Relationship between physical activity and dizziness handicap inventory in patients with dizziness ?A multivariate analysis
Relationship between physical activity and dizziness handicap inventory in patients with dizziness ?A multivariate analysis
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头晕患者体力活动与头晕障碍量表关系的多因素分析
DOI：
10.1016/j.anl.2021.04.004
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发表时间：
2022
影响因子：
1.7
通讯作者：
Fushiki Hiroaki
中科院分区：
文献类型：
--
作者：
Kamo Tomohiko;Ogihara Hirofumi;Tanaka Ryozo;Kato Takumi;Tsunoda Reiko;Fushiki Hiroaki
一些研究分析了头晕患者的体力活动。据报道，与健康成人相比，慢性头晕患者使用3轴加速度计的身体活动水平较低。然而，样本量较小，研究中未调整混杂因素。由于年龄、平衡、焦虑和抑郁可能导致头晕，因此应在调整这些潜在混杂因素后评估体力活动对头晕的影响。我们调查了身体活动，姿势稳定性，焦虑，残疾患者头晕，采用多变量analysis.MethodsThis横断面研究包括59例头晕之间的关系。使用3轴加速度计测量身体活动。我们还评估了头晕障碍量表（DHI）、医院焦虑和抑郁量表（HADS）以及睁眼和闭眼的总压力中心路径长度（COP_EO，COP_EC）。要有资格进行分析，参与者被要求佩戴加速度计至少4天，至少10小时/天的磨损时间each day. ResultsThere轻度（DHI ≥ 30）和严重（DHI> 60）组之间的轻度体力活动（LPA）和中度到剧烈强度体力活动（MVPA）有显着差异。影响DHI_T评分的主要因素为LPA、COP_EC、女性和HADS_A（β值分别为-0.546，0.459，0.437，0.239）。此外，LPA与头晕患者的DHI_T相关。因此，体力活动，特别是LPA（例如，日常生活活动），可能需要在头晕患者中进行评估。
ObjectiveA few studies have analyzed the physical activity in patients with dizziness. Levels of physical activity using 3-axial accelerometer were reported to be lower in patients with chronic dizziness compared to healthy adults. However, the sample size was small and confounding factors were not adjusted in the study. As the age, balance, anxiety, and depression likely contribute to dizziness, the contribution of physical activity to dizziness should be evaluated after adjusting for these potential confounders. We investigated the relationship between physical activity, postural stability, anxiety, and handicap in patients with dizziness using multivariate analysis.MethodsThis cross-sectional study included 59 patients with dizziness. The physical activity was measured using a 3-axial accelerometer. We also assessed the Dizziness Handicap Inventory (DHI), Hospital and Anxiety and Depression Scale (HADS), and the total center of pressure path length eyes open and eyes closed (COP_EO, COP_EC). To be eligible for analysis, the participants were required to wear the accelerometer for at least four days, with at least 10 h/day of wear time each day.ResultsThere were significant differences in the light physical activity (LPA) and moderate to vigorous intensity physical activity (MVPA) between the mild (DHI ≦30) and severe (DHI > 60) groups. Factors that significantly affected the DHI_T score, in order of greater β, were LPA, COP_EC, female, and HADS_A (β= -0.546, 0.459, 0.437, 0.239, respectively).ConclusionsThe present study demonstrated that the patients in the severe group had shorter LPA and MVPA times than that of the patients in the mild group. Additionally, LPA was associated with DHI_T in patients with dizziness. Therefore, physical activity, especially LPA (e.g., activities of daily living), may need to be assessed in patients with dizziness.