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体育活动在维持性透析患者中的临床意义

The Clinical Significance of Physical Activity in Maintenance Dialysis Patients.

作者信息

Kang Seok Hui, Do Jun Young, Jeong Hye Yun, Lee So-Young, Kim Jun Chul

机构信息

Division of Nephrology, Department of Internal Medicine, Yeungnam University Hospital, Daegu, Republic of Korea.

Division of Nephrology, Department of Internal Medicine, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Republic of Korea.

出版信息

Kidney Blood Press Res. 2017;42(3):575-586. doi: 10.1159/000480674. Epub 2017 Sep 18.

DOI:10.1159/000480674
PMID:29017151
Abstract

BACKGROUND

The aim of the present study was to evaluate the effects of physical activity on various aspects in Asian dialysis patients.

METHODS

This was a retrospective cohort study. Study participants were recruited from 27 hospitals or dialysis centers in Korea (n = 1611). The participants were divided into 3 groups according to the degree of regular exercise: Inactive group, Intermediate group, and Active group.

RESULTS

The proportions of patients with frailty and the presence of each component decreased as physical activity increased. The presence and numbers of disabilities decreased as physical activity increased. The number of participants with a history of fall during the last 12 months was 149 (20.5%) in the Inactive group, 88 (16.9%) in the Intermediate group, and 48 (13.2%) in the Active group. Physical component scale and mental component scale scores increased as physical activity increased. The survival rate for all-cause death at 500 days was 95.5% in the Active group, 95.2% in the Intermediate group, and 93.5% in the Inactive group.

CONCLUSION

High physical activity was associated with favorable results for most health-related quality of life scale scores, including frailty, disability, and exhaustion, in Korean dialysis patients.

摘要

背景

本研究的目的是评估体育活动对亚洲透析患者各方面的影响。

方法

这是一项回顾性队列研究。研究参与者来自韩国的27家医院或透析中心(n = 1611)。参与者根据规律运动程度分为3组:不运动组、中等运动组和运动活跃组。

结果

随着体育活动增加,虚弱患者的比例及各组成部分的比例均下降。随着体育活动增加,残疾的存在和数量减少。在过去12个月中有跌倒史的参与者数量,不运动组为149人(20.5%),中等运动组为88人(16.9%),运动活跃组为48人(13.2%)。随着体育活动增加,身体成分量表和心理成分量表得分升高。运动活跃组500天全因死亡生存率为95.5%,中等运动组为95.2%,不运动组为93.5%。

结论

在韩国透析患者中,高体育活动与大多数与健康相关的生活质量量表得分的良好结果相关,包括虚弱、残疾和疲惫。

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