COVID-19大流行对日本III期心脏康复患者运动耐量和结果的影响:一项多中心研究

IF 1.3 4区 医学 Q4 PHYSIOLOGY Clinical Physiology and Functional Imaging Pub Date : 2023-04-24 DOI:10.1111/cpf.12823
Tatsuro Kitayama, Kenta Mikami, Naoto Usui, Ryo Emori, Taishi Tsuji, Yasuyuki Maruyama, Tadanori Harada
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引用次数: 0

摘要

本研究旨在确定2019冠状病毒病(新冠肺炎)大流行后的紧急状态宣言导致的行为限制如何影响III期心脏康复计划患者的运动耐受性及其结果。这是一项多中心回顾性队列研究。在宣布紧急情况前后参加门诊心脏康复计划和心肺运动测试的参与者也包括在内。共纳入90名参与者(中位年龄75.0岁,69%为男性),并比较了紧急状态宣布前后身体功能和运动耐受性的变化。患者分为峰值摄氧量下降组和峰值摄氧量不下降组。紧急状态宣布前后的比较显示,无氧阈值显著下降,峰值VO2呈下降趋势。峰值VO2下降组包括16名患者(17%),他们具有更好的运动耐受性、多种合并症和下肢肌力下降。这些患者的后续复合事件发生率也较高(风险比,5.2;95%置信区间,1.4-18.8,p = 0.01)。在宣布紧急情况之前和之后,患者的运动耐受性可能会下降,导致预后不良。这项研究表明了在新冠肺炎大流行期间保持运动耐受性的重要性。
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Impact of the COVID-19 pandemic on exercise tolerance and patient outcomes with Phase III cardiac rehabilitation in Japan: A multicenter study

This study aimed to determine how behavioural restrictions due to the emergency declaration following the coronavirus disease 2019 (COVID-19) pandemic affect exercise tolerance and its outcomes in patients in Phase III cardiac rehabilitation programme. This is a multicenter retrospective cohort study. Participants in outpatient cardiac rehabilitation programmes and cardiopulmonary exercise testing before and after the emergency declarations were included. A total of 90 participants were included (median age 75.0 years, 69% male), and the changes in physical function and exercise tolerance were compared before and after the emergency declaration. Patients were divided into a decline-in-peak oxygen uptake (VO2) group and a nondecline-in-peak VO2 group. Comparison before and after the emergency declaration showed that the anaerobic threshold declined significantly and peak VO2 exhibited a downward trend. The decline-in-peak VO2 group consisted of 16 patients (17%) with better exercise tolerance, multiple comorbidities, and declined lower extremity muscle strength. These patients also had a higher rate of subsequent composite events (hazard ratio, 5.2; 95% confidence interval, 1.4–18.8, p = 0.01). Before and after the emergency declaration, the patient's exercise tolerance may decline, leading to a poor prognosis. This study suggests the importance of maintaining exercise tolerance during the COVID-19 pandemic.

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来源期刊
CiteScore
3.40
自引率
5.60%
发文量
62
审稿时长
6-12 weeks
期刊介绍: Clinical Physiology and Functional Imaging publishes reports on clinical and experimental research pertinent to human physiology in health and disease. The scope of the Journal is very broad, covering all aspects of the regulatory system in the cardiovascular, renal and pulmonary systems with special emphasis on methodological aspects. The focus for the journal is, however, work that has potential clinical relevance. The Journal also features review articles on recent front-line research within these fields of interest. Covered by the major abstracting services including Current Contents and Science Citation Index, Clinical Physiology and Functional Imaging plays an important role in providing effective and productive communication among clinical physiologists world-wide.
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