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Recent Advances in Chest Rehabilitation during COVID-19 Outbreak: A Systematic Review. 2019冠状病毒病暴发期间胸部康复的最新进展:系统综述
Pub Date : 2022-05-31 DOI: 10.15280/jlm.2022.12.2.72
Abhishek Sharma, Sakshi Vats, Riya Gupta, Aksh Chahal

Background: The current COVID-19 pandemic has brought the entire world to a halt, resulting in illness, death, and changes in individual roles. Physical therapy and chest rehabilitation play a critical role following aftermath of pandemics.

Methods: PubMed, Google Scholar, PEDro, MEDLINE were searched for randomized controlled trials. Methodological quality was assessed independently by two authors using PEDro scale. Data for disability, chest physical functions and adverse effects were analyzed.

Results: A meta-analysis was not possible due to the heterogeneity of the studies included for review. After applying the studies' inclusion and exclusion criteria, a total of eight articles with 420 patients were included in the study for their detailed analysis. Two independent authors verified and screened the data, with the third author double-checked and searched for additional articles.

Conclusion: Findings revealed that chest rehabilitation approaches influence the clinical condition of people during COVID-19 outbreak resulting in improved condition stabilization and recovery, the consequent reduction in hospitalization period and improved health-related quality of life.

背景:当前的COVID-19大流行使整个世界陷入停顿,导致疾病、死亡和个人角色的变化。大流行后,物理治疗和胸部康复发挥着关键作用。方法:检索PubMed、Google Scholar、PEDro、MEDLINE等随机对照试验。方法学质量由两位作者使用PEDro量表独立评估。分析残疾、胸部物理功能和不良反应的数据。结果:由于纳入研究的异质性,无法进行荟萃分析。应用研究的纳入和排除标准,共纳入8篇文章420例患者进行详细分析。两位独立作者验证和筛选数据,第三位作者再次检查并搜索其他文章。结论:研究结果表明,胸部康复方法影响了COVID-19暴发期间人群的临床状况,改善了病情的稳定和恢复,从而减少了住院时间,改善了健康相关的生活质量。
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引用次数: 0
Lifestyle Interventions for Adults with Infertility. 成人不孕症患者的生活方式干预。
Pub Date : 2022-05-31 DOI: 10.15280/jlm.2022.12.2.69
Eun Jin Kim, Ju-Hee Nho

With a significant increase in the age-standardized prevalence of infertile men and women, infertility has become a widespread global issue. Furthermore, infertility has led to increased stigma and disease burden. The causes of infertility include lifestyle factors such as obesity, an unbalanced diet, and physical activity. To increase the rate of successful pregnancy, infertile men and women must improve their health and fertility through lifestyle improvements.

随着不孕不育男女的年龄标准化发病率大幅上升,不孕不育已成为一个普遍的全球性问题。此外,不孕不育还导致了更多的耻辱和疾病负担。不孕不育的原因包括生活方式因素,如肥胖、不均衡饮食和体育锻炼。为了提高成功怀孕率,不育男女必须通过改善生活方式来提高健康水平和生育能力。
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引用次数: 0
Blood Flow Restriction Training-An Overview and Implication in New Generation Physical Therapy: A Narrative Review. 血流限制训练——新一代物理治疗的综述与启示:叙述性回顾。
Pub Date : 2022-05-31 DOI: 10.15280/jlm.2022.12.2.63
Aakansha Saraf, Manu Goyal, Kanu Goyal

Blood Flow Restriction Training (BFRT) is a novel strengthening technique utilitarian in many conditions. But there is lack of exploration on this clinical intervention. The training can prove to be a boon in many conditions such as muscle weakness, degenerative among others. It can serve to be an essential treatment in prevention of disuse atrophy occurring on the initial days of bed-rest on post surgical patients and improve circulation. BFRT with aerobic activities can improve cardiovascular fitness and holistically help in rehabilitation. The electronic databases such as PubMed, ScienceDirect, Scopus and Google Scholars were reviewed including the reference lists to retrieve relevant information regarding the topic. The result of the review states that BFRT is a novel strength training program that has not been explored in India but is very effective, less expensive and innovative way of rehabilitation. The utility of BFRT is evident in post-operative disuse atrophy in the initial days of bed-rest. The evidence depict that BFRT is a very effective training modality that can efficiently improve the muscle function, strength and mass.

