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发展中国家癫痫患者身体活动对生活质量的影响:一项基于调查的横断面研究。

Impact of physical activity on quality of life in patients with epilepsy in a developing country: A cross-sectional, survey-based study.

作者信息

San-Juan Daniel, Cervera-Sánchez Miguel Benjamín, Morales-Morales Miguel Angel, Wong-Valenzuela Emilio Israel, Torres-Rodríguez Dara Lizeth, Pimentel-Saona Daniela Carolina

机构信息

Epilepsy Clinic, National Institute of Neurology and Neurosurgery, Mexico City, Mexico.

Faculty of Medicine, Autonomous University of Nayarit, Nayarit, Mexico.

出版信息

eNeurologicalSci. 2024 Nov 10;37:100533. doi: 10.1016/j.ensci.2024.100533. eCollection 2024 Dec.

DOI:10.1016/j.ensci.2024.100533
PMID:39624682
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11609376/
Abstract

RATIONALE

Patients with epilepsy face different barriers based on ignorance and fear of themselves and others while exercising, this situation complicates attempts at exercise and promotes discrimination against patients. Physical activity has been associated with favorable results in the health of this population and can be used as a non-pharmacological treatment seeking to increase the health and improve living conditions of patients. Our study aims to explore how physical activity impacts quality-of-life perception in these patients.

METHODS

We performed a cross-sectional, survey-based study conducted at the outpatient Epilepsy Clinic in the National Institute of Neurology and Neurosurgery "Manuel Velasco Suárez". Patients between 17 and 65 years of age and with an established diagnosis of epilepsy were considered for participation. A 31-item questionnaire was administered to all participants face-to-face or by telephone. The questions included in the survey were selected from the Global Physical Activity Questionnaire and the Quality of Life in Epilepsy Inventory to assess the level of exercise and perceived quality of life of participants. Descriptive and inferential Mann-Whitney test statistical analysis was done using IBM SPSS Statistics 23.0 software.

RESULTS

Participants' mean age was 35.69 ± 11.93 years, 45 % were male and 55 % female. Significant differences were found in the domain of perceived quality of life in the self-reported physically active participants ( = 0.0256; 95 % IC: 1.00-15.22), with a mean score of 75.78 ± 16.64 in the active group vs. 67.66 ± 15.86 in the sedentary group. In those who complied with the exercise recommendations according to the WHO, there was significant evidence of improvement in the general quality of life ( = 0.0032; 95 % IC:4.9-23.9), with a mean score of 75.22 ± 15.92 in the active group vs. 60.76 ± 17.836 in the sedentary group.

CONCLUSIONS

Physical activity is associated with a significant impact on how patients with epilepsy perceive their quality of life. In addition, it improves memory and concentration in the tasks they perform in their daily lives.

摘要

理论依据

癫痫患者在运动时会因对自身及他人的无知和恐惧而面临不同障碍,这种情况使运动尝试变得复杂,并加剧了对患者的歧视。体育活动已被证明对该人群的健康有积极影响,可作为一种非药物治疗手段,旨在增进患者健康并改善其生活条件。我们的研究旨在探讨体育活动如何影响这些患者对生活质量的认知。

方法

我们在国家神经病学和神经外科研究所“曼努埃尔·贝拉斯科·苏亚雷斯”的癫痫门诊进行了一项基于调查的横断面研究。年龄在17至65岁之间且已确诊癫痫的患者被纳入研究。向所有参与者面对面或通过电话发放一份包含31个条目的问卷。调查中的问题选自全球体育活动问卷和癫痫患者生活质量量表,以评估参与者的运动水平和感知生活质量。使用IBM SPSS Statistics 23.0软件进行描述性和推断性曼-惠特尼检验统计分析。

结果

参与者的平均年龄为35.69±11.93岁,45%为男性,55%为女性。在自我报告有体育活动的参与者中,感知生活质量领域存在显著差异(P = 0.0256;95%置信区间:1.00 - 15.22),活跃组的平均得分为75.78±16.64,而久坐组为

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db1c/11609376/5ceb6311b077/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db1c/11609376/5ceb6311b077/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db1c/11609376/5ceb6311b077/gr1.jpg

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