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心脏康复在促进心血管疾病患者生活方式改变中的作用：一项全国性队列研究。

The Role of Cardiac Rehabilitation in Promoting Lifestyle Modification Among Cardiovascular Patients: A Nationwide Cohort Study.

作者信息

Kim Chul, Hong Jung Hwa, Lee Jang Woo

机构信息

Department of Rehabilitation Medicine, Inje University Sanggye Paik Hospital, Seoul 01757, Republic of Korea.

Department of Research and Analysis, National Health Insurance Service Ilsan Hospital, Goyang 10444, Republic of Korea.

出版信息

Healthcare (Basel). 2024 Dec 18;12(24):2553. doi: 10.3390/healthcare12242553.

DOI:10.3390/healthcare12242553
PMID:39765980
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11675419/
Abstract

BACKGROUND

Cardiac rehabilitation (CR) is crucial for the secondary prevention of cardiovascular disease, primarily by promoting lifestyle modifications. However, its impact on lifestyle changes in the Korean population has not been well studied. This study analyzed data from the National Health Insurance Database to evaluate the effect of CR on lifestyle improvement in patients with cardiovascular disease.

METHODS

Patients who underwent coronary revascularization in 2017 were included. This study investigated whether the lifestyle habits of patients with cardiovascular disease who were physically inactive, obese, and smoked improved after coronary revascularization. To analyze whether CR affected each lifestyle factor, multiple regression analysis was performed, adjusting for socioeconomic and medical conditions as covariates.

RESULTS

CR had a significant effect on the acquisition of regular physical activity among physically inactive patients before revascularization (odds ratio [OR]: 1.205, 95% confidence interval [CI]: 1.046-1.389). However, CR did not have a significant impact on smoking cessation in smokers (OR: 1.172, 95% CI: 0.890-1.545) and weight reduction in patients with obesity (OR: 1.104, 95% CI: 0.977-1.248).

CONCLUSION

This nationwide study showed that CR after coronary revascularization significantly improved physical activity in patients with cardiovascular disease. However, CR had no significant effect on smoking cessation or weight reduction, indicating a need for more comprehensive approaches to address these lifestyle factors.

摘要

背景

心脏康复（CR）对于心血管疾病的二级预防至关重要，主要通过促进生活方式的改变来实现。然而，其对韩国人群生活方式改变的影响尚未得到充分研究。本研究分析了国民健康保险数据库中的数据，以评估CR对心血管疾病患者生活方式改善的效果。

方法

纳入2017年接受冠状动脉血运重建的患者。本研究调查了身体不活动、肥胖且吸烟的心血管疾病患者在冠状动脉血运重建后其生活习惯是否得到改善。为了分析CR是否影响每个生活方式因素，进行了多元回归分析，并将社会经济和医疗状况作为协变量进行调整。

结果

CR对血运重建前身体不活动的患者获得规律体育活动有显著影响（优势比[OR]：1.205，95%置信区间[CI]：1.046 - 1.389）。然而，CR对吸烟者戒烟（OR：1.172，95% CI：0.890 - 1.545）和肥胖患者减重（OR：1.104，95% CI：0.977 - 1.248）没有显著影响。

结论

这项全国性研究表明，冠状动脉血运重建后的CR显著改善了心血管疾病患者的体育活动。然而，CR对戒烟或减重没有显著影响，这表明需要更全面的方法来解决这些生活方式因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c5e/11675419/c450e532d959/healthcare-12-02553-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c5e/11675419/c450e532d959/healthcare-12-02553-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c5e/11675419/c450e532d959/healthcare-12-02553-g001.jpg

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Smoking cessation, but not reduction, reduces cardiovascular disease incidence.戒烟可降低心血管疾病的发病率，而减少吸烟量则不然。
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Cardiac rehabilitation and its essential role in the secondary prevention of cardiovascular diseases.心脏康复及其在心血管疾病二级预防中的重要作用。
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