慢性阻塞性肺病患者运动受限和缺乏运动对预后的重要性。

IF 2.3 Q2 RESPIRATORY SYSTEM
Breathe Pub Date : 2024-06-11 eCollection Date: 2024-06-01 DOI:10.1183/20734735.0179-2023
Anouk W Vaes, Chris Burtin, Richard Casaburi, Bartolome R Celli, Rachael A Evans, Suzanne C Lareau, Linda Nici, Carolyn L Rochester, Thierry Troosters
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引用次数: 0

摘要

运动受限和缺乏运动是两个不同但相关的概念。这两种情况在慢性阻塞性肺病患者中普遍存在,对疾病负担的影响超过了呼吸障碍,并可独立预测不良后果。因此,临床医生应考虑对慢性阻塞性肺病患者进行这些变量的评估。6分钟步行测试、增量和耐力穿梭步行测试等运动表现的现场测试所需的额外资源有限,且测试结果与不良预后相关。使用跑步机或自行车测力计对运动表现进行实验室测量可评估运动能力,提供预后信息,并能解释运动受限的生理机制(及其相互作用)。运动能力受限(即 "不能做")和缺乏运动(即 "不做")都与死亡率有关;运动受限似乎是导致这一结果的更重要因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence and prognostic importance of exercise limitation and physical inactivity in COPD.

Exercise limitation and physical inactivity are separate, but related constructs. Both are commonly present in individuals with COPD, contribute to disease burden over and above the respiratory impairments, and are independently predictive of adverse outcomes. Because of this, clinicians should consider assessing these variables in their patients with COPD. Field tests of exercise performance such as the 6-min walk test and the incremental and endurance shuttle walk tests require limited additional resources, and results correlate with negative outcomes. Laboratory measures of exercise performance using a treadmill or cycle ergometer assess exercise capacity, provide prognostic information and have the advantage of explaining physiological mechanisms (and their interactions) underpinning exercise limitation. Limitations in exercise capacity (i.e. "cannot do") and physical inactivity (i.e. "do not do") are both associated with mortality; exercise limitation appears to be the more important driver of this outcome.

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来源期刊
Breathe
Breathe RESPIRATORY SYSTEM-
CiteScore
2.90
自引率
5.00%
发文量
51
审稿时长
12 weeks
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