Atkins Christopher P, Jones Andy P, Wilson Andrew M
Norwich Medical School, University of East Anglia, Norwich, Norfolk, UK, NR4 7TJ.
Norfolk and Norwich University Hospital, Colney Lane, Norwich, UK, NR4 7UQ.
Sarcoidosis Vasc Diffuse Lung Dis. 2018;35(1):62-68. doi: 10.36141/svdld.v35i1.5848. Epub 2018 Apr 28.
Increasing physical activity is associated with health benefits. Reduced physical activity has been noted in sarcoidosis, particularly where fatigue co-exists. Monitoring physical activity is possible with wrist-worn devices. This study compared two available devices to determine patient preference and compare wear-time, with a secondary outcome of comparing device outputs with fatigue scores. Patients with sarcoidosis wore two wrist-worn activity monitors (GENEActiv actiwatch and Actigraph GT3X-bt) separately for seven days each. Participants were randomly allocated to receive either device first. Participants completed the Fatigue Assessment Scale (FAS) questionnaire immediately before wearing the first device. All participants completed a questionnaire of their perception regarding each device after the wear period. Data from the devices was analysed for total wear time, time spent in moderate or vigorous activity (MVPA) and for time spent in sedentary behaviours. Twelve patients with sarcoidosis were included. The GENEActiv device was preferred by ten (83.3%) participants. Wear time was greater with the GENEActiv device (1354 minutes/day vs 1079 minutes/day). Time spent in MVPA was slightly higher when recorded by the GENEActiv compared with the Actigraph. Moderately strong correlation was seen between FAS scores and sedentary time (r=-0.554), light activity (r=-0.585) and moderate activity (r=0.506). A clear preference was demonstrated for the GENEActiv. This was reflected in higher wear time and suggests the device can be comfortably worn 24 hours per day. Data from this small cohort also suggests there is correlation between fatigue and activity scores in patients with sarcoidosis. .
增加身体活动与健康益处相关。结节病患者的身体活动有所减少,尤其是在伴有疲劳的情况下。使用腕戴式设备可以监测身体活动。本研究比较了两种可用设备,以确定患者的偏好并比较佩戴时间,次要结果是将设备输出与疲劳评分进行比较。结节病患者分别佩戴两种腕戴式活动监测器(GENEActiv活动监测手表和Actigraph GT3X-bt),各佩戴七天。参与者被随机分配先佩戴其中一种设备。参与者在佩戴第一个设备之前立即完成疲劳评估量表(FAS)问卷。所有参与者在佩戴期结束后完成了一份关于他们对每种设备看法的问卷。对设备数据进行分析,以获取总佩戴时间、中度或剧烈活动(MVPA)时间以及久坐行为时间。纳入了12名结节病患者。十名(83.3%)参与者更喜欢GENEActiv设备。GENEActiv设备的佩戴时间更长(1354分钟/天对1079分钟/天)。与Actigraph相比,GENEActiv记录的MVPA时间略高。FAS评分与久坐时间(r=-0.554)、轻度活动(r=-0.585)和中度活动(r=0.506)之间存在中度强相关性。结果表明,参与者对GENEActiv设备有明显偏好。这体现在更高的佩戴时间上,表明该设备可以舒适地每天佩戴24小时。这个小队列的数据还表明,结节病患者的疲劳与活动评分之间存在相关性。