McKeough Zoe J, Large Sarah L, Spencer Lissa M, Cheng Sonia W M, McNamara Renae J
Discipline of Physiotherapy, Faculty of Health Sciences, University of Sydney, Sydney, NSW, Australia.
Discipline of Physiotherapy, Faculty of Health Sciences, University of Sydney, Sydney, NSW, Australia.
Braz J Phys Ther. 2020 Sep-Oct;24(5):399-406. doi: 10.1016/j.bjpt.2019.05.005. Epub 2019 Jun 5.
Few studies have examined sedentary behaviour in chronic respiratory disease. The limited evidence suggests that increased levels of sedentary behaviour are associated with increased mortality.
This study aimed to compare the level of self-reported sedentary behaviour in people with chronic obstructive pulmonary disease (COPD) and bronchiectasis as well as to identify associations between sedentary time with functional performance measures and health-related quality of life in the chronic respiratory disease group.
An observational study design was used. Participants completed the Sedentary Behaviour Questionnaire from which average sedentary time (hours/day) was determined. Functional performance was measured using the six-minute walk test, the four-metre gait speed test and the five sit-to-stand test. Health-related quality of life was measured using the St George's Respiratory Questionnaire. Sedentary time was compared between groups using an unpaired t-test. Univariate analysis explored relationships amongst variables.
The convenience sample consisted of 103 people with COPD [52% male; mean±SD age: 73±9 years, FEV% predicted: 56±23] and 33 people with bronchiectasis [52% male; 74±8 years, FEV% predicted: 69±25]. Average self-reported sedentary time in COPD was 7.6±2.7 hours/day and in bronchiectasis was 8.0±4.1 hours/day, with no between-group difference (-0.4, 95% CI -1.7, 0.8). No associations were found between sedentary time and any functional performance outcome or with health-related quality of life.
There was no difference in the high sedentary time between people with COPD and bronchiectasis. Sedentary behaviour was not associated with functional performance or disease-related health-related quality of life in people with chronic respiratory disease.
很少有研究调查慢性呼吸道疾病患者的久坐行为。有限的证据表明,久坐行为水平的增加与死亡率的上升有关。
本研究旨在比较慢性阻塞性肺疾病(COPD)和支气管扩张症患者自我报告的久坐行为水平,并确定慢性呼吸道疾病组中久坐时间与功能表现指标以及健康相关生活质量之间的关联。
采用观察性研究设计。参与者完成久坐行为问卷,据此确定平均久坐时间(小时/天)。使用六分钟步行试验、四米步态速度试验和五次坐立试验测量功能表现。使用圣乔治呼吸问卷测量健康相关生活质量。采用不成对t检验比较组间久坐时间。单因素分析探讨变量之间的关系。
便利样本包括103名COPD患者[男性占52%;平均±标准差年龄:73±9岁,预计FEV%:56±23]和33名支气管扩张症患者[男性占52%;74±8岁,预计FEV%:69±25]。COPD患者自我报告的平均久坐时间为7.6±2.7小时/天,支气管扩张症患者为8.0±4.1小时/天,组间无差异(-0.4,95%置信区间-1.7,0.8)。未发现久坐时间与任何功能表现结果或健康相关生活质量之间存在关联。
COPD患者和支气管扩张症患者的久坐时间均较长,且二者之间无差异。久坐行为与慢性呼吸道疾病患者的功能表现或疾病相关的健康相关生活质量无关。