%0杂志文章%@ 2561-326X %I JMIR出版物V 6% N卡塔尔世界杯8强波胆分析 4% P e32625%房颤和肥胖患者坚持多学科生活方式计划:可行性研究%A Tenbult,Nicole %A Kraal,Jos %A Brouwers,Rutger %A Spee,Ruud %A Eijsbouts,Sabine %A Kemps,Hareld %+远程医疗和慢性疾病康复，Flow，预防中心，Máxima MC, Dominee Theodor Fliednerstraat 1, Veldhoven/Eindhoven, 5631 BM，荷兰，31 040 8888220，nicole.van.limpt@mmc.nl %K心脏康复%K房颤%K肥胖%K参与%K完成%K坚持%K生活方式%D 2022 %7 29.4.2022 %9原始论文%J JMIR表格Res %G英文%X背景:房颤通常与肥胖相关。观察性研究表明，体重减轻与改善预后和降低房颤频率和严重程度有关。然而，尽管有这些好处，不坚持生活方式计划是很常见的。目的:在本研究中，我们评估了以房颤和肥胖患者的行为改变为重点的多学科生活方式计划的依从性和可行性。方法:房颤合并肥胖患者参加为期1年的目标导向心脏康复计划。基线评估后，前3个月包括心脏康复干预，包括4个固定模块:生活方式咨询(由高级护士执业)、运动训练、饮食咨询和心理治疗;放松课程是另一个可选的治疗模块。一名高级执业护士监测每位患者的个人生活方式，在3个月(即干预后立即)和年底(即干预后9个月)进行评估和咨询。 At each timepoint, level of physical activity, personal goals and progress, atrial fibrillation symptoms and frequency (Atrial Fibrillation Severity Scale), psychosocial stress (Generalized Anxiety Disorder–7), and depression (Patient Health Questionnaire–9) were assessed. The primary endpoints were adherence (defined as the number of visits attended as percentage of the number of planned visits) and completion rates of the cardiac rehabilitation intervention (defined as performing at least of 80% of the prescribed sessions). In addition, we performed an exploratory analysis of effects of the cardiac rehabilitation program on weight and atrial fibrillation symptom frequency and severity. Results: Patients with atrial fibrillation and obesity (male: n=8; female: n=2; age: mean 57.2 years, SD 9.0; baseline weight: mean 107.2 kg, SD 11.8; baseline BMI: mean 32.4 kg/m2, SD 3.5) were recruited. Of the 10 participants, 8 participants completed the 3-month cardiac rehabilitation intervention, and 2 participants did not complete the cardiac rehabilitation intervention (both because of personal issues). Adherence to the fixed treatment modules was 95% (mean 3.8 sessions attended out of mean 4 planned) for lifestyle counseling, 86% (mean 15.2 sessions attended out of mean 17.6 planned) for physiotherapy sessions, 88% (mean 3.7 sessions attended out of mean 4.1 planned) for dietician consultations, and 60% (mean 0.6 sessions attended out of mean 1.0 planned) for psychosocial therapy; 70% of participants (7/10) were referred to the optional relaxation sessions, for which adherence was 86% (mean 2 sessions attended out of mean 2.4 planned). The frequency of atrial fibrillation symptoms was reduced immediately after the intervention (before: mean 35.6, SD 3.8; after: mean 31.2, SD 3.3), and this was sustained at 12 months (mean 24.8, SD 3.2). The severity of atrial fibrillation complaints immediately after the intervention (mean 20.0, SD 3.7) and at 12 months (mean 9.3, SD 3.6) were comparable to that at baseline (mean 16.6, SD 3.3). Conclusions: A 1-year multidisciplinary lifestyle program for obese patients with atrial fibrillation was found to be feasible, with high adherence and completion rates. Exploratory analysis revealed a sustained reduction in atrial fibrillation symptoms; however, these results remain to be confirmed in large-scale studies. %M 35486435 %R 10.2196/32625 %U https://formative.www.mybigtv.com/2022/4/e32625 %U https://doi.org/10.2196/32625 %U http://www.ncbi.nlm.nih.gov/pubmed/35486435