血流限制训练(BFRT)是一种具有多种用途的新型强化技术。但在临床干预方面缺乏探索。这种训练在许多情况下都是有益的,比如肌肉无力、退行性疾病等等。它可以作为一种重要的治疗方法,防止术后患者卧床休息最初几天发生的废用性萎缩,改善血液循环。BFRT配合有氧运动可以改善心血管健康,全面帮助康复。检索PubMed、ScienceDirect、Scopus和Google Scholars等电子数据库,包括参考文献列表,检索主题相关信息。审查结果表明,BFRT是印度尚未探索的一种新颖的力量训练方案,但它是一种非常有效、成本较低和创新的康复方式。BFRT的应用在术后卧床休息最初几天的废用性萎缩中是明显的。有证据表明,BFRT是一种非常有效的训练方式,可以有效地提高肌肉功能,力量和质量。
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引用次数: 1
Changes in Keyboard Typing Accuracy and Spatial Perception after Cardiovascular Fitness Exercise. 心血管健身运动后键盘输入准确性和空间感知的变化。
Pub Date : 2022-05-31 DOI: 10.15280/jlm.2022.12.2.89
Myeonggon Moon, Dewan Md Sumsuzzman, Jeonghyun Choi, Ashura Suleiman Kazema, Zeeshan Ahmad Khan, Yonggeun Hong

Background: This study aimed to identify the association between cardiopulmonary exercise and neurological activation by measuring dictation accuracy and the extent of spatial perception.

Methods: First of all, the body composition of subjects was analyzed to verify their physical abnormality. The subjects were given treadmill exercise using modified Bruce protocol. Before and after the treadmill exercise, a spatial perception test and dictation task with auditory and visual stimulation were carried out to identify the changes in neurological activation.

Results: The scores of spatial perception after treadmill exercise were higher than those before treadmill exercise (p < 0.05). In addition, the speed of the post-treadmill dictation task with visual stimulation was significantly increased compared to that of the pre-treadmill dictation task (p < 0.05). However, the accuracy of the post-treadmill dictation task with visual stimulation was significantly decreased compared to that of the pre-treadmill dictation task (p < 0.05).

Conclusion: In this study, it was shown that spatial perception and speed of visual dictation were increased after treadmill exercise. These results suggest that cardiovascular fitness exercise increases spatial perception and typing speed by facilitating neurological activation.

背景:本研究旨在通过测量听写准确度和空间感知程度来确定心肺运动与神经活动之间的关系。方法:首先对被试的身体组成进行分析,验证其身体异常情况。受试者采用改良布鲁斯方案进行跑步机运动。在跑步机运动前后分别进行空间感知测试和听写任务,以确定听觉和视觉刺激下神经激活的变化。结果:运动后空间知觉得分明显高于运动前(p < 0.05)。此外,与跑步机听写任务前相比,视觉刺激后跑步机听写任务的速度显著提高(p < 0.05)。然而,与跑步机听写任务前相比,视觉刺激后跑步机听写任务的准确率显著降低(p < 0.05)。结论:本研究表明,在跑步机训练后,视觉听写的空间知觉和速度有所提高。这些结果表明,心血管健身运动通过促进神经激活来提高空间感知和打字速度。
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引用次数: 0
A Cross Sectional Assessment of the Profile of Risk Factors of Non-Communicable Diseases Among Health Care Staff of a Tertiary Cancer Hospital. 某三级肿瘤医院医护人员非传染性疾病危险因素的横断面评估
Pub Date : 2022-05-31 DOI: 10.15280/jlm.2022.12.2.98
Naveen Khargekar, Anuj Singh, Tulika Shruti, Satyajit Pradhan

Background: Non-communicable disease (NCD) is the leading cause of death, accounting for 70% of total death globally, and posing a major public health challenge. In India, nearly 5.8 million people (WHO report, 2015) die from NCDs every year. The basic element of NCD prevention is the identification of the associated risk factors and risk modification. The objective of the current study was conducted to assess the prevalence of risk factors for NCDs among healthcare staff of the two units of a Tertiary Cancer Hospital in Varanasi, India, using WHO STEPS approach.

Methods: This cross sectional study was conducted among 528 participants who were willing to participate in the study, from among 967 healthcare staffs of the two units of the Tertiary Cancer Hospital. The participants were interviewed and the anthropometric and biochemical parameters were measured.

