Hubbard Elizabeth A, Motl Robert W, Fernhall Bo
Int J MS Care. 2018 Jan-Feb;20(1):1-8. doi: 10.7224/1537-2073.2016-021.
Sedentary behavior is a pervasive public health concern in the general population. To date, little is known regarding the possible health risks associated with sedentary behavior in patients with multiple sclerosis (MS), although this population has increased risks of comorbidities such as hypertension.
This cross-sectional study examined the association between sedentary behavior and blood pressure (BP) in 31 patients with MS and 31 matched controls. Self-reported sitting time, one form of sedentary behavior, was measured using the International Physical Activity Questionnaire. Using an automated oscillometric monitor, systolic BP, diastolic BP, and mean arterial pressure were measured in the supine position after 10 minutes of rest lying down in a quiet room.
There were significant correlations between International Physical Activity Questionnaire-measured sitting time and systolic BP (r = 0.365, P = .044, 95% CI, 0.013-0.636), diastolic BP (r = 0.382, P = .034, 95% CI, 0.032-0.648), and mean arterial pressure (r = 0.425, P = .017, 95% CI, 0.084-0.677) in patients with MS but not in controls (P > .05). The associations in patients with MS were unchanged even after adjusting for body mass index in linear regression analyses.
This study identified a significant association between sitting time and BP outcomes in patients with MS, supporting the need for additional examinations of sitting time and its possible health consequences in patients with MS.
久坐行为是普通人群中普遍存在的公共卫生问题。迄今为止,对于多发性硬化症(MS)患者久坐行为可能带来的健康风险知之甚少,尽管该人群患高血压等合并症的风险增加。
这项横断面研究调查了31例MS患者和31例匹配对照者的久坐行为与血压(BP)之间的关联。使用国际体力活动问卷测量自我报告的坐姿时间,这是久坐行为的一种形式。在安静房间平躺休息10分钟后,使用自动示波监测仪测量仰卧位的收缩压、舒张压和平均动脉压。
在MS患者中,国际体力活动问卷测量的坐姿时间与收缩压(r = 0.365,P = 0.044,95%CI,0.013 - 0.636)、舒张压(r = 0.382,P = 0.034,95%CI,0.032 - 0.648)和平均动脉压(r = 0.425,P = 0.017,95%CI,0.084 - 0.677)之间存在显著相关性,而在对照组中则无相关性(P > 0.05)。在线性回归分析中,即使对体重指数进行调整后,MS患者中的这些关联仍未改变。
本研究发现MS患者的坐姿时间与血压结果之间存在显著关联,支持对MS患者的坐姿时间及其可能的健康后果进行进一步研究的必要性。