Faculty of Health Sciences: Kinesiology, University of Ontario Institute of Technology, Oshawa, ON L1H 7K4, Canada.
Appl Physiol Nutr Metab. 2018 Oct;43(10):1075-1082. doi: 10.1139/apnm-2017-0865. Epub 2018 Aug 28.
The objective of this study was to investigate the amount and modes of physical activity in which adults with obstructive respiratory disease engage. Data from respondents with self-reported asthma (n = 4293), chronic obstructive pulmonary disease (COPD) (n = 3118), both diseases (n = 1569), and neither obstructive respiratory disease (n = 64 175); these data are from the Canadian Community Health Survey (2011-2012). Logistic regressions were used to assess associations between modes of physical activity and type of respiratory disease. Linear regressions were used to investigate the association between daily energy expenditure and respiratory disease. Adults with COPD and both diseases had the lowest participation in all modes of physical activity. Those with both diseases were less likely to report walking (odds ratio (OR) = 0.74, 95% confidence interval (CI) = 0.63-0.88), while those with COPD were less likely to report participation in endurance activities (OR = 0.79, 95% CI = 0.68-0.92), compared with those with neither obstructive respiratory disease. Those with asthma had similar daily energy expenditure levels and physical activity preferences compared with those with neither obstructive respiratory disease. In conclusion, adults with COPD and both asthma and COPD were less likely to engage in common activities such as walking, while physical activity levels among adults with asthma did not differ from the general population.
本研究旨在调查患有阻塞性呼吸道疾病的成年人参与的身体活动量和方式。数据来自于自报哮喘（n=4293）、慢性阻塞性肺疾病（COPD）（n=3118）、两种疾病（n=1569）和无阻塞性呼吸道疾病（n=64175）的受访者；这些数据来自加拿大社区健康调查（2011-2012）。逻辑回归用于评估身体活动方式与呼吸道疾病类型之间的关联。线性回归用于研究每日能量消耗与呼吸道疾病之间的关联。COPD 和两种疾病患者的所有身体活动方式参与度最低。患有两种疾病的患者报告步行的可能性较小（比值比（OR）=0.74，95%置信区间（CI）=0.63-0.88），而 COPD 患者报告参与耐力活动的可能性较小（OR=0.79，95%CI=0.68-0.92），与无阻塞性呼吸道疾病患者相比。与无阻塞性呼吸道疾病患者相比，哮喘患者的每日能量消耗水平和身体活动偏好相似。总之，COPD 患者和同时患有哮喘和 COPD 的患者不太可能从事常见活动，如步行，而哮喘患者的身体活动水平与普通人群没有差异。
