Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas. Institute for Exercise and Environmental Medicine, Texas Health Presbyterian Hospital and University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Department of Physiology and Anatomy, University of North Texas Health Science Center, Fort Worth, Texas, USA.
J Burn Care Res. 2023 Nov 2;44(6):1478-1484. doi: 10.1093/jbcr/irad063.
The purpose of this study was to evaluate whether burn survivors have lower adherence compared to non-burned control individuals during a 6-month community-based exercise program. In burn survivors, we sought to answer if there was a relation between the size of the burn injury and dropout frequency. Fifty-two burn survivors and 15 non-burned controls (n = 67) were recruited for a 6-month community-based (ie, non-supervised), progressive, exercise training program. During the exercise program, 27% (ie, 4 of the 15 enrolled) of the non-burned individuals dropped out of the study, while 37% (ie, 19 of the 52) of the burn survivors dropped out from the study. There was no difference in the percentage of individuals who dropped out between groups (P = .552). There was no difference in size of the burn injury, expressed as percent body surface area burned (%BSA) between the burn survivors that dropped out versus those who completed the exercise regimen (P = .951). We did not observe a relation between %BSA burned and dropouts (log odds = -0.15-0.01(%BSA), B = -0.01, SE = 0.015, P = .541). There was no effect of %BSA burned on the probability of dropout [Exp (B) = 0.991, 95% CI (0.961, 1.020)] and there were no differences in the percentage of individuals who dropped out of the study based on %BSA burned (χ2(1) = 0.44, P = .51). These data demonstrate that burn survivors have similar exercise adherence relative to a non-burned group and the extent of a burn injury does not affect exercise program adherence.
本研究旨在评估在为期 6 个月的社区为基础的运动项目中，烧伤幸存者的依从性是否低于未烧伤对照个体。在烧伤幸存者中，我们试图回答烧伤损伤的大小与脱落频率之间是否存在关系。招募了 52 名烧伤幸存者和 15 名未烧伤对照者（n=67）参加为期 6 个月的社区为基础（即非监督）、渐进性运动训练计划。在运动项目期间，15 名非烧伤个体中有 27%（即 4 名）退出了研究，而 52 名烧伤幸存者中有 37%（即 19 名）退出了研究。两组之间退出研究的个体百分比没有差异（P=0.552）。退出研究的烧伤幸存者与完成运动方案的烧伤幸存者的烧伤面积百分比（%BSA）无差异（P=0.951）。我们没有观察到烧伤面积百分比与脱落之间存在关系（对数优势比=-0.15-0.01（%BSA），B=-0.01，SE=0.015，P=0.541）。烧伤面积百分比对脱落概率没有影响[Exp（B）=0.991，95%CI（0.961，1.020）]，并且根据烧伤面积百分比（%BSA），研究中退出的个体百分比没有差异（χ2（1）=0.44，P=0.51）。这些数据表明，烧伤幸存者的运动依从性与未烧伤组相似，烧伤损伤的程度并不影响运动项目的依从性。
