TY -的盟Tenbult妮可盟——牛栏,乔斯盟——这,罗格AU -滚筒,路德盟——Eijsbouts Sabine AU -粗毛,Hareld PY - 2022 DA - 2022/4/29 TI -坚持多学科的生活方式程序房颤患者和肥胖:可行性研究乔- Res JMIR形式SP - e32625六世- 6 - 4 KW -心脏康复KW -心房纤维性颤动KW -肥胖KW -参与千瓦完成KW -坚持KW -生活AB -背景:心房颤动通常与肥胖有关。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。在每个时间点，评估身体活动水平、个人目标和进展、心房颤动症状和频率(心房颤动严重程度量表)、社会心理压力(广泛性焦虑障碍- 7)和抑郁(患者健康问卷- 9)。 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. SN - 2561-326X UR - https://formative.www.mybigtv.com/2022/4/e32625 UR - https://doi.org/10.2196/32625 UR - http://www.ncbi.nlm.nih.gov/pubmed/35486435 DO - 10.2196/32625 ID - info:doi/10.2196/32625 ER -