Determinants of physical functioning in coronary patients -: Response to cardiac rehabilitation
Determinants of physical functioning in coronary patients -: Response to cardiac rehabilitation
复制标题
DOI：
10.1001/archinte.159.19.2357
复制
发表时间：
1999-10-25
影响因子：
--
通讯作者：
Carhart, RL
中科院分区：
文献类型：
--
作者：
Ades, PA;Maloney, A;Carhart, RL
背景：冠心病是导致残疾的主要原因。关于心脏康复对自我报告的身体机能测量的影响的研究很少。方法：使用医疗结果研究简式问卷测量身体机能。对 303 名冠心病患者的身体功能决定因素进行了分析。然后确定身体功能对 3 个月运动康复计划的反应。结果：在基线时，尽管年龄和诊断分布相似，但女性的身体功能得分低于男性。老年患者的身体机能低于年轻患者。有氧运动能力、腿部和手臂力量、合并症和抑郁评分都是基线身体功能的重要预测因素（r 范围为 0.46 至 -0.22）。运动调节后，身体功能评分显着增加，平均（+/- SD）总体评分从 66 +/- 23 增加到 80 +/- 20（范围为 0 到 100）。康复后身体功能良好改善的最佳基线决定因素是低基线身体功能评分。身体功能评分改善的最佳训练相关性是精神抑郁评分的降低。结论：冠心病患者自我报告的身体功能与年龄、性别、健康状况和情绪状态相关。所有年龄、性别和诊断组的心脏康复后身体功能均得到改善，尤其是基线值较低的患者。这些数据支持了心脏康复有效预防和治疗心脏残疾的概念。
Background: Coronary heart disease is a major cause of disability. There has been little study of the effect of cardiac rehabilitation on measures of self-reported physical functioning.Methods: Physical functioning was measured using the Medical Outcomes Study-Short-Form Questionnaire. Determinants of physical function were analyzed in 303 patients with coronary heart disease. Response of physical function to a 3-month exercise rehabilitation program was then determined.Results: At baseline, women had lower physical function scores than men, despite similar age and diagnostic distribution. Older patients had lower physical function than younger patients. Aerobic exercise capacity, leg and arm strength, and comorbidity and depression scores were all significant predictors of baseline physical function (r range, 0.46 to -0.22). Physical function score increased significantly after exercise conditioning, with a mean (+/- SD) overall score increase from 66 +/- 23 to 80 +/- 20 on a scale of 0 to 100. The best baseline determinant of a favorable physical function improvement after rehabilitation was a low baseline physical function score. The best training-related correlate of improved physical function score was a decrease in mental depression score.Conclusions: Self-reported physical function in coronary patients is related to age, sex, fitness, and mood state. Physical functioning improves after cardiac rehabilitation in all age, sex, and diagnostic groups, but particularly in patients with low baseline values. These data support the concept that cardiac rehabilitation effectively prevents and treats cardiac disability.