Results: The prevalence of risk factors, associated with NCD, tobacco use, alcohol use, extra salt in diet, less than 5 servings of fruits/vegetables, physical inactivity and self-perceived high stress score was found in 34 (6.43%), 90 (17.04%), 461 (87.3%), 412 (78.03%), 409 (77.4%) and 159 (30.11%) respondents, respectively. Multiple logistic regression revealed that Diabetes was significantly associated with male sex, high BMI and physical inactivity. Hypertension was found significantly associated with male sex, increasing age, tobacco and or alcohol consumption, high BMI and high stress. Dyslipidemia was also found significantly associated with high BMI, male sex, physical inactivity and high stress levels.

Conclusion: A high prevalence of risk factors for NCDs was found among the healthcare staff and it is the need of the hour to take preventive measures to reduce the prevailing burden of NCD.

背景:非传染性疾病(NCD)是导致死亡的主要原因,占全球总死亡人数的70%,并构成一项重大的公共卫生挑战。在印度,每年有近580万人(世卫组织报告,2015年)死于非传染性疾病。预防非传染性疾病的基本要素是确定相关的风险因素和改变风险。本研究的目的是利用世卫组织STEPS方法,评估印度瓦拉纳西三级肿瘤医院两个科室医护人员中非传染性疾病危险因素的流行情况。方法:采用横断面研究方法,从三级肿瘤医院两个科室的967名医护人员中抽取528名自愿参加研究的受试者。对参与者进行了访谈,并测量了人体测量和生化参数。结果:与非传染性疾病相关的危险因素有吸烟、饮酒、饮食中多盐、少于5份水果/蔬菜、缺乏运动和自我感觉高压力评分,分别有34人(6.43%)、90人(17.04%)、461人(87.3%)、412人(78.03%)、409人(77.4%)和159人(30.11%)。多元logistic回归分析结果显示,糖尿病与男性、高BMI和缺乏运动显著相关。研究发现,高血压与男性、年龄增长、吸烟或饮酒、高BMI和高压力显著相关。血脂异常还被发现与高BMI、男性、缺乏运动和高压力水平密切相关。结论:非传染性疾病危险因素在卫生保健人员中普遍存在,采取预防措施减轻非传染性疾病负担迫在眉睫。
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引用次数: 0
Physical Activity for Health and Fitness: Past, Present and Future 体育活动促进健康:过去、现在和未来
Pub Date : 2022-01-31 DOI: 10.15280/jlm.2022.12.1.9
Gaurav Kapoor, Priyanshi Chauhan, Gurjant Singh, Nitesh Malhotra, A. Chahal
It’s a saying “The early we start, the early we attain good health”. Health is a state of complete physical, mental and social well-being and not merely absence of disease Fitness is an ability to execute daily functional activities with optimal performance, endurance, and strength to manage minimalist of disease, fatigue, stress and reduced sedentary behavior. In the modern era with advancement in technology, erosion of physical activity has drastically led to retardation in health and fitness. Hoods of luxurious and competition among students for scores/grades and professionals for promotions/incentives/benefits have deviated people from concentrating towards their health and putting it secondary. In 2016, across the globe, prevalence of physical inactivity was estimated at 27.5%, among adult population. To support further, in June 2018, WHO reported, 1 in five adults, and 4 of five adolescents to pose reduced physical activity. In the current ongoing pandemic era this scenario has been further negatively impacting the society to suffer from psychosocial, financial and economic loss, contributing to lack of physical activity. Health benefits of physical activity are not limited only to improved cardiorespiratory and muscular fitness, bone and cardiometabolic health, and positive effects on weight status, but it also boosts mental health and social health. Acknowledging the significance and urgency of decreasing insufficient physical activity globally, WHO endorsed a Global Action Plan on Physical Activity (GAPPA) at the World Health Assembly in 2018, wherein the member countries agreed to reach a new target of 15% relative reduction in insufficient physical activity among adolescents by 2030.
