慢性静脉功能不全患者的身体活动水平

Physical activity levels in patients with chronic venous insufficiency.

作者信息

Domingues Wagner Jorge Ribeiro, Germano-Soares Antonio Henrique, Cucato Gabriel Grizzo, de Souza Lenon Corrêa, Brandão Emely Kércia Santiago de Souza, Souza Emmina Lima da Cruz de, da Silva E Silva Thiago Renan, Arêas Guilherme Peixoto Tinoco, Costa Cleinaldo, Campelo Priscilla Ribeiro Dos Santos, Dos Santos Neivaldo José Nazaré, Silva Gustavo Oliveira da, Simões Caroline Ferraz

机构信息

Graduation Program in Human Movement Sciences, Universidade Federal do Amazonas, Manaus, Brazil.

Department of Physical Education, Faculdade Pernambucana de Saúde, Recife, Brazil.

出版信息

Phlebology. 2025 Feb;40(1):47-54. doi: 10.1177/02683555241273153. Epub 2024 Aug 9.

DOI:10.1177/02683555241273153

PMID:39126137

Abstract

BACKGROUND

Increasing the levels of physical activity (PA) is widely recommended for people with chronic venous insufficiency (CVI). However, studies investigating the patterns of PA and adherence to PA guidelines using objective measures are lacking.

OBJECTIVE

The primary aim was to examine the patterns of PA and adherence to PA guidelines among patients with CVI. A secondary aim was to identify whether adherence to PA recommendations differed according to patients' sociodemographic and clinical characteristics.

METHODS

This cross-sectional study included 96 patients with CVI with Clinical-Etiology-Anatomy-Pathology (CEAP) C3 to C6 (69.1% women 59 ± 11 years; 51.5% C5-C6 on CEAP classification). Objective time spent in PA was measured by a triaxial accelerometer. To examine adherence to PA guidelines, patients were grouped as meeting (or) the recommendations if they had at least 150 min/week of moderate to vigorous PA. Sociodemographic and clinic characteristics were obtained by self-report. Binary logistic regression was employed to examine whether sociodemographic and clinical characteristics were associated with adherence to PA guidelines. T-tests were employed to compare PA levels at different intensities according to patients' age.

RESULTS

Patients spent an average of 311.4 ± 91.5 min/week, 42.1 ± 28.0 min/week, and 19.8 ± 17.8 min/week in low-light PA, high-light PA, and moderate-to-vigorous PA, respectively. The proportion of patients meeting PA recommendations was 36.2%, and older patients had lower odds (OR = 0.94; 95%CI: 0.89 to 0.99). Additional analysis reinforced that by showing lower time in high-light PA (51.2 ± 30.0 min/day vs. 31.9 ± 21.8 min/day; = .001) and moderate-to-vigorous PA (24.3 ± 15.8 min/day vs. 14.8 ± 18.8 min/day; = .012) among older patients than their peers younger.

CONCLUSION

Our findings showed that 36,2% of CVI patients met PA recommendations, with lower odds found among older patients. Public health interventions to enhance PA engagement among CVI patients should prioritize those who are older.

摘要

背景

对于慢性静脉功能不全（CVI）患者，广泛建议增加身体活动（PA）水平。然而，缺乏使用客观测量方法来研究PA模式和PA指南依从性的研究。

目的

主要目的是研究CVI患者的PA模式和PA指南依从性。次要目的是确定PA建议的依从性是否因患者的社会人口统计学和临床特征而异。

方法

这项横断面研究纳入了96例临床病因解剖病理（CEAP）分级为C3至C6的CVI患者（女性占69.1%，年龄59±11岁；CEAP分类中51.5%为C5 - C6）。通过三轴加速度计测量PA的客观时间。为了检查PA指南的依从性，如果患者每周至少有150分钟的中度至剧烈PA，则将其分组为符合（或）建议。通过自我报告获取社会人口统计学和临床特征。采用二元逻辑回归来检查社会人口统计学和临床特征是否与PA指南的依从性相关。采用t检验根据患者年龄比较不同强度的PA水平。

结果

患者每周在低强度PA、高强度PA和中度至剧烈PA上花费的平均时间分别为311.4±91.5分钟、42.1±28.0分钟和19.8±17.8分钟。符合PA建议的患者比例为36.2%，老年患者的可能性较低（OR = 0.94；95%CI：0.89至0.99）。进一步分析表明，老年患者的高强度PA时间（51.2±30.0分钟/天对31.9±21.8分钟/天；P = 0.001）和中度至剧烈PA时间（24.3±15.8分钟/天对14.8±18.8分钟/天；P = 0.012）低于同龄人。