Association between functional capacity, sleep disorder and physical activity level in individuals with Parkinson's disease during the covid-19 pandemic period: a cross-sectional study
Madeleine Sales de Alencar, Danielle Pessoa Lima, Vlademir Carneiro Gomes, A. B. Viana Júnior, Pedro Braga Neto, L. Lima
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引用次数: 0
Abstract
Abstract Objective To assess the level of exercise of older people with Parkinson's disease (PD), taking into account sociodemographic, clinical, and functional characteristics. Method A cross-sectional study was carried out based on the following data: level of physical activity (International Physical Activity Questionnaire short version - short IPAQ), sleep disorders, cognitive complaints, duration of illness, degree of dependence to perform basic daily activities through Schwab & England (S&E) scale of older individuals with PD treated at a tertiary health service during the covid-19 pandemic. Poisson regression, Mann-Whitney U test and Student's t test were used for statistical analysis. Results The prevalence ratio of being active increased by 1.04 (95% CI 1.01 - 1.08) for every 10 points of elevation on the S&E scale, whereas those who did not report sleep difficulties had a prevalence ratio of 1.17 (95% CI 1.02-1.34) times greater to be active. Inactive individuals with PD were older and had longer disease duration. Conclusion Emphasis should be given to the functional capacity and sleep of individuals with PD for the adequate management of the PA level in periods of social restriction.
目的综合考虑社会人口学、临床和功能特征,评估老年帕金森病(PD)患者的运动水平。方法基于以下数据进行横断面研究:2019冠状病毒病大流行期间在三级卫生服务机构接受治疗的老年PD患者的身体活动水平(国际身体活动问卷短版-短IPAQ)、睡眠障碍、认知投诉、疾病持续时间、通过Schwab & England (S&E)量表进行基本日常活动的依赖程度。采用泊松回归、Mann-Whitney U检验和Student’st检验进行统计分析。结果S&E量表每升高10个点,活跃的患病率增加1.04 (95% CI 1.01 - 1.08),而未报告睡眠困难的患者活跃的患病率为1.17 (95% CI 1.02-1.34)倍。不活动的PD患者年龄较大,病程较长。结论应重视PD患者的功能能力和睡眠状况,以便在社会限制期对PA水平进行适当的管理。