{"title":"后天性脑损伤门诊患者客观和自我报告的习惯性体力活动和久坐时间的特点","authors":"","doi":"10.1016/j.smhs.2024.02.001","DOIUrl":null,"url":null,"abstract":"<div><p>Outpatients with an acquired brain injury (ABI) experience physical, mental, and social deficits. ABI can be classified into two subgroups based on mechanism of injury: mild traumatic brain injury (mTBI; e.g., concussion) and other ABI (e.g., stroke, brain aneurysm, encephalitis). Our understanding of habitual activity levels within ABI populations is limited because they are often collected using self-report measures. The purpose of this study was to, 1) describe the habitual activity levels of outpatients with ABI using objective and self-report monitoring, and 2) compare the activity levels of outpatients with mTBI vs. other ABI. Sixteen outpatients with other ABI (mean ± standard deviation: [58 ± 13] years, 9 females) and 12 outpatients with mTBI ([48 ± 11] years, 9 females) wore a thigh-worn activPAL 24 h/day (h/day) for 7-days. Outpatients with ABI averaged (6.0 ± 2.3) h/day of upright time, (10.6 ± 2.2) h/day of sedentary time, (5.6 ± 2.7) h/day in prolonged sedentary bouts > 1 h, (5 960 ± 3 037) steps/day, and (11 ± 13) minutes/day (min/day) of moderate-vigorous physical activity (MVPA). There were no differences between activPAL-derived upright, sedentary, prolonged sedentary time, and physical activity between the mTBI and other ABI groups (all, <em>p</em> > 0.31). Outpatients with ABI overestimated their MVPA levels (+138 min/week) and underestimated sedentary time (−4.3 h/day) compared to self-report (all, <em>p</em> < 0.001). Despite self-reporting high activity levels, outpatients with ABI objectively exhibit highly inactive and sedentary lifestyles. The habitual movement behaviours of our sample did not differ by mechanism of injury (i.e., mTBI versus other ABI). Targeting reductions in objectively measured sedentary time are needed to progressively improve the habitual movement behaviours of outpatients with ABI.</p></div>","PeriodicalId":33620,"journal":{"name":"Sports Medicine and Health Science","volume":null,"pages":null},"PeriodicalIF":2.3000,"publicationDate":"2024-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666337624000118/pdfft?md5=8fc60af4c94327c09da32f763d567521&pid=1-s2.0-S2666337624000118-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Characterizing objective and self-report habitual physical activity and sedentary time in outpatients with an acquired brain injury\",\"authors\":\"\",\"doi\":\"10.1016/j.smhs.2024.02.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>Outpatients with an acquired brain injury (ABI) experience physical, mental, and social deficits. ABI can be classified into two subgroups based on mechanism of injury: mild traumatic brain injury (mTBI; e.g., concussion) and other ABI (e.g., stroke, brain aneurysm, encephalitis). Our understanding of habitual activity levels within ABI populations is limited because they are often collected using self-report measures. The purpose of this study was to, 1) describe the habitual activity levels of outpatients with ABI using objective and self-report monitoring, and 2) compare the activity levels of outpatients with mTBI vs. other ABI. Sixteen outpatients with other ABI (mean ± standard deviation: [58 ± 13] years, 9 females) and 12 outpatients with mTBI ([48 ± 11] years, 9 females) wore a thigh-worn activPAL 24 h/day (h/day) for 7-days. Outpatients with ABI averaged (6.0 ± 2.3) h/day of upright time, (10.6 ± 2.2) h/day of sedentary time, (5.6 ± 2.7) h/day in prolonged sedentary bouts > 1 h, (5 960 ± 3 037) steps/day, and (11 ± 13) minutes/day (min/day) of moderate-vigorous physical activity (MVPA). There were no differences between activPAL-derived upright, sedentary, prolonged sedentary time, and physical activity between the mTBI and other ABI groups (all, <em>p</em> > 0.31). Outpatients with ABI overestimated their MVPA levels (+138 min/week) and underestimated sedentary time (−4.3 h/day) compared to self-report (all, <em>p</em> < 0.001). Despite self-reporting high activity levels, outpatients with ABI objectively exhibit highly inactive and sedentary lifestyles. The habitual movement behaviours of our sample did not differ by mechanism of injury (i.e., mTBI versus other ABI). Targeting reductions in objectively measured sedentary time are needed to progressively improve the habitual movement behaviours of outpatients with ABI.