基于ActiGraphGT3X加速度计评估慢性肾脏病患者体力活动状况
Physical activity status in patients with chronic kidney disease based on ActiGraphGT3X accelerometer
曾佳豪 1肖翠霞 1莫业南 1黄家晟 2何嘉炜 3杨长沅 1陈芳钰 1王倩 1陈树娟 1吴一帆 1王立新 1卢富华 1刘立昌 4刘旭生 1苏国彬5
作者信息
- 1. 510120 广州,中医证候全国重点实验室广州中医药大学第二附属医院广东省中医院国家慢性肾脏病中医临床研究基地肾内科
- 2. 广州中医药大学深圳医院肾病科
- 3. 北京大学第一医院肾内科
- 4. 广东省中医院珠海医院肾病科
- 5. 510120 广州,中医证候全国重点实验室广州中医药大学第二附属医院广东省中医院国家慢性肾脏病中医临床研究基地肾内科;Department of Global Public Health,Karolinska Institute
- 折叠
摘要
目的 了解国内慢性肾脏病(CKD)非透析期患者在接受慢病管理下的体力活动状况,为今后制定个体化的运动建议提供参考.方法 选取PEAKING队列研究中CKD患者112例,根据每周中高强度体力活动达标情况将所有患者分为达标组(98例)和不达标组(14例).采用ActiGraphGT3X加速度计客观评估CKD患者的体力活动状况,并对两组患者的体力活动相关参数进行比较.结果 112例患者中98例(87.5％)体力活动状况达标.不达标组年龄、病程、CKD3、4、5期和查尔森合并症指数(CCI)3、4分患者比例均高于达标组,CCI 0、1、2分患者比例均低于达标组(P＜0.05).达标组患者中强度体力活动(MPA)、高强度体力活动(VPA)、中高强度体力活动(MVPA)、日均能量消耗量和代谢当量值均高于不达标组(P＜0.001).结论 接受慢病管理的CKD非透析期患者通过加速度客观评估体力活动状况,达标率相对较高,间接反映了接受慢病管理对CKD患者的潜在健康促进作用.
Abstract
Objective To investigate the physical activity of domestic patients with non-dialysis chronic kidney disease(CKD)under chronic disease management,and to provide reference for formulating individualized exercise recommendations in the future.Methods A tatol of 112 patients with CKD in the PEAKING cohort study were selected.All patients were divided into standard group(98 cases)and a non-standard group(14 cases)according to whether meting the standard of weekly moderate-to-vigorous physical activity.ActiGraphGT3X accelerometer was used to objectively evaluate the physical activity of patients with CKD,and the parameters related to physical activity were compared between two groups.Results Of these 112 patients,98(87.5％)reached the standard physical activity.Age,disease course and the proportion of patients with CKD stage 3,4,5 and Charson comorbidity Index(CCI)score 3,4 in non-standard group were higher than that in standard group,and the proportion of patients with CCI score 0,1,2 were lower than that in standard group(P＜0.05).The values of moderate intensity physical activity(MPA),high intensity physical activity(VPA),moderate-to-vigorous physical activity(MVPA),daily energy consumption and metabolism in standard group were higher than those in non-standard group(P＜0.001).Conclusion The physical activity of non-dialysis patients with CKD who received chronic disease management was objectively assessed by accelerometer,and the standard rate was relatively high,which indirectly reflected the potential health promotion effect of chronic disease management on patients with CKD.
关键词
慢性肾脏病/ActiGraphGT3X加速度计/体力活动状况/慢病管理Key words
Chronic kidney disease/ActiGraphGT3X accelerometer/Physical activity/Chronic disease management引用本文复制引用
基金项目
国家自然科学基金(82004205)
广东省中医院中医药科学技术研究专项(YN2018QL08)
广东省中医院拔尖人才科研专项(BJ2022KY11)
出版年
2024
NETL
NSTL
万方数据