Người bệnh viêm khớp dạng thấp có bị giảm thể lực không? Một đánh giá về mức độ hoạt động thể chất và khả năng aerobic

BMC Musculoskeletal Disorders - 2012
Tjerk Munsterman1, Tim Takken2, Harriët Wittink3
1Physical Therapy Center, Martini Hospital Groningen, P.O. Box 30033, 9700 RM, Groningen, The Netherlands
2School of Clinical Health Sciences, Department of Physical Therapy Science, Utrecht University, Utrecht, The Netherlands
3Research group Lifestyle and Health, Faculty of Health Care, Utrecht University of Applied Sciences, Bolognalaan 101, 3584 CJ, Utrecht, The Netherlands

Tóm tắt

Tóm tắt Đặt vấn đề Mặc dù giả định chung là bệnh nhân viêm khớp dạng thấp (RA) có mức độ hoạt động thể chất giảm, nhưng chưa có nghiên cứu nào giải quyết liệu giả định này có chính xác hay không. Phương pháp Mục tiêu của chúng tôi là đánh giá có hệ thống tài liệu liên quan đến mức độ hoạt động thể chất và khả năng aerobic (VO2max) ở bệnh nhân viêm khớp dạng thấp, so với nhóm chứng khỏe mạnh và một quần thể tham khảo. Các nghiên cứu điều tra hoạt động thể chất, tiêu tốn năng lượng hoặc khả năng aerobic ở bệnh nhân RA đã được đưa vào xem xét. Mười hai nghiên cứu đáp ứng tiêu chí bao gồm của chúng tôi. Kết quả Trong một nghiên cứu sử dụng nước đánh dấu đôi, thước đo tiêu chuẩn vàng, năng lượng tiêu tốn khi hoạt động thể chất của bệnh nhân RA đã giảm đáng kể. Năm nghiên cứu đã khảo sát khả năng aerobic. Có những bằng chứng mâu thuẫn cho thấy bệnh nhân RA có VO2max thấp hơn so với nhóm chứng, nhưng khi được so sánh với các giá trị chuẩn, bệnh nhân đạt điểm dưới mức 10th phần trăm. Nhìn chung, có vẻ như bệnh nhân RA dành nhiều thời gian hơn cho các hoạt động nhẹ và vừa, và ít hơn cho các hoạt động mạnh so với nhóm chứng. Kết luận Bệnh nhân viêm khớp dạng thấp có vẻ như tiêu tốn năng lượng giảm đáng kể, khả năng aerobic rất thấp so với các giá trị chuẩn và dành ít thời gian cho các hoạt động mạnh hơn so với nhóm chứng.

Từ khóa


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