中国神经再生研究(英文版)

中国神经再生研究(英文版) ›› 2022, Vol. 17 ›› Issue (6): 1369-1375.doi: 10.4103/1673-5374.327356

• 原著:脊髓损伤修复保护与再生 • 上一篇    下一篇

休闲时间体育活动可提高脊髓损伤患者生活质量

  

  • 出版日期:2022-06-15 发布日期:2021-12-17

Leisure-time physical activity, anthropometrics, and body composition as predictors of quality of life domains after spinal cord injury: an exploratory cross-sectional study#br#

Melody N. Mickens1, Paul Perrin2, Jacob A. Goldsmith3, Refka E. Khalil3, William E. Carter III4, Ashraf S. Gorgey3, 4, *#br#   

  1. 1Division of Physical Medicine and Rehabilitation, University of Utah School of Medicine, Salt Lake City, UT, USA; 2Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA; 3Spinal Cord Injury & Disorders; Hunter Holmes McGuire VA Medical Center, Richmond, VA, USA; 4Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University School of Medicine, Richmond, VA, USA
  • Online:2022-06-15 Published:2021-12-17
  • Contact: Ashraf S. Gorgey, MPT, PhD, FACSM, FACRM, Ashraf.Gorgey@va.gov.
  • Supported by:
    This study was supported by the Department of Defense-Congressionally Directed Medical Research Program (DoD-CDMRP) (W81XWH-14-SCIRP-CTA; to ASG).

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摘要：

已有研究证实，成人体质量指数（BMI）、腰围与生活质量之间存在负相关。然而，身体活动水平、人体测量学、身体成分变量与脊髓损伤后生活质量之间的关系仍需要进一步确定。为此，研究探讨了脊髓损伤（SCI）患者生活质量（QOL）与其休闲时间体育活动（LTPA）水平、人体测量学指标和身体成分变量之间的关系。该探索性横断面研究包括在VA医疗中心和SCI中心作为随机临床试验的一部分收集的基线数据。36例社区脊髓损伤患者参与研究。结局指标包括世界卫生组织生活质量短表（WHOQOL-BREF）、脊髓损伤患者休闲时间身体活动问卷（LTPAQ-SCI）、人体测量学指标（腰围、臀围和腹围）和双能X射线吸收仪（DXA）量化局部和总身体成分。多元回归模型中，每天大强度休闲时间体育活动的分钟数是身体健康生活质量的预测因子，每周小强度休闲时间体育活动天数是心理生活质量的预测因子，每天小强度休闲时间体育活动的量是环境生活质量的预测因子。二元分析显示，android区和躯干脂肪以及仰卧腰围和腹围与社会关系生活质量呈正相关。由此为认，应鼓励脊髓损伤患者进行休闲时间体育活动，从而从多方面改善其生活质量。

https://orcid.org/0000-0002-9157-6034 (Ashraf S. Gorgey)

Abstract: The objective of the current work was to examine the relationships between quality of life (QOL) domains in persons with spinal cord injury (SCI) and their levels of weekly leisure-time physical activity (LTPA), anthropometric variables, and body composition variables. This exploratory cross-sectional study consisted of baseline data collected as part of a randomized clinical trial at a VA Medical Center and SCI center. A convenience sample of 36 community-dwelling persons with SCI participated in the current study. Outcome measures included the World Health Organization Quality of Life Short Form (WHOQOL-BREF), Leisure-Time Physical Activity Questionnaire for People with Spinal Cord Injury (LTPAQ-SCI), anthropomorphic measures (waist, hip, and abdominal circumference), and dual-energy x-ray absorptiometry (DXA) to quantify regional and total body composition. Multiple regression models suggested that engagement in LTPA accounted for 35.7% of the variance in physical health QOL, 33.5% in psychological QOL, 14.2% in social relationships QOL, and 38.2% in environmental QOL. Anthropometric measures accounted for 11.3%, 3.1%, 12.0%, and 6.7% of the variance in these QOL indices, respectively, and DXA indices accounted for 18.7%, 17.5%, 27.4%, and 21.9%. Within these models, the number of minutes of heavy LTPA per day uniquely predicted physical health QOL, the number of mild LTPA days per week uniquely predicted psychological QOL, and the amount of mild LTPA per day uniquely predicted environmental QOL. Bivariate analyses also suggested that android and trunk fat, as well as supine waist and abdominal circumferences, were positively associated with social relationships QOL. Encouraging individuals with SCI to engage in LTPA may robustly enhance multiple aspects of QOL while reducing the risk for cardiovascular and metabolic morbidities associated with SCI. Moreover, this may lead to a further understanding of how QOL may impact longitudinal intervention trials. The study protocol and procedures were reviewed and approved by the McGuire VA Research Institutional Review Board (IRB# 02152, approval date August 9, 2015; IRB# 02375, approval date May 2, 2018).

Key words: anthropometrics, body composition, dual-energy-x-ray absorptiometry, exercise, physical activity, quality of life, spinal cord injury

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