Active Lifestyle Is Associated With Reduced Dyspnea and Greater Life Satisfaction in Spinal Cord Injury.
Active Lifestyle Is Associated With Reduced Dyspnea and Greater Life Satisfaction in Spinal Cord Injury.
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DOI：
10.1016/j.apmr.2016.02.010
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发表时间：
2016-10
影响因子：
4.3
通讯作者：
Morse LR
中科院分区：
文献类型：
--
作者：
Garshick E;Mulroy S;Graves DE;Greenwald K;Horton JA;Morse LR
评估慢性脊髓损伤 (SCI) 中呼吸困难活动测量与生活满意度之间的关系 横断面调查 五个 SCI 中心 在 7/2012 年至 3/2015 期间，347 名受伤后 ≥ 1 年的创伤性 SCI 受试者使用手动轮椅或使用或不使用辅助装置行走，报告了过去 3 天离开家或院子的时间、运动参与情况和计划的锻炼情况。不适用 生活满意度量表 (SWLS)。呼吸困难被定义为在平地匆忙或上小山坡时呼吸短促，或因呼吸困难而在平地行走比同龄人慢，或在按照自己的节奏行走时或在平地行驶约100码（或几分钟后）时停下来呼吸。呼吸困难患病率为30.0%。调整哮喘或慢性阻塞性肺病、移动模式、种族和季节后，较大的 SWLS 与离开家或院子的四分位数之间存在显着的线性趋势 (p=0.0002)。如果参加有组织的体育运动，SWLS 会更大 (p=0.010)，但计划锻炼的 SWLS 并不显着 (p=0.093)。有计划的运动与呼吸困难的比值比 (OR) 降低相关（0.57；95% CI=0.34、0.95；p=0.032），但与有组织的运动无关（p=0.265）。与外出时间最长（>23 小时）的人相比，外出时间最少（≤7 小时）的人呼吸困难并没有显着增加（OR=1.69；95%CI=0.83、3.44，p=0.145）。在 SCI 中，有计划的锻炼计划与减少呼吸困难有关。以花更多时间离开家或院子以及参加体育运动为特征的积极生活方式与更大的 SWLS 相关。
Assess relationships between measures of activity with dyspnea and satisfaction with life in chronic spinal cord injury (SCI) Cross-sectional survey Five SCI centers Between 7/2012–3/2015, 347 subjects with traumatic SCI ≥ 1 year after injury who used a manual wheelchair or walked with or without an assistive device reported hours spent away from home or yard on the previous 3 days, sports participation, and planned exercise. Not applicable Satisfaction With Life Scale (SWLS). Dyspnea was defined as shortness of breath when hurrying on the level or going up a slight hill, or going slower than people the same age on the level because of breathlessness, or stopping for breath when going at your own pace, or after about 100 yards (or after a few minutes) on the level. Dyspnea prevalence was 30.0%. Adjusting for asthma or COPD, mobility mode, race, and season, there was a significant linear trend between greater SWLS and quartiles of time spent away from the home or yard (p=0.0002). SWLS was greater if participating in organized sports (p=0.010), although not significantly with planned exercise (p=0.093). Planned exercise was associated with a reduced odds ratio (OR) of dyspnea (0.57; 95% CI=0.34, 0.95; p=0.032), although not with organized sports (p=0.265). Dyspnea was not significantly increased in persons who spent the fewest hours outside their home or yard (≤7 hours) compared to the most time (>23 hours) (OR=1.69; 95%CI=0.83, 3.44, p=0.145). In SCI, a planned exercise program is associated with less dyspnea. An active lifestyle characterized by greater time spent away from home or yard and sports participation is associated with greater SWLS.