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股骨髋臼撞击综合征患者中通过设备测量的身体活动水平的人口统计学和临床相关性

Demographic and Clinical Correlates of Device-Measured Physical Activity Levels in Individuals with Femoroacetabular Impingement Syndrome.

作者信息

Alrashdi Naif Z, Motl Robert W, Samchok Sara, Momaya Amit M, Emblom Benton A, Ryan Michael K, Ithurburn Matthew P

机构信息

Rehabilitation Science PhD Program, School of Health Professions, University of Alabama at Birmingham, Birmingham, AL.

Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Majmaah University, Majmaah, Kingdom of Saudi Arabia.

出版信息

Arch Rehabil Res Clin Transl. 2023 Jan 11;5(1):100254. doi: 10.1016/j.arrct.2023.100254. eCollection 2023 Mar.

DOI:10.1016/j.arrct.2023.100254
PMID:36968171
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10036225/
Abstract

OBJECTIVE

To compare physical activity (PA) levels between individuals with femoroacetabular impingement syndrome (FAIS) and uninjured controls and determine correlates of moderate to vigorous physical activity (MVPA).

DESIGN

Cross-sectional, comparative study.

SETTING

University laboratory.

PARTICIPANTS

A total number of 25 individuals with FAIS (15 female; age, 31.0±9.2 years; symptom duration, 4.7±7.1 years) and 14 uninjured controls (9 female; age, 28.0±9.1 years) (N=39).

INTERVENTIONS

Not applicable.

MAIN OUTCOME MEASURES

All individuals wore an accelerometer around the waist during waking hours for 7 days. We compared demographic, clinical data, and PA levels between groups using independent samples tests and compared the proportions of those meeting the PA guideline cutoff (150min/wk) using a chi-square test. Additionally, we examined correlates of mean daily MVPA using linear regression in both groups.

RESULTS

Individuals with FAIS spent less time in MVPA (controls, 52.1±25.6min/d; FAIS, 26.9±19.1min/d; =.001) and took fewer steps (controls, 8428±2931 steps/d; FAIS, 6449±2527 steps/d; =.033) than uninjured controls. A lower proportion of individuals with FAIS met the PA cutoff (40.0%) compared with uninjured controls (78.6%; =.020). Higher body mass index (BMI) values and lower (worse) Hip Disability and Osteoarthritis Outcome Score (HOOS)-Quality of Life subscale scores were associated with lower mean daily MVPA in those with FAIS ( =21.2%, =.021; =22.0%, =.018; respectively) but not in uninjured controls.

CONCLUSIONS

Individuals with FAIS spent less time in daily MVPA, took fewer daily steps, and met recommended PA guideline cutoffs at lower proportions compared with uninjured controls. Higher BMI and lower HOOS-Quality of Life scores were associated with lower mean daily MVPA. Interventions should be developed for individuals with FAIS to increase PA engagement to potentially lessen the risk of future comorbidities associated with decreased PA and increased BMI.

摘要

目的

比较股骨髋臼撞击综合征(FAIS)患者与未受伤对照组的身体活动(PA)水平,并确定中度至剧烈身体活动(MVPA)的相关因素。

设计

横断面比较研究。

地点

大学实验室。

参与者

共有25例FAIS患者(15例女性;年龄31.0±9.2岁;症状持续时间4.7±7.1年)和14例未受伤对照组(9例女性;年龄28.0±9.1岁)(N = 39)。

干预措施

不适用。

主要观察指标

所有个体在清醒时间佩戴腰部加速度计7天。我们使用独立样本检验比较两组之间的人口统计学、临床数据和PA水平,并使用卡方检验比较达到PA指南标准(150分钟/周)的比例。此外,我们在两组中使用线性回归分析平均每日MVPA的相关因素。

结果

与未受伤对照组相比,FAIS患者在MVPA上花费的时间更少(对照组,52.1±25.6分钟/天;FAIS组,26.9±19.1分钟/天;P = 0.001),步数也更少(对照组,8428±2931步/天;FAIS组,6449±2527步/天;P = 0.033)。与未受伤对照组(78.6%;P = 0.020)相比,达到PA标准的FAIS患者比例更低(40.0%)。较高的体重指数(BMI)值和较低(较差)的髋关节残疾和骨关节炎结果评分(HOOS)-生活质量子量表评分与FAIS患者较低的平均每日MVPA相关(分别为r = 21.2%,P = 0.021;r = 22.0%,P = 0.018),但与未受伤对照组无关。

结论

与未受伤对照组相比,FAIS患者每日MVPA时间更少,每日步数更少,达到推荐PA指南标准的比例更低。较高的BMI和较低的HOOS-生活质量评分与较低的平均每日MVPA相关。应为FAIS患者制定干预措施,以增加PA参与度,从而可能降低未来与PA减少和BMI增加相关的合并症风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6970/10036225/0b11b97293c4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6970/10036225/0b11b97293c4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6970/10036225/0b11b97293c4/gr1.jpg

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