俗话说“我们越早开始,我们就越早获得健康”。健康是一种完全的身体、心理和社会健康状态,而不仅仅是没有疾病。健身是一种以最佳的表现、耐力和力量进行日常功能性活动的能力,以尽量减少疾病、疲劳、压力和久坐行为。在技术进步的现代,体育活动的减少极大地导致了健康和健身的滞后。奢侈的光环和学生之间对分数/成绩的竞争,以及专业人士对晋升/激励/福利的竞争,使人们不再关注自己的健康,而是把它放在次要地位。2016年,全球成年人群中不运动的患病率估计为27.5%。为了进一步支持,2018年6月,世界卫生组织报告称,五分之一的成年人和五分之四的青少年身体活动减少。在当前持续的疫情时代,这种情况对社会产生了进一步的负面影响,使其遭受心理、经济和经济损失,导致缺乏体育活动。体育活动对健康的益处不仅限于改善心肺和肌肉健康、骨骼和心脏代谢健康,以及对体重状况的积极影响,还可以促进心理健康和社会健康。世界卫生组织认识到在全球范围内减少身体活动不足的重要性和紧迫性,在2018年世界卫生大会上批准了《全球身体活动行动计划》(GAPPA),其中成员国同意到2030年实现青少年身体活动不足相对减少15%的新目标。
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引用次数: 9
Resilience, Psychological Stress, Physical Activity, and BMI among United States Air National Guardsmen: The COVID-19 Pandemic 美国空军国民警卫队的恢复力、心理压力、身体活动和身体质量指数:COVID-19大流行
Pub Date : 2022-01-31 DOI: 10.15280/jlm.2022.12.1.26
Nicole Ligeza, A. Larson, M. DeBeliso
Background Military service members carry the responsibility to maintain physical and psychological readiness. As such, it is critical for researchers to begin unravelling the widespread impact of the COVID-19 pandemic on service member’s mental and physical wellbeing. The aim of this research was to investigate the complex relationships between BMI, physical activity, psychological stress and resilience among United States Air National Guardsmen (USANG), specifically during the pandemic. Methods An online survey was distributed to USANG members. The survey included measures of resilience (CD-RISC-25), perceived psychological stress (PSS), perceived psychological stress brought on by COVID-19 (COVID-19 PSL), current levels of physical activity (IPAQ-SF), perceived impact on physical activity brought on by COVID-19 (COVID-19 PAL), and BMI. Pearson’s correlation coefficients (r) were used to assess correlation significance (α ≤ 0.05), direction, and magnitude. Results A total of 110 responses met inclusion criteria for data interpretation. A majority reported a decline in physical activity 54.5%, while 60% reported an increase in psychological stress. According to BMI classifications, 60.9% were considered overweight or obese. Seven meaningful (effect size ≥ |2.0|) and statistically significant salient associations were identified resilience-PSS r = -0.38; resilience-COVID-19 PAL r = 0.21; PSS-COVID-19 PSL r = 0.35; PSS-COVID-19 PAL r = -0.23; COVID-19 PSL COVID-19 PAL r = -0.24; IPAQ-SF-BMI r = -0.23; BMI-Covid-19 PAL r = -0.32. Conclusion Key outcomes suggest resilience is inversely associated with assessed and perceived stress, resilience may influence health-related behaviour which subsequently might aid as a protective factor against psychological stress. Knowledge regarding the relationships between the aforementioned variables may help inform decisions by military leadership regarding future lockdowns.
军人肩负着保持身体和心理准备状态的责任。因此,研究人员开始揭示COVID-19大流行对服役人员身心健康的广泛影响至关重要。这项研究的目的是调查美国空军国民警卫队(USANG)的身体质量指数、身体活动、心理压力和复原力之间的复杂关系,特别是在大流行期间。方法对USANG会员进行在线调查。该调查包括恢复力(CD-RISC-25)、感知心理压力(PSS)、COVID-19带来的感知心理压力(COVID-19 PSL)、当前身体活动水平(IPAQ-SF)、COVID-19对身体活动的感知影响(COVID-19 PAL)和BMI。采用Pearson相关系数(r)评价相关性显著性(α≤0.05)、方向和程度。结果共有110份回复符合数据解释的纳入标准。54.5%的人报告体力活动减少,60%的人报告心理压力增加。根据BMI分类,60.9%的人被认为超重或肥胖。7个有意义的(效应值≥|2.0|)和统计学上显著的显著关联被确定为弹性- pss r = -0.38;复原力- covid -19 PAL r = 0.21;PSS-COVID-19 PSL r = 0.35;PSS-COVID-19 PAL r = -0.23;COVID-19 - PSL - covid - PAL r = -0.24;IPAQ-SF-BMI r = -0.23;bmi - covid - PAL r = -0.32。关键结果表明,弹性与评估和感知的压力呈负相关,弹性可能影响与健康相关的行为,随后可能有助于作为对抗心理压力的保护因素。了解上述变量之间的关系可能有助于军事领导层就未来的封锁作出决策。
