Community-Based Aquatic Exercise and Quality of Life in Persons with Osteoarthritis
Community-Based Aquatic Exercise and Quality of Life in Persons with Osteoarthritis
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DOI：
10.1249/mss.0b013e3181ae96a9
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发表时间：
2010-01-01
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影响因子：
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通讯作者：
Patrick, Donald L.
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文献类型：
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作者：
Cadmus, Lisa;Patrick, Marsha B.;Patrick, Donald L.
卡德摩斯，L. M. B.帕特里克，M. L.马西耶夫斯基，T.托波尔斯基，B.贝尔扎和D. L.帕特里克。以社区为基础的水上运动和骨关节炎患者的生活质量。医学科学。体育Exerc。， Vol. 42, No. 1, pp. 8-15, 2010。目的：评估以社区为基础的水上运动项目对改善骨关节炎患者生活质量的有效性。方法：249名患有骨关节炎的成年人参加了一项为期20周的随机对照试验，将先前存在的社区水上运动计划与对照组进行比较。干预组参与者（n = 125）被要求每周至少参加两次水上运动。对照组参与者（n = 124）被要求保持他们平时的活动水平。在基线时收集人口统计数据，并在基线时、10周和20周后收集患者报告的结果。抑郁症状、疼痛和症状控制的自我效能、身体损伤和活动限制被测试为水生运动与感知生活质量（POOL）之间关系的潜在中介。身体质量指数（BMI）、种族、自评健康和合并症作为可能的调节因素进行了测试。结果：水上运动对油类PQOL评分有正向影响（P < 0.01）。这种效应被BMI （P < 0.05）缓和，因此在肥胖参与者（BMI >= 30）中观察到益处，而在正常体重或超重参与者中则没有。没有被测试的变量被发现调解水上运动和PQOL得分之间的关系。结论：鉴于现有社区水上运动项目的可用性，水上运动为提高肥胖和骨关节炎患者的生活质量提供了一种治疗和实用的选择。未来的调查需要复制这些发现，并制定策略，以增加长期参与水上运动项目。
CADMUS, L., M. B. PATRICK, M. L. MACIEJEWSKI, T. TOPOLSKI, B. BELZA, and D. L. PATRICK. Community-Based Aquatic Exercise and Quality of Life in Persons with Osteoarthritis. Med. Sci. Sports Exerc., Vol. 42, No. 1, pp. 8-15, 2010. Purpose: To evaluate the effectiveness of a community-based aquatic exercise program for improved quality of life among persons with osteoarthritis. Method: Two hundred forty-nine adults with osteoarthritis were enrolled in a 20-wk randomized controlled trial of a preexisting community-based aquatic exercise program versus control. Intervention group participants (n = 125) were asked to attend at least two aquatic exercise sessions per week. Control group participants (n = 124) were asked to maintain their usual activity levels. Demographics were collected at baseline, and patient-reported outcomes were collected at baseline and after 10 and 20 wk. Depressive symptoms, self-efficacy for pain and symptom control, physical impairment, and activity limitation were tested as potential mediators of the relationship between aquatic exercise and perceived quality of life (POOL). Body mass index (BMI), ethnicity, self-rated health, and comorbidity were tested as possible moderators. Results: Aquatic exercise had a positive impact oil PQOL scores (P < 0.01). This effect was moderated by BMI (P < 0.05) such that benefits were observed among obese participants (BMI >= 30) but not among normal weight or overweight participants. None of the tested variables were found to mediate the relationship between aquatic exercise and PQOL scores. Conclusions: Given the availability of existing community aquatics programs, aquatic exercise offers a therapeutic and pragmatic option to promote quality of life among individuals who are living with both obesity and osteoarthritis. Future investigation is needed to replicate these findings and develop strategies to increase long-term participation ill aquatics programs.