心肌梗死后一年体力活动的预测因素。

J. Diederiks, H. van der Sluijs, H. Weeda, M. G. Schobre
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引用次数: 8

摘要

研究了55名男性患者急性心肌梗死(AMI)后一年的习惯性体力活动、夜间休息时间、重返工作岗位和运动耐受性的预测因素。除了AMI后三个月的运动耐受性外,这项前瞻性研究的结果表明,心理因素比心绞痛、梗死面积和参加体育训练更重要地预测这四个结果变量。最重要的预测因素似乎是患者对其身体能力的主观看法,通过感知运动耐受量表来衡量。MI后三个月最终重返工作岗位的预期也起着重要的预测作用。两者都是AMI后运动耐受性和一年后重返工作的预测因素。这些发现表明,体育活动(定义为运动耐力、习惯性体育活动和夜间休息时间)与重返工作岗位密切相关。
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Predictors of physical activity one year after myocardial infarction.
A number of factors predicting habitual physical activity, duration of night's rest, return to work and exercise tolerance one year after acute myocardial infarction (AMI) are studied in fifty-five male patients. Except for exercise tolerance three months after AMI, the results of this prospective study suggest that psychologic factors are more important predictors of the four outcome variables than angina pectoris, infarction size and participation in a physical training program. The most important predictor appears to be the patient's subjective opinion of his physical capabilities, measured by the perceived exercise tolerance scale. The expectation of the eventual return to work three months after MI plays also a significant role as a predictor. Both are predictors of the exercise tolerance and return to work one year after AMI. These findings suggest that physical activity--defined as exercise tolerance, habitual physical activity and duration of night's rest--and return to work are closely related.
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