Vooturi Sudhindra, Siri Bathula, Sirisha Sai, Jayalakshmi Sita
Department of Rehabilitation, Krishna Institute of Medical Sciences, Secunderabad, Telangana.
Department of Neurology, Krishna Institute of Medical Sciences, Secunderabad, Telangana.
Epilepsy Behav Rep. 2024 Jul 25;27:100698. doi: 10.1016/j.ebr.2024.100698. eCollection 2024.
Exercise is a well-established component in the management of chronic illness both as a primary prevention and secondary intervention. The assumption that in otherwise healthy individuals, higher socioeconomic status (SES) is positively associated with physical activity (PA) has been debated. We report the influence of SES on adherence to home-based exercise program in people with epilepsy (PWE) from a developing country. Participants' response to self-reported Social Needs Screening Tool of the American Academy of Family Physicians was collected. The current study is a secondary follow-up and post-hoc analysis of data from patients we have previous published. The average age of the study population was 26.93 ± 10.20 years with 57.8 % men. Among the 116 study participants, 31 (26.72 %) were adherent to the exercise program. Unemployment (14.1 % vs. 0.0 %; p = 0.034) was higher, fewer people had least high school education (76.6 % vs 93.5 %; p = 0.050) in PWE who did not adhere to exercise program. A significantly higher number of PWE who were not adherent to exercise reported that their family members or anyone else never physically hurt them (97.6 % vs 80.6 %; p = 0.05), never threaten (94.1 % vs 74.2 %; p = 0.007) and/or never scream at them (90.6 % vs 74.2 %; p = 0.011). In PWE education and employment are associated with adherence to home-based exercise programs. The role of family support and personal safety in adherence to exercise should be evaluated in detail.
运动作为一级预防和二级干预手段，是慢性病管理中一个已被充分确立的组成部分。在其他方面健康的个体中，较高的社会经济地位（SES）与身体活动（PA）呈正相关这一假设一直存在争议。我们报告了SES对来自发展中国家的癫痫患者（PWE）坚持家庭锻炼计划的影响。收集了参与者对美国家庭医师学会自我报告的社会需求筛查工具的反应。本研究是对我们之前发表的患者数据的二次随访和事后分析。研究人群的平均年龄为26.93±10.20岁，男性占57.8%。在116名研究参与者中，31人（26.72%）坚持锻炼计划。未坚持锻炼计划的PWE中，失业率更高（14.1%对0.0%；p = 0.034），接受至少高中教育的人数更少（76.6%对93.5%；p = 0.050）。未坚持锻炼的PWE中，报告其家庭成员或其他任何人从未对其身体造成伤害（97.6%对80.6%；p = 0.05）、从未威胁过他们（94.1%对74.2%；p = 0.007）和/或从未对他们尖叫过（90.6%对74.2%；p = 0.011）的人数显著更多。在PWE中，教育和就业与坚持家庭锻炼计划有关。应详细评估家庭支持和个人安全在坚持锻炼方面的作用。
