Are the Barriers for Physical Activity Practice Equal for All Peripheral Artery Disease Patients?
Are the Barriers for Physical Activity Practice Equal for All Peripheral Artery Disease Patients?
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DOI：
10.1016/j.apmr.2014.09.009
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发表时间：
2015-02-01
影响因子：
4.3
通讯作者：
Ritti-Dias, Raphael M.
中科院分区：
文献类型：
--
作者：
Cavalcante, Bruno R.;Farah, Breno Q.;Ritti-Dias, Raphael M.
目的：研究与间歇性跛行患者的社会人口学共病和临床变量相关的体力活动障碍。设计：横断面研究。设置：门诊护理。参与者：检查年龄≥ 50岁的间歇性跛行患者（N=145）的病史。干预措施：不适用。主要结果测量：社会人口统计学数据（性别、种族、教育水平、社会经济状况、婚姻状况）、合并症（超重、高血压、血脂异常、糖尿病、目前吸烟、心脏病）和临床变量（初始跛行距离、总步行距离、踝臂指数）。结果：低经济地位与“怕摔”的关系最密切（OR = 2.22，95%可信区间CI为1.08-4.54）。文化程度低与“缺乏人行横道”最相关（OR = 3.34; 95%CI，1.48-7.52）。糖尿病与能量缺乏（OR = 3.38; 95%CI，1.68-6.79）和其他医学疾病（例如关节炎、心绞痛）（OR = 3.44; 95%CI，1.65-7.16）相关。踝臂指数与“难以到达可进行体力活动的地方”相关（OR = 2.75; 95%CI，1.22-6.21）。步行能力与下肢疼痛相关障碍密切相关（OR = 7.39; 95%CI，1.66-32.88）。结论：老年患者、低教育水平患者、糖尿病患者、踝臂指数低的患者和步行能力较低的患者更有可能遇到身体活动障碍。(C)2015年，美国康复医学大会。
Objective: To investigate barriers to physical activity related to the sociodemographic comorbidities and clinical variables of patients with intermittent claudication.Design: Cross-sectional study.Setting: Ambulatory care.Participants: The medical histories of patients (N=145) aged >= 50 years with intermittent claudication were examined.Interventions: Not applicable.Main Outcome Measures: Sociodemographic data (sex, race, level of education, socioeconomic status, marital status), comorbidities (overweight, hypertension, dyslipidemia, diabetes, currently smoking, heart disease), and clinical variables (initial claudication distance, total walking distance, ankle-brachial index). Information on personal and environmental barriers was obtained by questionnaire.Results: Low economic status was most associated with "being afraid of falling" (odd ratios [OR] = 2.22; 95% confidence interval [CI], 1.08-4.54). Low education level was most associated with "lack of street pedestrian crossing" (OR = 3.34; 95% CI, 1.48-7.52). Diabetes was associated with lack of energy (OR = 3.38; 95% CI, 1.68-6.79) and other medical conditions (eg, arthritis, angina) (OR = 3.44; 95% CI, 1.65-7.16). Ankle brachial index was associated with "some difficulty in getting to a place where physical activity can be performed" (OR = 2.75; 95% CI, 1.22-6.21). Walking capacity was strongly associated with barriers relating to leg pain (OR = 7.39; 95% CI, 1.66-32.88).Conclusions: Older patients, those with a low education level, patients with diabetes, low ankle brachial index, and those with a lower walking capacity are more likely to experience barriers to physical activity. (C) 2015 by the American Congress of Rehabilitation Medicine.