Department of Internal Medicine, Gulhane Faculty of Medicine, University of Health Sciences Türkiye, Ankara, Türkiye.
Gulhane Training and Research Hospital, Internal Medicine Clinic, General Tevfik Saglam Caddesi, Etlik, 06018, Ankara, Türkiye.
Intern Emerg Med. 2024 Nov;19(8):2203-2211. doi: 10.1007/s11739-024-03737-x. Epub 2024 Aug 23.
The relationship between sedentary lifestyle and chronic diseases is well known. This study examined the prevalence and factors associated with reduced physical activity (PA) among internal medicine inpatients on admission. In this single-center, cross-sectional study, inpatients aged 50 years or older were prospectively enrolled at a tertiary care facility in Ankara, Türkiye. PA was assessed using the International Physical Activity Questionnaire (IPAQ). Care and performance indicators, quality of life (EQ-5D 3L), nutritional status, timed up-and-go test, muscle strength, and cognitive status were assessed. Participants were classified into 3 groups of PA levels as low, moderate, and high. Study end points were the prevalence of low PA level and associated factors. Of the 240 participants (mean age: 62.7 ± 8.0 years; women: 50%), 47.1% (n = 113), 40.8% (n = 98) and 12.1% (n = 29) had low, moderate, and high PA, respectively. Type 2 diabetes mellitus (45.1%), hypertension (66.4%), coronary artery disease (41.6%), dementia (8.8%), and multimorbidity (53.1%) were more common in the low PA group. Outdoor walking < 3 days per week (OR: 4.44, 95% CI 1.55 to 12.74, p = 0.006, functional dependence in and outside home (OR: 4.25, 95% CI 1.13 to 15.92, p = 0.032) and EQ-5D VAS score (OR: 0.97, 95% CI 0.95 to 0.99, p = 0.011) were independently associated with low PA level on multivariable logistic regression analysis. This study found low or medium levels of PA in almost nine out of ten admissions to an internal medicine clinic. On the other hand, low PA level was not associated with most classical comorbidities but with altered performance and care indicators.
久坐的生活方式与慢性病之间的关系是众所周知的。本研究旨在探讨内科住院患者入院时体力活动（PA）减少的患病率和相关因素。在这项单中心、横断面研究中，前瞻性招募了安卡拉一家三级保健机构的 50 岁及以上的住院患者。使用国际体力活动问卷（IPAQ）评估 PA。评估了护理和绩效指标、生活质量（EQ-5D 3L）、营养状况、起立-行走计时测试、肌肉力量和认知状态。参与者被分为低、中、高三个 PA 水平组。研究终点是低 PA 水平的患病率和相关因素。在 240 名参与者（平均年龄：62.7±8.0 岁；女性：50%）中，47.1%（n=113）、40.8%（n=98）和 12.1%（n=29）的 PA 水平分别为低、中、高。低 PA 组更常见的是 2 型糖尿病（45.1%）、高血压（66.4%）、冠状动脉疾病（41.6%）、痴呆（8.8%）和多种疾病（53.1%）。每周户外活动<3 天（OR：4.44，95%CI 1.55 至 12.74，p=0.006）、家庭内外的功能依赖（OR：4.25，95%CI 1.13 至 15.92，p=0.032）和 EQ-5D VAS 评分（OR：0.97，95%CI 0.95 至 0.99，p=0.011）在多变量逻辑回归分析中与低 PA 水平独立相关。本研究发现，近十分之九的内科诊所入院患者的 PA 水平较低或中等。另一方面，低 PA 水平与大多数经典合并症无关，但与改变的绩效和护理指标有关。
