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解释帕金森病患者身体活动水平的因素:关注性别差异。

Factors explaining physical activity level in Parkinson´s disease: A gender focus.

机构信息

Department of Neuroscience, Physiotherapy, Uppsala University, Uppsala, Sweden.

出版信息

Physiother Theory Pract. 2021 Apr;37(4):507-516. doi: 10.1080/09593985.2019.1630875. Epub 2019 Aug 7.

Abstract

: To analyze the multivariate associations between self-rated level of physical activity and demographic characteristics, self-efficacy for physical activity, fall-related self-efficacy, fear of falling, enjoyment from participation in physical activity, social support, fatigue, and in persons with PD with a focus on gender.: Participants were persons with PD (n = 285, mean age 69.1 ± 7 years). (Exercise Self-Efficacy Scale), (Falls Efficacy Scale), (Social Influences on Physical Activity), (Fatigue Severity Scale) (Parkinson's Disease Questionnaire-39) : Multiple regression analyses showed that 54.5% of the level of physical activity was explained by low-degree limitations in mobility and activities of daily life (ADL), being younger, higher self-efficacy for physical activity, communication limitations, bodily discomfort, social support and shorter time since diagnosis. Enjoyment of physical activity explained the level of physical activity for women, whereas self-efficacy for physical activity explained the level of physical activity for men.: Implementing strategies to increase functional mobility, self-efficacy for physical activity, social support, and enjoyment of physical activity might facilitate persons with PD beginning and/or maintain different physical activities.

摘要

分析身体活动自评水平与人口统计学特征、身体活动自我效能感、与跌倒相关的自我效能感、跌倒恐惧、身体活动参与度、社会支持、疲劳之间的多变量关联,研究对象为帕金森病患者(n=285,平均年龄 69.1±7 岁)。采用(Exercise Self-Efficacy Scale)、(Falls Efficacy Scale)、(Social Influences on Physical Activity)、(Fatigue Severity Scale)和(Parkinson's Disease Questionnaire-39)进行评估。多元回归分析显示,身体活动水平的 54.5%可以用低程度的行动和日常生活活动受限、年龄较小、较高的身体活动自我效能感、交流受限、身体不适、社会支持以及诊断后时间较短来解释。身体活动的享受程度可以解释女性的身体活动水平,而身体活动的自我效能感则可以解释男性的身体活动水平。实施增加功能移动性、身体活动自我效能感、社会支持和身体活动享受程度的策略可能有助于帕金森病患者开始和/或维持不同的身体活动。

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