Effects of COVID-19 pandemic on physical activity in children and young adults with implanted devices.
Effects of COVID-19 pandemic on physical activity in children and young adults with implanted devices.
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DOI：
10.1016/j.hrthm.2021.09.037
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发表时间：
2022-01
期刊：
影响因子：
5.5
通讯作者：
Rosman L
中科院分区：
文献类型：
--
作者：
Mazzella AJ;Gehi AK;Lampert R;Buck S;Rosman L
总体而言，87例患者符合研究入选标准（19例[21.8%]植入心脏监测器，27例[31.0%]植入起搏器，41例[47.12%]植入心律转复器）。与2019年同期相比，观察到居家期间PA快速显著下降（225. 6 min/d; 95%置信区间[CI] 222. 5至228. 7 min/d; P，. 001]。PA在居家命令解除后仍较低（211.4 min/d; 95%CI 29.8 ~ 213.0 min/d; P，. 001)在对年龄、性别和种族进行调整后（图1）。非白人和女性与再开放期间PA水平较低相关（269.8分钟; 95% CI 214.7至2125.4分钟; P 5. 018）。这项研究表明，与2019年同期相比，在政府强制的COVID-19居家令期间，植入心脏设备的儿童和年轻人的PA显著下降。虽然在取消在家学习令后，学习压力最初有所上升，但随后随着学校于2020年秋季重新开放网上学习及随后的亲身学习，学习压力有所下降。这种长期不活动的模式是令人担忧的，因为众所周知PA对儿童和年轻人的心血管和心理健康有益。4电生理学家有能力使用植入心脏设备的现成PA数据，就COVID-19期间保持活跃和防止临床恶化的重要性向年轻人提供咨询。客观调查的结果，
Overall, 87 patients met study inclusion criteria (19 [21.8%] had implanted cardiac monitors, 27 [31.0%] had pacemakers, and 41 [47.12%] had implantable cardioverterdefibrillators). A rapid and significant decrease in PA during the stay-at-home period was observed compared with the corresponding period in 2019 (225.6 min/d; 95% confidence interval [CI] 222.5 to 228.7 min/d; P,. 001]. PA remained lower after the stay-at-home order was lifted (211.4 min/d; 95% CI 29.8 to 213.0 min/d; P,. 001) and after adjustment for age, sex, and race (Figure 1). Nonwhite race and female sex were associated with lower levels of PA during the reopening period (269.8 minutes; 95% CI 214.7 to 2125.4 minutes; P 5. 018). This study demonstrates that children and young adults with implanted cardiac devices experienced a significant decline in PA during a government-mandated COVID-19 stay-at-home order compared with the same period in 2019. While PA initially increased after the stay-at-home order was lifted, it subsequently decreased as schools reopened for online and later in-person learning in fall 2020. This pattern of prolonged inactivity is concerning given the well-known cardiovascular and psychosocial health benefits of PA in children and young adults. 4 Electrophysiologists are well positioned to use readily available PA data from implanted cardiac devices to counsel young persons on the importance of staying active and preventing clinical deterioration during COVID-19. Findings from this investigation of objective,
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影响因子：
2.5
作者：
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