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引用次数: 5
Effect of Exercises on Central and Endocrine System for Pain Modulation in Primary Dysmenorrhea 运动对中枢和内分泌系统调节原发性痛经疼痛的作用
Pub Date : 2022-01-31 DOI: 10.15280/jlm.2022.12.1.15
Ghufran Jaleel, Muhammad Abu Shaphe, A. Khan, Deepak Malhotra, H. Khan, Sana Parveen, Mohammed Qasheesh, R. Beg, A. Chahal, Fuzail Ahmad, Md Faruque Ahmad
Dysmenorrhea is the term for describing complex menstrual flow and painful spasmodic cramps during menstruation, and pain without any pathology is considered Primary Dysmenorrhea (PD). It is the most frequent ailment among women of all ages and races. The pain is dull and throbbing in character and occurs in the lower back and abdomen. Symptoms commonly appear 6 to 12 months after menarche, with the most significant incidence in the late teen and early twenties. Physical exercise is nearly a new non-medical intervention to relieve PD associated pain. Aerobics, stretching and Resistive exercises for 8-12 weeks, either supervised or unsupervised, relieves pain. Exercises are believed to cause hormonal changes in the uterine lining, which reduces PD symptoms. Researchers have presumed different pain-relieving methods, ranging from non-opioids to opioids to hormonal for variations in pain sensitivity. Exercise-induced analgesia provides the central pathway as the primary mechanism for pain reduction while, another way to reducing pain in PD may be a hormonal interaction. The hormonal changes causing exercise-induced pain modulation during the menstruation cycle is not clearly understood and the interaction and activation of all the central and endocrine components, which is a complex mechanism, is also not explained clearly. This study briefly reviews the physiological mechanism of Exercise-induced analgesia and its potent roles in controlling the pathogenesis of PD for pain relief.
痛经是描述月经期间复杂的月经流和疼痛的痉挛性痉挛的术语,没有任何病理学的疼痛被认为是原发性痛经(PD)。它是所有年龄和种族的女性中最常见的疾病。疼痛的特点是隐隐作痛,发生在下背部和腹部。症状通常出现在月经初潮后6至12个月,最显著的发生在青少年晚期和20岁出头。体育锻炼几乎是一种新的非医学干预措施,可以缓解帕金森病相关的疼痛。有氧运动、拉伸和阻力运动持续8-12周,无论是有监督的还是无监督的,都能缓解疼痛。运动被认为会引起子宫内膜的激素变化,从而减轻帕金森病的症状。研究人员推测了不同的止痛方法,从非阿片类到阿片类,再到激素治疗疼痛敏感性的变化。运动诱导的镇痛提供了作为减轻疼痛的主要机制的中心途径,而减轻PD疼痛的另一种方法可能是激素相互作用。月经周期中引起运动性疼痛调节的激素变化尚不清楚,所有中枢和内分泌成分的相互作用和激活也是一个复杂的机制,也没有得到清楚的解释。本研究简要综述了运动镇痛的生理机制及其在控制帕金森病发病机制中的有效作用。
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引用次数: 7
Level of Physical Activity Knowledge of Medical Students in a Brazilian University 巴西某大学医学生体育活动知识水平调查
Pub Date : 2022-01-31 DOI: 10.15280/jlm.2022.12.1.47
Dara Warmling Schlickmann, K. S. Kock
Background Physical inactivity is a major global public health problem, with a large impact on morbidity and mortality. For this reason, knowledge and advice on physical activity (PA) should be common to all health professionals. In this context, the role of physicians stands out, because they act in the first contact and have a high potential in addressing this issue and its impact on health promotion, prevention, and treatment in chronic diseases. This study aims to observe the level of physical activity knowledge of medical students in a university in the south of Brazil. Methods A cross-sectional study was carried out by applying the short and validated version of the International Physical Activity Questionnaire (IPAQ) to collect data on sociodemographic factors, physical activity, knowledge of