronic obstructive pulmonary disease (COPD) lung transplant patients is relevant for evaluation of the functional recovery of physical capacity after lung transplantation. The objective of this study was to cross-sectionally assess daily physical activity, pulmonary function, physical fitness, fear of physical activity and motivation to exercise in COPD patients who were lung transplant candidates and lung transplant recipients.
METHODS
Fifteen COPD lung transplant candidates (5 men and 10 women, mean age 53 years, forced expiratory volume in 1 second [FEV(1)] 20% predicted) and 47 recipients (18 men and 29 women, mean age 55 years, FEV(1) 93% predicted, 39 bilateral and 8 unilateral transplants) were enrolled in this observational study. Daily physical activity was measured using a pedometer (Digiwalker SW-200) and the Short QUestionnaire to ASsess Health-enhancing physical activity (SQUASH). Physical fitness was measured by the sit-to-stand test and the arm curl test. Fear of physical activity and motivation to exercise were measured by the Tampa Scale for Kinesiophobia-Dutch version Questionnaire and the Exercise Self-Regulation Questionnaire.
RESULTS
Mean (+/-SD) number of steps per day in lung transplant recipients was higher compared with transplant candidates: 6,642 (+/-2,886) and 1,407 (+/-1,166), respectively (p < 0.05). Number of steps per day correlated significantly with FEV(1) (r = 0.32, p = 0.03) and lower body strength (r = 0.45, p = 0.002) in lung transplant recipients. There was no significant difference in daily physical activity, physical fitness, fear and motivation between bi- and unilateral transplant recipients.
CONCLUSION
Our data suggest that lung transplantation improves daily physical activity, lower body strength and FEV(1).
背景
慢性阻塞性肺疾病（COPD）肺移植患者的日常身体活动信息对于评估肺移植后身体功能能力的恢复情况具有重要意义。本研究的目的是对COPD肺移植候选者和肺移植受者的日常身体活动、肺功能、体能、对身体活动的恐惧以及运动动机进行横断面评估。
方法
本观察性研究纳入了15名COPD肺移植候选者（5名男性和10名女性，平均年龄53岁，第1秒用力呼气容积[FEV(1)]为预计值的20%）和47名受者（18名男性和29名女性，平均年龄55岁，FEV(1)为预计值的93%，39例双侧移植和8例单侧移植）。使用计步器（Digiwalker SW - 200）和评估健康增强身体活动的简短问卷（SQUASH）来测量日常身体活动。通过坐立试验和臂弯举试验来测量体能。使用荷兰版坦帕运动恐惧量表问卷和运动自我调节问卷来测量对身体活动的恐惧和运动动机。
结果
肺移植受者每天的平均（±标准差）步数高于移植候选者：分别为6642（±2886）步和1407（±1166）步（p < 0.05）。肺移植受者每天的步数与FEV(1)（r = 0.32，p = 0.03）和下肢力量（r = 0.45，p = 0.002）显著相关。双侧和单侧移植受者在日常身体活动、体能、恐惧和动机方面没有显著差异。
结论
我们的数据表明，肺移植可改善日常身体活动、下肢力量和FEV(1)。
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