Depression and disease severity as correlates of everyday physical activity in heart transplant candidates
Depression and disease severity as correlates of everyday physical activity in heart transplant candidates
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抑郁症和疾病严重程度与心脏移植候选者日常体力活动的相关性
DOI：
10.1111/j.1432-2277.2010.01056.x
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发表时间：
2010
影响因子：
3.1
通讯作者：
Weidner
中科院分区：
文献类型：
--
作者：
Spaderna;Schulze Schleithoff;Stadlbauer;Rupprecht;J. M. A;Krohne;Münzel;Weidner
目前尚不清楚等待心脏移植（HTx）的患者在多大程度上参与体育活动。我们在多中心研究“等待新心脏”中检查了318例新登记HTx的患者（年龄53.5± 11.4岁，18%女性患者）的日常体力活动及其与抑郁症状和疾病严重程度的相关性。 参与者完成了评估抑郁症和体力活动（体力活动的数量，与每项活动相关的热量消耗）的问卷，并估计了他们能够不间断地行走的距离。列出时的医学参数[例如，峰值耗氧量（peakVO 2）;德国移植协会评分（GTSS）]由Eurotransplant提供。几乎50%的患者从事日常生活活动（家务劳动，步行），但<10%的患者从事定期锻炼。所有体力活动指标与峰值VO 2均呈显著相关（P <0.01）。 39%的患者抑郁评分升高。控制混杂变量（如峰值VO 2、舒张压、GTSS、年龄），抑郁性抑郁症在所有体力活动测量中占额外的方差（P <0.05）。 抑郁症状与身体活动减少的关联表明了两个重要的观点：试图增加身体活动（特别是在日常生活领域）可能会受益于针对抑郁症，增加身体活动也可能有助于减少抑郁症状。
It is unclear to what extent patients awaiting heart transplantation (HTx) engage in physical activities. We examined the everyday physical activity and its associations with depressive symptoms and disease severity in 318 patients newly registered for HTx in the multi‐site study ‘Waiting for a New Heart’ (aged 53.5 ± 11.4 years, 18% female patients). Participants completed questionnaires assessing depressive symptomatology and physical activity (number of physical activities, caloric expenditure associated with each activity), and estimated the distance they were able to walk without a break. Medical parameters at the time of listing [e.g. peak oxygen consumption (peakVO2); the German Transplant Society Score (GTSS)] were provided by Eurotransplant. Almost 50% of patients engaged in activities of daily living (housework, walking), but <10% engaged in regular exercise. All physical activity measures correlated significantly with peakVO2(Ps < 0.01). Elevated depression scores were present in 39% of patients. Controlling for confounding variables (e.g. peakVO2, diastolic blood pressure, GTSS, age), depressive symptomatology accounted for additional variance in all physical activity measures (Ps < 0.05). The association of depressive symptoms with reduced physical activity suggests two important perspectives: attempts to increase physical activity (especially in the area of daily living) might benefit from targeting depression, and increased physical activity might also help to reduce depressive symptoms.
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心脏病患者自我报告的身体活动的障碍和促进因素。
影响因子：
2
作者：
B. Yates;Tammera Price;S. Agrawal
通讯作者：
S. Agrawal
心脏康复对充血性心力衰竭患者生活质量、焦虑和抑郁的影响；
DOI：
--
发表时间：
--
期刊：
影响因子：
--
作者：
P. Y R I G H T;D. Kulcu;Y. Kurtais;B. S. Tur;S. Güleç;B. Seçkin;Europa Medicophysica
通讯作者：
Europa Medicophysica
DOI：
10.1097/00005768-200212000-00020
发表时间：
2002-12-01
期刊：
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
影响因子：
--
作者：
Trost, SG;Owen, N;Brown, W
通讯作者：
Brown, W
影响因子：
5.9
作者：
Milani, Richard V.;Lavie, Carl J.
通讯作者：
Lavie, Carl J.
心脏移植候选人的心理社会和行为因素——概述
影响因子：
3.1
作者：
H. Spaderna;J. Smits;A. Rahmel;G. Weidner
通讯作者：
G. Weidner