Accelerometer-measured physical activity patterns in daily life and their association with factors of sedentary behavior in people with epilepsy.

IF 2.3 3区医学 Q2 BEHAVIORAL SCIENCES

Epilepsy & Behavior Pub Date : 2024-12-11 DOI:10.1016/j.yebeh.2024.110198

Burcin Aktar, Birgul Balci, Hatice Eraslan Boz, Sevgi Ferik Ozalan, Ibrahim Oztura, Baris Baklan

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引用次数: 0

Abstract

Objectives: Being physically active is important, but people with epilepsy (PWE) tend to have a sedentary lifestyle. There is limited evidence about physical activity patterns in PWE using objective measures. The aims of this study were: (1) to examine the physical activity patterns of PWE, (2) compare activity patterns between PWE in terms of drug-resistant epilepsy and medically controlled epilepsy with age- and sex-matched healthy controls; and (3) explore the association between physical activity patterns and body function and structure, activity and participation, and quality of life of PWE.

Methods: Seventy-three PWE and 74 healthy controls were enrolled. Physical activity data were collected prospectively over a 7-day period using a SenseWear Arm Band. Body function and structure in PWE were evaluated using the Fatigue Severity Scale, 30-second Chair Stand (30CST), Biodex-Fall Risk, Generalized Anxiety Disorder, Beck Depression Inventory, Pittsburg Sleep Quality Index, and Montreal Cognitive Assessment (MoCA). Activity and participation in PWE were measured using Activities-specific Balance Confidence, Timed Up and Go Test, Six-Minute Walk Test, and Tinetti-Balance and Tinetti-Gait. The quality of life of PWE was evaluated using the Quality of Life in Epilepsy Inventory-31.

Results: PWE took fewer steps per day and were sedentary for more time compared with healthy controls (7826 vs. 10,564 steps, P = 0.01; 534 min/day vs. 463 min/day, P < 0.001), especially PWE with drug-resistant epilepsy. 30CST, MoCA, and Biodex-Fall Risk were associated with sedentary behavior, with Biodex-Fall Risk explaining 7.2 % of the variance.

Conclusions: PWE demonstrated lower physical activity levels compared with healthy individuals, especially those with drug-resistant epilepsy. Our study highlights the need to tailor strategies including postural stability exercises for the enhancement of physical activity levels in PWE.

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目的：积极参加体育锻炼非常重要，但癫痫患者（PWE）的生活方式往往久坐不动。利用客观测量方法了解癫痫患者体育锻炼模式的证据有限。本研究的目的是(1）研究 PWE 的体力活动模式；（2）比较抗药性癫痫和药物控制癫痫的 PWE 与年龄和性别匹配的健康对照组的活动模式；以及（3）探讨体力活动模式与 PWE 的身体功能和结构、活动和参与以及生活质量之间的关联：方法：共招募了 73 名 PWE 和 74 名健康对照者。方法：招募了 73 名残疾人和 74 名健康对照者，使用 SenseWear Arm Band 收集为期 7 天的体力活动数据。使用疲劳严重程度量表、30 秒椅子站立（30CST）、Biodex-跌倒风险、广泛性焦虑症、贝克抑郁量表、匹兹堡睡眠质量指数和蒙特利尔认知评估（MoCA）对 PWE 的身体功能和结构进行评估。使用特定活动平衡信心、定时起立行走测试、六分钟步行测试、Tinetti-Balance 和 Tinetti-Gait，对残疾人的活动和参与情况进行了测量。使用癫痫患者生活质量量表-31对癫痫患者的生活质量进行了评估：结果：与健康对照组相比，PWE 每天走的步数更少，久坐的时间更长（7826 步 vs. 10564 步，P = 0.01；534 分钟/天 vs. 463 分钟/天，P 结论：与健康对照组相比，PWE 每天走的步数更少，久坐的时间更长（534 分钟/天 vs. 463 分钟/天，P = 0.01）：与健康人相比，患者的体力活动水平较低，尤其是耐药性癫痫患者。我们的研究突出表明，有必要量身定制包括姿势稳定性练习在内的策略，以提高 PWE 的体力活动水平。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Epilepsy & Behavior 医学-行为科学

CiteScore

5.40

自引率

15.40%

发文量

385

审稿时长

43 days

期刊介绍： Epilepsy & Behavior is the fastest-growing international journal uniquely devoted to the rapid dissemination of the most current information available on the behavioral aspects of seizures and epilepsy. Epilepsy & Behavior presents original peer-reviewed articles based on laboratory and clinical research. Topics are drawn from a variety of fields, including clinical neurology, neurosurgery, neuropsychiatry, neuropsychology, neurophysiology, neuropharmacology, and neuroimaging. From September 2012 Epilepsy & Behavior stopped accepting Case Reports for publication in the journal. From this date authors who submit to Epilepsy & Behavior will be offered a transfer or asked to resubmit their Case Reports to its new sister journal, Epilepsy & Behavior Case Reports.