Wagner Jorge Ribeiro Domingues, Antonio Henrique Germano-Soares, Gabriel Grizzo Cucato, Lenon Corrêa de Souza, Emely Kércia Santiago de Souza Brandão, Emmina Lima da Cruz de Souza, Thiago Renan da Silva E Silva, Guilherme Peixoto Tinoco Arêas, Cleinaldo Costa, Priscilla Ribeiro Dos Santos Campelo, Neivaldo José Nazaré Dos Santos, Gustavo Oliveira da Silva, Caroline Ferraz Simões
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A secondary aim was to identify whether adherence to PA recommendations differed according to patients' sociodemographic and clinical characteristics.</p><p><strong>Methods: </strong>This cross-sectional study included 96 patients with CVI with Clinical-Etiology-Anatomy-Pathology (CEAP) C3 to C6 (69.1% women 59 ± 11 years; 51.5% C5-C6 on CEAP classification). Objective time spent in PA was measured by a triaxial accelerometer. To examine adherence to PA guidelines, patients were grouped as meeting (or) the recommendations if they had at least 150 min/week of moderate to vigorous PA. Sociodemographic and clinic characteristics were obtained by self-report. Binary logistic regression was employed to examine whether sociodemographic and clinical characteristics were associated with adherence to PA guidelines. T-tests were employed to compare PA levels at different intensities according to patients' age.</p><p><strong>Results: </strong>Patients spent an average of 311.4 ± 91.5 min/week, 42.1 ± 28.0 min/week, and 19.8 ± 17.8 min/week in low-light PA, high-light PA, and moderate-to-vigorous PA, respectively. The proportion of patients meeting PA recommendations was 36.2%, and older patients had lower odds (OR = 0.94; 95%CI: 0.89 to 0.99). Additional analysis reinforced that by showing lower time in high-light PA (51.2 ± 30.0 min/day vs. 31.9 ± 21.8 min/day; <i>p</i> = .001) and moderate-to-vigorous PA (24.3 ± 15.8 min/day vs. 14.8 ± 18.8 min/day; <i>p</i> = .012) among older patients than their peers younger.</p><p><strong>Conclusion: </strong>Our findings showed that 36,2% of CVI patients met PA recommendations, with lower odds found among older patients. 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引用次数: 0
摘要
背景：人们普遍建议慢性静脉功能不全（CVI）患者增加体育锻炼（PA）。然而，目前尚缺乏使用客观测量方法对患者的体力活动模式和遵守体力活动指南的情况进行调查的研究：主要目的是研究 CVI 患者的 PA 模式和对 PA 指南的遵守情况。次要目的是确定根据患者的社会人口学和临床特征，对 PA 建议的遵守情况是否有所不同：这项横断面研究纳入了 96 名临床-病因-解剖-病理（CEAP）为 C3 至 C6 的 CVI 患者（69.1% 为女性，59 ± 11 岁；51.5% 为 CEAP 分类中的 C5-C6）。客观锻炼时间由三轴加速度计测量。为了检查患者是否遵守了体育锻炼指南，如果患者每周至少有 150 分钟的中度至剧烈体育锻炼，则将其归类为符合（或）建议。社会人口学和临床特征通过自我报告获得。采用二元逻辑回归法检验社会人口学和临床特征是否与坚持锻炼指南相关。根据患者的年龄，采用 T 检验比较不同强度的 PA 水平：结果：患者在低强度 PA、高强度 PA 和中强度 PA 方面的平均花费分别为 311.4 ± 91.5 分钟/周、42.1 ± 28.0 分钟/周和 19.8 ± 17.8 分钟/周。符合 PA 建议的患者比例为 36.2%，老年患者的几率较低（OR = 0.94；95%CI：0.89 至 0.99）。其他分析表明，老年患者的高光 PA（51.2 ± 30.0 分钟/天 vs. 31.9 ± 21.8 分钟/天；p = .001）和中强度 PA（24.3 ± 15.8 分钟/天 vs. 14.8 ± 18.8 分钟/天；p = .012）时间低于年轻患者：我们的研究结果表明，36.2% 的 CVI 患者符合 PA 建议，而老年患者符合 PA 建议的几率较低。为提高 CVI 患者的 PA 参与度而采取的公共卫生干预措施应优先考虑年龄较大的患者。
Physical activity levels in patients with chronic venous insufficiency.
Background: Increasing the levels of physical activity (PA) is widely recommended for people with chronic venous insufficiency (CVI). However, studies investigating the patterns of PA and adherence to PA guidelines using objective measures are lacking.
Objective: The primary aim was to examine the patterns of PA and adherence to PA guidelines among patients with CVI. A secondary aim was to identify whether adherence to PA recommendations differed according to patients' sociodemographic and clinical characteristics.
Methods: This cross-sectional study included 96 patients with CVI with Clinical-Etiology-Anatomy-Pathology (CEAP) C3 to C6 (69.1% women 59 ± 11 years; 51.5% C5-C6 on CEAP classification). Objective time spent in PA was measured by a triaxial accelerometer. To examine adherence to PA guidelines, patients were grouped as meeting (or) the recommendations if they had at least 150 min/week of moderate to vigorous PA. Sociodemographic and clinic characteristics were obtained by self-report. Binary logistic regression was employed to examine whether sociodemographic and clinical characteristics were associated with adherence to PA guidelines. T-tests were employed to compare PA levels at different intensities according to patients' age.
Results: Patients spent an average of 311.4 ± 91.5 min/week, 42.1 ± 28.0 min/week, and 19.8 ± 17.8 min/week in low-light PA, high-light PA, and moderate-to-vigorous PA, respectively. The proportion of patients meeting PA recommendations was 36.2%, and older patients had lower odds (OR = 0.94; 95%CI: 0.89 to 0.99). Additional analysis reinforced that by showing lower time in high-light PA (51.2 ± 30.0 min/day vs. 31.9 ± 21.8 min/day; p = .001) and moderate-to-vigorous PA (24.3 ± 15.8 min/day vs. 14.8 ± 18.8 min/day; p = .012) among older patients than their peers younger.
Conclusion: Our findings showed that 36,2% of CVI patients met PA recommendations, with lower odds found among older patients. Public health interventions to enhance PA engagement among CVI patients should prioritize those who are older.
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