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[慢性阻塞性肺疾病身体活动评估工具]

[Tools for physical activity assessment in chronic obstructive pulmonary disease].

作者信息

Torres-Castro Rodrigo, Céspedes Cristian, Vilaró Jordi, Vera-Uribe Roberto, Cano-Cappellacci Marcelo, Vargas Diego

机构信息

Departamento de Kinesiología, Facultad de Medicina, Universidad de Chile, Santiago, Chile.

Facultad de Ciencias de la Salud Blanquerna, Universidad Ramon Llull, Barcelona, España.

出版信息

Rev Med Chil. 2017 Dec;145(12):1588-1596. doi: 10.4067/s0034-98872017001201588.

Abstract

The prevalence and mortality of chronic obstructive pulmonary disease (COPD) is increasing in Chile, constituting a public health problem. Pulmonary and systemic consequences of COPD affect physical activity, as the disease progresses. There are multiple means for physical activity assessment, from low cost and easily applicable questionnaires to sophisticated laboratory tests. Physical inactivity is a modifiable risk factor for morbidity and mortality in patients with COPD. Physical activity interventions not only contribute to decrease the likelihood of mortality, but also protect from comorbidities, especially cardiovascular ones. It also plays a major role avoiding functional limitations of these subjects. Dyspnea and fatigue render exercise as an unpleasant activity for most patients with COPD. If psychological alterations such as anxiety and depression are summed, these patients drift towards an inactive lifestyle. This article analyzes several tools available to assess physical activity is patients with COPD, useful in clinical practice.

摘要

慢性阻塞性肺疾病(COPD)在智利的患病率和死亡率不断上升,已构成一个公共卫生问题。随着疾病进展,COPD的肺部和全身影响会对身体活动产生影响。身体活动评估方法多种多样,从低成本且易于应用的问卷到复杂的实验室检测。身体不活动是COPD患者发病和死亡的一个可改变的危险因素。身体活动干预不仅有助于降低死亡可能性,还能预防合并症,尤其是心血管合并症。它在避免这些患者出现功能受限方面也起着重要作用。呼吸困难和疲劳使运动对大多数COPD患者来说是一项不愉快的活动。如果再加上焦虑和抑郁等心理改变,这些患者会倾向于不活动的生活方式。本文分析了几种可用于评估COPD患者身体活动的工具,这些工具在临床实践中很有用。

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