Department of Rehabilitation Medicine, University of Washington, Seattle, Washington, DC, USA.
The Sports Institute at UW Medicine, Seattle, Washington, DC, USA.
PM R. 2023 Nov;15(11):1411-1418. doi: 10.1002/pmrj.12971. Epub 2023 May 28.
Routinely assessing exercise levels during clinical visits may be a starting point for clinicians to support physical activity in persons with multiple sclerosis (MS).
To evaluate the feasibility and findings of routinely implementing a self-reported physical activity vital sign during clinical visits.
Retrospective database review.
Outpatient academic MS center.
All adult patients of our MS center with confirmed MS presenting for an in-person or telemedicine clinic visit with a physician or nurse practitioner.
None.
MAIN MEASURE(S): A standard physical activity vital sign representing minutes per week of moderate-to-vigorous exercise was collected. Percentage of persons with MS with a recorded physical activity vital sign was retrospectively evaluated along with demographic characteristics and key findings.
Ninety-three percent of patients with MS at our center had a physical activity vital sign recorded in at least one visit, and 86% at the most recent visit. Of 1560 patients with a recorded physical activity vital sign, 24.3% of patients were consistently active (≥150 min/week of exercise), 20.8% were consistently inactive (0 min/week), and the remaining 54.9% were inconsistently active. The physical activity vital sign was inversely associated with BMI (p < .001) and 25-foot walk test times (p < .001), but not associated with biological sex or age.
Approximately a quarter of patients with MS with a documented physical activity vital sign met national aerobic exercise guidelines of 150 min/week per the U.S. Department of Health and Human Services. Routine implementation of the physical activity vital sign at our MS center was feasible and helped identify inactive patients who may benefit from physical activity counseling.
在临床就诊期间定期评估运动水平可能是临床医生支持多发性硬化症（MS）患者进行身体活动的起点。
评估在临床就诊期间常规实施自我报告身体活动生命体征的可行性和结果。
回顾性数据库审查。
学术性多发性硬化症中心的门诊。
我们的多发性硬化症中心的所有成年患者，他们在与医生或护士从业者进行面对面或远程医疗诊所就诊时被确诊为多发性硬化症。
无。
收集代表每周中等至剧烈运动分钟数的标准身体活动生命体征。回顾性评估多发性硬化症患者的身体活动生命体征记录率以及人口统计学特征和主要发现。
我们中心的 93%的多发性硬化症患者在至少一次就诊中记录了身体活动生命体征，86%在最近一次就诊中记录了身体活动生命体征。在记录了身体活动生命体征的 1560 名患者中，24.3%的患者持续活跃（每周运动≥150 分钟），20.8%持续不活跃（每周 0 分钟），其余 54.9%的患者活动不规律。身体活动生命体征与 BMI（p<0.001）和 25 英尺步行测试时间（p<0.001）呈负相关，但与生物性别或年龄无关。
大约四分之一有记录的身体活动生命体征的多发性硬化症患者符合美国卫生与公众服务部的每周 150 分钟的国家有氧运动指南。在我们的多发性硬化症中心常规实施身体活动生命体征是可行的，并有助于识别可能受益于身体活动咨询的不活跃患者。
