体力活动水平和人类发展对中风幸存者生活质量的影响。
The influence of the level of physical activity and human development in the quality of life in survivors of stroke.
机构信息
Department of Sports Science, Exercise and Health of the Trás-os-Montes e Alto Douro University, Vila Real, Portugal.
出版信息
Health Qual Life Outcomes. 2011 Oct 13;9:89. doi: 10.1186/1477-7525-9-89.
BACKGROUND
The association between physical activity and quality of life in stroke survivors has not been analyzed within a framework related to the human development index. This study aimed to identify differences in physical activity level and in the quality of life of stroke survivors in two cities differing in economic aspects of the human development index.
METHODS
Two groups of subjects who had suffered a stroke at least a year prior to testing and showed hemiplegia or hemiparesis were studied: a group from Belo Horizonte (BH) with 48 people (51.5 ± 8.7 years) and one from Montes Claros (MC) with 29 subjects (55.4 ± 8.1 years). Subsequently, regardless of location, the groups were divided into Active and Insufficiently Active so their difference in terms of quality of life could be analyzed.
RESULTS
There were no significant differences between BH and MCG when it came to four dimensions of physical health that were evaluated (physical functioning, physical aspect, pain and health status) or in the following four dimensions of mental health status (vitality, social aspect, emotional aspect and mental health). However, significantly higher mean values were found in Active when compared with Insufficiently Active individuals in various measures of physical health (physical functioning 56.2 ± 4.4 vs. 47.4 ± 6.9; physical aspect 66.5 ± 6.5 vs. 59.1 ± 6.7; pain 55.9 ± 6.2 vs. 47.7 ± 6.0; health status 67.2 ± 4.2 vs. 56.6 ± 7.8) (arbitrary units), and mental health (vitality 60.9 ± 6.8 vs. 54.1 ± 7.2; social aspect 60.4 ± 7.1 vs. 54.2 ± 7.4; emotional aspect 64.0 ± 5.5 vs. 58.1 ± 6.9; mental health status 66.2 ± 5.5 vs. 58.4 ± 7.5) (arbitrary units).
CONCLUSIONS
Despite the difference between the cities concerning HDI values, no significant differences in quality of life were found between BH and MCG. However, the Active group showed significantly better results, confirming the importance of active lifestyle to enhance quality of life in stroke survivors.
背景
在与人类发展指数相关的框架内，尚未分析体力活动与中风幸存者生活质量之间的关系。本研究旨在确定两个城市中风幸存者的体力活动水平和生活质量的差异，这两个城市在人类发展指数的经济方面存在差异。
方法
研究了两组至少在测试前一年患有中风且表现出偏瘫或偏瘫的受试者：一组来自贝洛奥里藏特（BH），共 48 人（51.5 ± 8.7 岁），另一组来自蒙蒂斯克拉鲁斯（MC），共 29 名受试者（55.4 ± 8.1 岁）。随后，无论地点如何，这些组都被分为活跃组和不活跃组，以便分析其生活质量的差异。
结果
BH 和 MCG 在评估的四个身体健康维度（身体机能、身体状况、疼痛和健康状况）或以下四个心理健康状况维度（活力、社会方面、情感方面和心理健康）方面没有显著差异。然而，活跃组的各项身体健康指标（身体机能 56.2 ± 4.4 比 47.4 ± 6.9；身体状况 66.5 ± 6.5 比 59.1 ± 6.7；疼痛 55.9 ± 6.2 比 47.7 ± 6.0；健康状况 67.2 ± 4.2 比 56.6 ± 7.8）（任意单位）和心理健康（活力 60.9 ± 6.8 比 54.1 ± 7.2；社会方面 60.4 ± 7.1 比 54.2 ± 7.4；情感方面 64.0 ± 5.5 比 58.1 ± 6.9；心理健康状况 66.2 ± 5.5 比 58.4 ± 7.5）（任意单位）的平均值明显更高。
结论
尽管城市之间的人类发展指数存在差异，但 BH 和 MCG 之间的生活质量没有显著差异。然而，活跃组的结果明显更好，这证实了积极生活方式对提高中风幸存者生活质量的重要性。
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