physical activity, and level of physical activity. Results A total of 294 students were assessed. The average (± SD) age was 22.0 (± 3.3) years. Most were women, and 72.8% presented body mass index within the range 18.5-25 kg/m2. Results showed that 65.6% of the students practice physical activity. There was statistical difference regarding the level of physical activity (p < 0.001) and sitting time on weekdays (p = 0.031) between the groups of physically active and physically inactive individuals. Conclusion It was concluded that the practice of physical activity has no association with the level of knowledge about it. However, by practicing physical activities doctors are better able to motivate and encourage their patients.
背景:缺乏体育锻炼是一个主要的全球公共卫生问题,对发病率和死亡率有很大影响。因此,关于体育活动(PA)的知识和建议应该是所有卫生专业人员的共同知识和建议。在这种情况下,医生的作用尤为突出,因为他们在第一次接触时就采取行动,在解决这一问题及其对慢性病健康促进、预防和治疗的影响方面具有很高的潜力。本研究旨在观察巴西南部一所大学医学生的体育活动知识水平。方法采用经验证的国际体育活动问卷(IPAQ)进行横断面研究,收集社会人口学因素、体育活动、体育活动知识和体育活动水平的数据。结果共对294名学生进行了评估。平均(±SD)年龄22.0(±3.3)岁。大多数是女性,72.8%的人的体重指数在18.5-25 kg/m2之间。结果显示,65.6%的学生进行体育锻炼。在体力活动组和体力不活动组之间,体力活动水平(p<0.001)和工作日的久坐时间(p=0.031)存在统计学差异。结论体育活动的实践与知识水平无关,但通过实践体育活动,医生能够更好地激励和鼓励患者。
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引用次数: 1
Examining Lifestyle Components in Hospitalized COVID-19 Patients, Iran 2021 伊朗2021年新冠肺炎住院患者生活方式组成部分调查
Pub Date : 2022-01-31 DOI: 10.15280/jlm.2022.12.1.56
A. Soroush, Armin Naghipour, Behzad Heidarpour, H. Abdollahzad, Roghayeh Nouri, Mohsen Amani, Nadya Baharirad
Background COVID-19 pandemic is a serious health threating element throughout the world. One of the key elements to strengthen the body’s immune system is to follow a healthy lifestyle to deal with health threating. The aim of this study was to evaluate the lifestyle components in COVID-19 patients. Methods This descriptive-analytical study carried on hospitalized COVID-19 patients from October 22, 2020 to January 19, 2021. Demographic characteristics, physical activity, nutritional status, stress and anxiety, and substance abuse were assessed. A simple model and multiple logistic regression model were used. Results About 32% were hospitalized in the intensive care unit (ICU). Healthy lifestyle was observed only in 28%. About 82% had insufficient physical activity, and 67.3% was reported to be unfavorable in nutritional status. Severe stress and anxiety were observed in 30.4% of people. There were significant relationships between age (AOR = 2.11, p = 0.036), education (AOR = 0.35, p = 0.002) and a healthy lifestyle. A significant correlation was observed between ICU admission and unhealthy lifestyle (AOR = 0.40, p = 0.015). Conclusion Unhealthy lifestyle behaviors were seen in the most COVID-19 patients. Considering the significance of lifestyle changes could prove effective in reducing the risk of transmissible viral infections.
COVID-19大流行是全球严重的健康威胁因素。加强身体免疫系统的关键因素之一是遵循健康的生活方式来应对健康威胁。本研究的目的是评估COVID-19患者的生活方式组成部分。方法对2020年10月22日至2021年1月19日住院的COVID-19患者进行描述性分析。评估了人口统计学特征、身体活动、营养状况、压力和焦虑以及药物滥用情况。采用简单模型和多元logistic回归模型。结果32%的患者在重症监护病房(ICU)住院。只有28%的人有健康的生活方式。约82%的人体力活动不足,67.3%的人营养状况不佳。30.4%的人有严重的压力和焦虑。年龄(AOR = 2.11, p = 0.036)、教育程度(AOR = 0.35, p = 0.002)与健康生活方式存在显著相关。ICU住院与不健康生活方式有显著相关(AOR = 0.40, p = 0.015)。结论大多数新冠肺炎患者存在不健康的生活方式。考虑到生活方式改变的重要性,可以证明有效降低传染性病毒感染的风险。
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引用次数: 2
期刊
Journal of lifestyle medicine
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