Volpato Nathalia, Kobashigawa Juliana, Yasuda Clarissa Lin, Kishimoto Simoni Thiemi, Fernandes Paula Teixeira, Cendes Fernando
Neuroimaging Laboratory, Hospital de Clínicas, Rua Vital Brasil, University of Campinas, UNICAMP, Cidade Universitária Zeferino Vaz, Campinas, SP, Brazil.
Physical Education College; University of Campinas-UNICAMP, Cidade Universitária Érico Veríssimo, Campinas, SP, Brazil.
PLoS One. 2017 Jul 19;12(7):e0181505. doi: 10.1371/journal.pone.0181505. eCollection 2017.
Epilepsy is more than seizures and includes a high risk of comorbidities and psychological disorders, leading to poor quality of life (QOL). Earlier studies have showed a sedentary lifestyle in people with epilepsy (PWE), which could contribute to poorer health and psychological problems. The purpose of the present study was to compare habits of physical activity (PA), aerobic capacity, and QOL between PWE and healthy controls in order to identify the necessity of intervention of habits and information on physical exercise (PE) and to better understand the importance of PE for PWE. The study included 38 patients with temporal lobe epilepsy and 20 normal controls. Both groups answered the WHOQOL-Bref, which assesses the level of QOL, and IPAQ to evaluate the level of PA. In addition, they were submitted to a treadmill maximal cardiopulmonary effort test to identify physical capacity. The continuous variables were compared between groups by t-test and a general linear model, and the frequencies were compared by Chi-Square test through SPSS software. There was no difference in the level of PA between groups by questionnaire evaluation. However, there were significant differences in overall QOL, physical health, and level of PA in relation to work and physical capacity between groups; controls demonstrated better scores than PWE. Controls presented better physical capacity than PWE by cardiopulmonary effort test. According to intra-group analyses, PWE who were physically active had better QOL than inactive PWE. The study concluded that questionnaires about PE may not be the best instrument of evaluation, as demonstrated by the discrepancy of results compared to the validated objective cardiopulmonary evaluation of level of PA and physical capacity in this study.
癫痫不仅仅是发作，还包括高共病风险和心理障碍，导致生活质量（QOL）较差。早期研究表明癫痫患者（PWE）有久坐不动的生活方式，这可能导致更差的健康状况和心理问题。本研究的目的是比较PWE与健康对照者的身体活动（PA）习惯、有氧运动能力和生活质量，以确定干预习惯和体育锻炼（PE）信息的必要性，并更好地理解PE对PWE的重要性。该研究纳入了38例颞叶癫痫患者和20例正常对照者。两组均回答了评估生活质量水平的世界卫生组织生活质量简表（WHOQOL - Bref）和评估PA水平的国际体力活动问卷（IPAQ）。此外，他们还接受了跑步机最大心肺功能测试以确定身体能力。通过t检验和一般线性模型比较组间的连续变量，并通过SPSS软件用卡方检验比较频率。通过问卷评估，两组间PA水平无差异。然而，两组在总体生活质量、身体健康以及与工作和身体能力相关的PA水平方面存在显著差异；对照组的得分高于PWE。通过心肺功能测试，对照组的身体能力比PWE更好。根据组内分析，身体活跃的PWE比不活跃的PWE有更好的生活质量。该研究得出结论，关于体育锻炼的问卷可能不是最好的评估工具，本研究中与经过验证的客观心肺功能评估PA水平和身体能力的结果差异就证明了这一点。
