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基于计步器的步行计划对 COPD 患者的影响:一项初步研究。

Effects of a Pedometer-Based Walking Program in Patients with COPD-A Pilot Study.

机构信息

Department of Respiratory Therapy, College of Medicine, Chang Gung University, Taoyuan City 33302, Taiwan.

Division of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital, Linko, Taoyuan City 33353, Taiwan.

出版信息

Medicina (Kaunas). 2022 Mar 29;58(4):490. doi: 10.3390/medicina58040490.

Abstract

Patients with chronic obstructive pulmonary disease (COPD) suffer from impaired pulmonary function and dyspnea, which result in limited levels of physical activity, and impaired quality of life. Exercise and regular physical activity have been proven to break the vicious circle. The aim of this pilot study is to investigate the effects of a walking program on exercise capacity and quality of life in patients with COPD. Patients with COPD were randomly assigned to a pedometer group (PG) or control group (CON). Subjects in the PG walked target steps daily with a pedometer for six weeks. Before and after the program, the following measurements were performed: pulmonary function test (PFT), daily steps, Six-Minute Walk Test (6 MWT), COPD Assessment Test (CAT), and quality of life questionnaire (SF-12). After this walking program, PG ( = 15) significantly improved their daily steps from 4768.4 ± 2643.3 steps to 7042.7 ± 4281.9 steps ( = 0.01). Forced vital capacity (FVC) increased from 2.5 ± 0.7 L to 2.8 ± 0.9 L ( = 0.02). CAT scores decreased from 14.9 ± 8.8 points to 11.5 ± 7.5 points ( = 0.03). In the control group ( = 11), there were no differences in any outcomes after this daily walking program. For patients with COPD, a daily walking program with a pedometer is beneficial in the improvement of pulmonary function, daily steps, and quality of life.

摘要

慢性阻塞性肺疾病(COPD)患者的肺部功能受损,呼吸困难,导致身体活动水平受限,生活质量受损。运动和规律的身体活动已被证明可以打破恶性循环。本初步研究旨在调查步行计划对 COPD 患者运动能力和生活质量的影响。

COPD 患者被随机分配到计步器组(PG)或对照组(CON)。PG 组每天使用计步器目标步数行走,为期六周。在计划前后,进行了以下测量:肺功能测试(PFT)、每日步数、六分钟步行测试(6 MWT)、COPD 评估测试(CAT)和生活质量问卷(SF-12)。

在这个步行计划之后,PG(n=15)的每日步数从 4768.4±2643.3 步显著增加到 7042.7±4281.9 步(p=0.01)。用力肺活量(FVC)从 2.5±0.7 L 增加到 2.8±0.9 L(p=0.02)。CAT 评分从 14.9±8.8 分降至 11.5±7.5 分(p=0.03)。在对照组(n=11)中,在每天进行步行计划后,所有结果均无差异。

对于 COPD 患者,每天使用计步器进行步行计划有助于改善肺功能、日常步数和生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db07/9026463/059013eb0404/medicina-58-00490-g001.jpg

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