传统和基于网络的肺康复对慢性阻塞性肺疾病患者身体活动影响的比较:卡塔尔世界杯8强波胆分析探索性可行性研究%A查普林，艾玛%A巴恩斯，艾米%A纽比，克里斯%A Houchen-Wolloff，林奇%A辛格，萨利J %+运动和康复科学中心，国家健康研究所莱斯特生物医学研究中心-呼吸系统，莱斯特国家卫生服务信托大学医院，莱斯特格洛比路，LE3 9QP, 44 116 258 3181，emma.chaplin@uhl-tr.nhs.uk %K SPACE for COPD %K internet %K web %K慢性阻塞性肺疾病%K肺康复%K体力活动%K运动%K慢性疾病%K COPD %K康复%D 2022 %7 10.3.2022 %9原论文%J JMIR Rehabil Assist Technol %G English %X背景:肺康复(PR)增加运动能力，但关于体力活动(PA)的证据不太明确。世界卫生组织建议每周至少进行150-300分钟的中等强度或75-150分钟的高强度有氧PA，以减少患慢性疾病的风险。目的:本研究的目的是评估传统PR与基于web PR在PA变化方面的有效性。方法:在一项可行性研究中，COPD患者被随机分为传统PR组(n=51)或基于网络的PR计划(n=52)，为期7周。在干预前后佩戴加速计(Sensewear)，测量PA为每天步数和中等强度活动≥2、≥5、≥10和≥20分钟的平均回合。对于每天数据≥8小时，持续≥4天的患者，采用R包进行统计分析。研究人员探索了各种变量，以检查它们与活动周期的关系。结果:基线特征组间无显著差异。 Complete PA data were available for the groups receiving web-based (n=20) and conventional (n=34) PR interventions. The web-based PR group demonstrated a nonsignificant increase in the number of steps per day, which mainly comprised short bouts of moderate to vigorous intensity PA when compared to the conventional PR group (P=.20). The conventional PR group demonstrated increased 20-minute bouts of PA by 49.1%, although this was not significant (P=.07). At baseline, age (r=–0.21, P=.04), BMI (r=–0.311, P=.004), and FEV1 (forced expiratory volume in 1 second; % predicted; r=–0.248, P=.048) were significantly correlated with 10-minute bouts of PA; however, this was not observed post intervention. Conclusions: The analysis revealed a nonsignificant difference in the pattern of PA between groups receiving conventional vs web-based PR—the former being associated with an increase in 20-minute bouts, while the latter having demonstrated an increase in the number of steps per day. There appears to be a differing response emerging between the two interventions. Trial Registration: International Clinical Trials Registry ISRCTN03142263; https://tinyurl.com/y4dmfyrb %M 35266871 %R 10.2196/28875 %U https://rehab.www.mybigtv.com/2022/1/e28875 %U https://doi.org/10.2196/28875 %U http://www.ncbi.nlm.nih.gov/pubmed/35266871