</p></div>\",\"PeriodicalId\":33620,\"journal\":{\"name\":\"Sports Medicine and Health Science\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2024-02-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2666337624000118/pdfft?md5=8fc60af4c94327c09da32f763d567521&pid=1-s2.0-S2666337624000118-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Sports Medicine and Health Science\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2666337624000118\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"SPORT SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sports Medicine and Health Science","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666337624000118","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SPORT SCIENCES","Score":null,"Total":0}
引用次数: 0
摘要
后天性脑损伤(ABI)门诊患者会出现身体、精神和社交方面的缺陷。根据损伤机制,后天性脑损伤可分为两个亚组:轻微创伤性脑损伤(mTBI,如脑震荡)和其他后天性脑损伤(如中风、脑动脉瘤、脑炎)。我们对 ABI 人群的习惯性活动水平了解有限,因为这些数据通常是通过自我报告的方式收集的。本研究的目的是:1)通过客观和自我报告监测来描述门诊 ABI 患者的习惯性活动水平;2)比较门诊 mTBI 患者与其他 ABI 患者的活动水平。16名其他ABI门诊患者(平均±标准差:[58±13]岁,9名女性)和12名mTBI门诊患者([48±11]岁,9名女性)每天24小时佩戴activPAL,持续7天。ABI门诊患者的平均直立时间为(6.0 ± 2.3)小时/天,静坐时间为(10.6 ± 2.2)小时/天,长时间静坐时间为(5.6 ± 2.7)小时/天,步数为(5 960 ± 3 037)步/天,中等强度体力活动(MVPA)时间为(11 ± 13)分钟/天。在 mTBI 组和其他 ABI 组之间,activPAL 导出的直立、久坐、长时间久坐时间和体力活动之间没有差异(均为 p > 0.31)。与自我报告相比,ABI 门诊患者高估了自己的 MVPA 水平(+138 分钟/周),低估了久坐时间(-4.3 小时/天)(所有数据,p <0.001)。尽管ABI门诊患者自我报告的活动量很高,但客观上却表现出极不活跃和久坐不动的生活方式。我们样本中的习惯性运动行为并没有因损伤机制(即 mTBI 与其他 ABI)而有所不同。需要有针对性地减少客观测量的久坐时间,以逐步改善ABI门诊患者的习惯性运动行为。
Characterizing objective and self-report habitual physical activity and sedentary time in outpatients with an acquired brain injury
Outpatients with an acquired brain injury (ABI) experience physical, mental, and social deficits. ABI can be classified into two subgroups based on mechanism of injury: mild traumatic brain injury (mTBI; e.g., concussion) and other ABI (e.g., stroke, brain aneurysm, encephalitis). Our understanding of habitual activity levels within ABI populations is limited because they are often collected using self-report measures. The purpose of this study was to, 1) describe the habitual activity levels of outpatients with ABI using objective and self-report monitoring, and 2) compare the activity levels of outpatients with mTBI vs. other ABI. Sixteen outpatients with other ABI (mean ± standard deviation: [58 ± 13] years, 9 females) and 12 outpatients with mTBI ([48 ± 11] years, 9 females) wore a thigh-worn activPAL 24 h/day (h/day) for 7-days. Outpatients with ABI averaged (6.0 ± 2.3) h/day of upright time, (10.6 ± 2.2) h/day of sedentary time, (5.6 ± 2.7) h/day in prolonged sedentary bouts > 1 h, (5 960 ± 3 037) steps/day, and (11 ± 13) minutes/day (min/day) of moderate-vigorous physical activity (MVPA). There were no differences between activPAL-derived upright, sedentary, prolonged sedentary time, and physical activity between the mTBI and other ABI groups (all, p > 0.31). Outpatients with ABI overestimated their MVPA levels (+138 min/week) and underestimated sedentary time (−4.3 h/day) compared to self-report (all, p < 0.001). Despite self-reporting high activity levels, outpatients with ABI objectively exhibit highly inactive and sedentary lifestyles. The habitual movement behaviours of our sample did not differ by mechanism of injury (i.e., mTBI versus other ABI). Targeting reductions in objectively measured sedentary time are needed to progressively improve the habitual movement behaviours of outpatients with ABI.