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酒精使用障碍住院患者与健康对照者的功能运动能力:一项初步研究。

Functional exercise capacity in inpatients with alcohol use disorder versus healthy controls: A pilot study.

机构信息

Department of Rehabilitation Sciences, KU Leuven - University of Leuven, Leuven, Belgium; University Psychiatric Centre (UPC) KU Leuven, KU Leuven - University of Leuven, Leuven-Kortenberg, Belgium.

Department of Public Health Sciences, Karolinksa Institute, Stockholm, Sweden.

出版信息

Alcohol. 2020 Feb;82:47-52. doi: 10.1016/j.alcohol.2019.07.006. Epub 2019 Aug 6.

DOI:10.1016/j.alcohol.2019.07.006
PMID:31398459
Abstract

The purpose of this study was to compare the functional exercise capacity of patients with alcohol use disorders (AUD) with an age-, gender-, and body mass index (BMI)-matched healthy control group. Thirty patients (22 males, 40.4 ± 10.5 years, illness duration = 9.7 ± 9.3 years) and healthy control subjects (22 males, 40.2 ± 10.7 years) participated. Participants performed a 6-min walk test (6MWT) to assess their functional exercise capacity, were asked about musculoskeletal problems and dyspnea, executed a standing broad jump to assess their muscular strength, and completed the International Physical Activity Questionnaire (IPAQ). Patients also filled in the Positive Affect and Negative Affect Schedule (PANAS) and Alcohol Use Disorders Identification Test (AUDIT). Our data show that patients with AUD walked a significantly shorter distance on the 6MWT (649.0 ± 72.9 m vs. 724.4 ± 89.0 m, p = 0.001). In patients with AUD, the variance in standing broad jump score explained 43.6% of the variance in the 6MWT score. The current study demonstrates that impaired muscle strength is negatively associated with functional outcomes in patients with AUD. Exercise interventions should be investigated in order to assess whether they can ameliorate muscle strength and daily life functioning of this vulnerable population.

摘要

这项研究的目的是比较酒精使用障碍(AUD)患者与年龄、性别和体重指数(BMI)匹配的健康对照组的功能运动能力。共有 30 名患者(22 名男性,40.4±10.5 岁,病程=9.7±9.3 年)和健康对照组(22 名男性,40.2±10.7 岁)参加了研究。参与者进行了 6 分钟步行测试(6MWT)以评估他们的功能运动能力,询问了肌肉骨骼问题和呼吸困难,进行了站立跳远以评估他们的肌肉力量,并完成了国际体力活动问卷(IPAQ)。患者还填写了积极和消极情绪量表(PANAS)和酒精使用障碍识别测试(AUDIT)。我们的数据表明,AUD 患者在 6MWT 上行走的距离明显更短(649.0±72.9 m 与 724.4±89.0 m,p=0.001)。在 AUD 患者中,站立跳远得分的变化解释了 6MWT 得分变化的 43.6%。本研究表明,肌肉力量受损与 AUD 患者的功能结果呈负相关。应研究运动干预措施,以评估它们是否可以改善该脆弱人群的肌肉力量和日常生活功能。

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