需要不止一次心肌梗死才能开始运动：CoLaus|PsyCoLaus 前瞻性研究。

It needs more than a myocardial infarction to start exercising: the CoLaus|PsyCoLaus prospective study.

机构信息

Department of Medicine, Internal Medicine, Lausanne University Hospital and University of Lausanne, 46 rue du Bugnon, Lausanne, 1011, Switzerland.

Laboratory of Movement Analysis and Measurement (LMAM), Ecole Polytechnique Federale de Lausanne (EPFL), Lausanne, Switzerland.

出版信息

BMC Cardiovasc Disord. 2024 Feb 12;24(1):102. doi: 10.1186/s12872-024-03755-9.

DOI:10.1186/s12872-024-03755-9

PMID:38347464

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10863136/

Abstract

BACKGROUND

Increased physical activity (PA) is recommended after an acute coronary event to prevent recurrences. Whether patients with acute coronary event actually increase their PA has not been assessed using objective methods such as accelerometer. We aimed to assess the subjectively and objectively measured physical activity (PA) levels of patients before and after an acute coronary event.

METHODS

Data from the three follow-up surveys of a prospective study conducted in Lausanne, Switzerland. Self-reported PA was assessed by questionnaire in the first (2009-2012) and second (2014-2017) follow-ups. Objective PA was assessed by a wrist-worn accelerometer in the second and third (2018-2021) follow-ups. Participants who developed an acute coronary event between each survey period were considered as eligible. PA levels were compared before and after the event, and changes in PA levels were also compared between participants who developed an acute event with three gender and age-matched healthy controls.

RESULTS

For self-reported PA, data from 43 patients (12 women, 64 ± 9 years) were used. No differences were found for all PA levels expressed in minutes/day before and after the event: moderate PA, median and [interquartile range] 167 [104-250] vs. 153 [109-240]; light PA: 151 [77-259] vs. 166 [126-222], and sedentary behaviour: 513 [450-635] vs. 535 [465-642] minutes/day. Comparison with gender- and age-matched healthy controls showed no differences regarding trends in reported PA. For accelerometer-assessed PA, data from 32 patients (16 women, 66 ± 9 years) were used. No differences were found for all PA levels expressed in minutes/day before and after the event: moderate PA: 159 [113-189] vs. 141 [111-189]; light PA: 95.8 [79-113] vs. 95.9 [79-117], and sedentary behaviour: 610 [545-659] vs. 602 [540-624]. Regarding the comparison with gender- and age-matched healthy controls, controls had an increase in accelerometer-assessed sedentary behaviour as % of day: multivariable adjusted average standard error 2.7 ± 0.6, while no increase was found for cases: 0.1 ± 1.1; no differences were found for the other PA levels.

CONCLUSION

Patients do not seem to change their PA levels after a first coronary event. Our results should be confirmed in larger samples.

摘要

背景

建议急性冠脉事件后增加体力活动（PA）以预防复发。是否使用加速度计等客观方法评估急性冠脉事件患者实际增加了 PA 尚未得到评估。我们旨在评估急性冠脉事件前后患者的主观和客观测量的体力活动（PA）水平。

方法

瑞士洛桑一项前瞻性研究的三次随访数据。第一次（2009-2012 年）和第二次（2014-2017 年）随访中通过问卷评估自我报告的 PA。第二次和第三次（2018-2021 年）随访中使用腕戴加速度计评估客观 PA。在每个调查期间发生急性冠脉事件的参与者被认为符合条件。比较事件前后的 PA 水平，并比较发生急性事件的参与者与三名性别和年龄匹配的健康对照者之间 PA 水平的变化。

结果

对于自我报告的 PA，使用了 43 名患者（12 名女性，64±9 岁）的数据。事件前后所有 PA 水平的表达无差异，以分钟/天表示：中度 PA，中位数和[四分位距]167[104-250]与 153[109-240]；轻 PA：151[77-259]与 166[126-222]，以及久坐行为：513[450-635]与 535[465-642]分钟/天。与性别和年龄匹配的健康对照者的比较显示，报告的 PA 趋势无差异。对于加速度计评估的 PA，使用了 32 名患者（16 名女性，66±9 岁）的数据。事件前后所有 PA 水平的表达无差异，以分钟/天表示：中度 PA：159[113-189]与 141[111-189]；轻 PA：95.8[79-113]与 95.9[79-117]，以及久坐行为：610[545-659]与 602[540-624]。关于与性别和年龄匹配的健康对照者的比较，对照组的加速度计评估的久坐行为作为一天的百分比增加：多变量调整平均标准误差 2.7±0.6，而病例组没有增加：0.1±1.1；其他 PA 水平没有差异。