Association between physical inactivity and health-related quality of life in adults with coronary heart disease.
Association between physical inactivity and health-related quality of life in adults with coronary heart disease.
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DOI：
10.1016/j.maturitas.2019.07.005
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发表时间：
2019-07
期刊：
影响因子：
4.9
通讯作者：
Reginald Wardoku;C. Blair;R. Demmer;A. Prizment
中科院分区：
文献类型：
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作者：
Reginald Wardoku;C. Blair;R. Demmer;A. Prizment
研究背景健康相关生活质量（HRQoL）是衡量冠心病（CHD）患者健康状况的一个准确指标。然而，很少有研究探讨冠心病幸存者的体力活动和HRQoL之间的关系。我们在2015年行为风险因素监测系统中对21，936名CHD参与者进行了一项横断面研究，评估了这种关联。体力活动（PA）分类（1）基于强度，分为无PA、轻度至中度PA和剧烈PA;（2）基于持续时间和频率，分为无PA、活动不足和活动。通过CDC HRQoL问卷评估HRQoL。在30天的时间窗内，有14天以上身体或精神不健康的参与者被分组为身体或精神HRQoL较差。在调整年龄、性别、教育程度、收入水平、社会支持、吸烟状况、种族/种族、BMI、慢性病和CHD组后，我们估计了PA相关的HRQoL较差的比值比（AOR）和95%置信区间（CI）。（1.58，2.10）]和精神HRQoL差[1.28（1.05，1.55）]。当与活跃的成年人相比，AOR（95%CI）的成年人没有PA分别为1.80（1.55，2.01）和1.17（0.97，1.42）差的身体和精神HRQoL.ConclusionsWe发现身体不活动和差的身体和精神HRQoL之间的关联冠心病幸存者。有必要进行纵向研究，以确定这种关联的时间性。
BackgroundHealth-related quality of life (HRQoL) provides an accurate measure of the health status of patients with coronary heart disease (CHD). However, few studies have examined the relationship between physical inactivity and HRQoL in CHD survivors. We evaluated this association in a cross-sectional study of 21,936 CHD participants in the 2015 Behavioral Risk Factor Surveillance System.MethodsCHD diagnosis, HRQoL and physical activity were self-reported. Physical activity (PA) was categorized (1) based on intensity, into no PA, light to moderate PA and vigorous PA; and (2) based on duration and frequency, into no PA, insufficiently active and active. HRQoL was assessed by the CDC HRQoL questionnaire. Participants with 14+ physical or mental unhealthy days in a 30-day window were grouped into poor physical or mental HRQoL. We estimated the odd ratios (AOR) and 95% confidence intervals (CI) of poor HRQoL associated with PA after adjusting for age, sex, education, income level, social support, smoking status, ethnicity/race, BMI, chronic conditions, and CHD groups.ResultsCompared with vigorous PA, adults with no PA had higher odds (95% CI) of poor physical HRQoL [1.82 (1.58, 2.10)] and poor mental HRQoL [1.28 (1.05, 1.55)]. When compared with active adults, AOR (95% CI) for adults with no PA were 1.80 (1.55, 2.01) and 1.17 (0.97, 1.42) for poor physical and mental HRQoL, respectively.ConclusionsWe found an association between physical inactivity and poor physical and mental HRQoL among CHD survivors. There is a need for longitudinal studies to determine the temporality of this association.