Aktar Burcin, Balci Birgul, Eraslan Boz Hatice, Ferik Ozalan Sevgi, Oztura Ibrahim, Baklan Baris
Department of Physical Therapy and Rehabilitation, Institute of Health Sciences, Dokuz Eylul University, Izmir, Turkey; Faculty of Physical Therapy and Rehabilitation, Dokuz Eylul University, Izmir, Turkey.
Faculty of Physical Therapy and Rehabilitation, Dokuz Eylul University, Izmir, Turkey.
Epilepsy Behav. 2025 Feb;163:110198. doi: 10.1016/j.yebeh.2024.110198. Epub 2024 Dec 12.
Being physically active is important, but people with epilepsy (PWE) tend to have a sedentary lifestyle. There is limited evidence about physical activity patterns in PWE using objective measures. The aims of this study were: (1) to examine the physical activity patterns of PWE, (2) compare activity patterns between PWE in terms of drug-resistant epilepsy and medically controlled epilepsy with age- and sex-matched healthy controls; and (3) explore the association between physical activity patterns and body function and structure, activity and participation, and quality of life of PWE.
Seventy-three PWE and 74 healthy controls were enrolled. Physical activity data were collected prospectively over a 7-day period using a SenseWear Arm Band. Body function and structure in PWE were evaluated using the Fatigue Severity Scale, 30-second Chair Stand (30CST), Biodex-Fall Risk, Generalized Anxiety Disorder, Beck Depression Inventory, Pittsburg Sleep Quality Index, and Montreal Cognitive Assessment (MoCA). Activity and participation in PWE were measured using Activities-specific Balance Confidence, Timed Up and Go Test, Six-Minute Walk Test, and Tinetti-Balance and Tinetti-Gait. The quality of life of PWE was evaluated using the Quality of Life in Epilepsy Inventory-31.
PWE took fewer steps per day and were sedentary for more time compared with healthy controls (7826 vs. 10,564 steps, P = 0.01; 534 min/day vs. 463 min/day, P < 0.001), especially PWE with drug-resistant epilepsy. 30CST, MoCA, and Biodex-Fall Risk were associated with sedentary behavior, with Biodex-Fall Risk explaining 7.2 % of the variance.
PWE demonstrated lower physical activity levels compared with healthy individuals, especially those with drug-resistant epilepsy. Our study highlights the need to tailor strategies including postural stability exercises for the enhancement of physical activity levels in PWE.
进行体育活动很重要，但癫痫患者（PWE）往往久坐不动。使用客观测量方法研究癫痫患者体育活动模式的证据有限。本研究的目的是：（1）检查癫痫患者的体育活动模式；（2）将耐药性癫痫和药物控制的癫痫患者的活动模式与年龄和性别匹配的健康对照进行比较；（3）探索体育活动模式与癫痫患者身体功能和结构、活动与参与以及生活质量之间的关联。
招募了73名癫痫患者和74名健康对照。使用SenseWear臂带前瞻性收集7天的体育活动数据。使用疲劳严重程度量表、30秒椅子站立测试（30CST）、Biodex跌倒风险评估、广泛性焦虑症量表、贝克抑郁量表、匹兹堡睡眠质量指数和蒙特利尔认知评估量表（MoCA）评估癫痫患者的身体功能和结构。使用特定活动平衡信心量表、定时起立行走测试、六分钟步行测试以及Tinetti平衡和Tinetti步态测试评估癫痫患者的活动与参与情况。使用癫痫患者生活质量量表-31评估癫痫患者的生活质量。
与健康对照相比，癫痫患者每天步数更少，久坐时间更长（7826步对10564步，P = 0.01；534分钟/天对463分钟/天，P < 0.001），尤其是耐药性癫痫患者。30CST、MoCA和Biodex跌倒风险与久坐行为相关，其中Biodex跌倒风险可解释7.2%的差异。
与健康个体相比，癫痫患者的体育活动水平较低，尤其是耐药性癫痫患者。我们的研究强调需要制定包括姿势稳定性练习在内的策略，以提高癫痫患者的体育活动水平。
