Journal of Ilam University of Medical Sciences
مجله دانشگاه علوم پزشکی ایلام
J. Ilam Uni. Med. Sci.
Medical Sciences
http://sjimu.medilam.ac.ir
96
journal96
1563-4728
2588-3135
doi
fa
jalali
1402
2
1
gregorian
2023
5
1
31
2
online
1
fulltext
fa
بررسی ارتباط بین میزان فعالیت بدنی و شدت ابتلا به بیماری COVID-19 در بیماران بستری
Investigating the relationship between the level of physical activity and the severity of the disease of COVID-19 in hospitalized patients
آموزش و ارتقاء سلامت
education vartqa slamt
كاربردي
Applicable
<span style="font-size:8pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:.1pt">مقدمه:</span></span></span></span></b> <span lang="AR-SA" style="font-size:9.0pt"><span style="font-family:"B Zar"">مطالعه مقطعی حاضر با هدف بررسی ارتباط میزان فعالیت بدنی و شدت بیماری در بیماران بستری انجام گرفته است.</span></span></span></span></span></span><br>
<span style="font-size:8pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:.1pt">مواد و روش ها:</span></span></span></span></b> <span lang="AR-SA" style="font-size:9.0pt"><span style="font-family:"B Zar"">نمونه آماری پژوهش را 295 فرد مبتلا به تشکیل می</span></span><span lang="AR-SA" style="font-size:9.0pt"></span><span lang="AR-SA" style="font-size:9.0pt"><span style="font-family:"B Zar"">دادند که به صورت داوطلبانه در این مطالعه شرکت کردند. آزمودنی</span></span><span lang="AR-SA" style="font-size:9.0pt"></span><span lang="AR-SA" style="font-size:9.0pt"><span style="font-family:"B Zar"">ها شامل 104 بیمار بحرانی بستری در واحد مراقبت</span></span><span lang="AR-SA" style="font-size:9.0pt"></span><span lang="AR-SA" style="font-size:9.0pt"><span style="font-family:"B Zar"">های ویژه (</span></span>ICU<span lang="AR-SA" style="font-size:9.0pt"><span style="font-family:"B Zar"">) و 191 بیمار بدون عوارض شدید غیر بستری در </span></span>ICU<span lang="AR-SA" style="font-size:9.0pt"><span style="font-family:"B Zar""> بودند. ارزیابی فعالیت بدنی با استفاده از فرم کوتاه پرسش</span></span><span lang="AR-SA" style="font-size:9.0pt"></span><span lang="AR-SA" style="font-size:9.0pt"><span style="font-family:"B Zar"">نامه فعالیت بدنی (</span></span>IPAQ<span lang="AR-SA" style="font-size:9.0pt"><span style="font-family:"B Zar"">) انجام شد. ارزیابی دریافت غذایی با استفاده از پرسشنامه نیمه کمی بسامد خوراک</span></span>(FFQ) 147<span lang="AR-SA" style="font-size:9.0pt"><span style="font-family:"B Zar""> سوالی انجام گرفت.</span></span></span></span></span></span><br>
<span style="font-size:8pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt">یافتههای پژوهش:</span></span></span></span></b> <span lang="AR-SA" style="font-size:9.0pt"><span style="font-family:"B Zar"">نتایج این مطالعه رابطه معکوس و معنی</span></span><span lang="AR-SA" style="font-size:9.0pt"></span><span lang="AR-SA" style="font-size:9.0pt"><span style="font-family:"B Zar"">داری را بین میزان فعالیت بدنی و آیتم های وزن (</span></span>P˂0.001<span lang="AR-SA" style="font-size:9.0pt"><span style="font-family:"B Zar"">) و شاخص توده بدنی (</span></span>P˂0.001<span lang="AR-SA" style="font-size:9.0pt"><span style="font-family:"B Zar"">) بیماران نشان داد. همچنین بیماران با فعالیت بدنی بیشتر به طور معنی</span></span><span lang="AR-SA" style="font-size:9.0pt"></span><span lang="AR-SA" style="font-size:9.0pt"><span style="font-family:"B Zar"">داری سطح بالاتری از اکسیژن وریدی (</span></span>P=0.001<span lang="AR-SA" style="font-size:9.0pt"><span style="font-family:"B Zar"">) و بیکربنات (</span></span>P=0.028<span lang="AR-SA" style="font-size:9.0pt"><span style="font-family:"B Zar"">) داشتند. نتایج این پژوهش پس از تعدیل عوامل مخدوش</span></span><span lang="AR-SA" style="font-size:9.0pt"></span><span lang="AR-SA" style="font-size:9.0pt"><span style="font-family:"B Zar"">گر احتمالی نشان داد که در بیماران بستری مبتلا به ، میزان فعالیت بدنی با شدت بیماری در ارتباط نمی</span></span><span lang="AR-SA" style="font-size:9.0pt"></span><span lang="AR-SA" style="font-size:9.0pt"><span style="font-family:"B Zar"">باشد (</span></span>P=0.098<span lang="AR-SA" style="font-size:9.0pt"><span style="font-family:"B Zar"">). اگرچه آنالیز زیر-گروهی براساس جنسیت بیانگر ارتباط معکوس میزان فعالیت بدنی و شدت بیماری در زنان مبتلا به بود (</span></span>OR:0.045, CI:0.040- 0.479, P=0.010<span lang="AR-SA" style="font-size:9.0pt"><span style="font-family:"B Zar"">).</span></span></span></span></span></span><br>
<span style="font-size:8pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt">بحث و نتیجهگیری:</span></span></span></span></b> <span lang="AR-SA" style="font-size:9.0pt"><span style="font-family:"B Zar"">به نظر می</span></span><span lang="AR-SA" style="font-size:9.0pt"></span><span lang="AR-SA" style="font-size:9.0pt"><span style="font-family:"B Zar"">رسد فعالیت بدنی مناسب توانسته است نقش تعیین کننده</span></span><span lang="AR-SA" style="font-size:9.0pt"></span><span lang="AR-SA" style="font-size:9.0pt"><span style="font-family:"B Zar"">ای در پیشگیری و مدیریت ابتلا زنان به حالت شدید بیماری ایفا کند. مطالعات بیشتری به منظور نتیجه</span></span><span lang="AR-SA" style="font-size:9.0pt"></span><span lang="AR-SA" style="font-size:9.0pt"><span style="font-family:"B Zar"">گیری دقیق</span></span><span lang="AR-SA" style="font-size:9.0pt"></span><span lang="AR-SA" style="font-size:9.0pt"><span style="font-family:"B Zar"">تر در این زمینه مورد نیاز است.</span></span></span></span></span></span><br>
<br>
<span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""><span style="color:black">Introduction: </span></span></span></span></b></span></span></span></span></span><span style="font-size:9pt"><span style="font-family:"Times New Roman",serif"><b><span style="color:black"><span style="letter-spacing:-.2pt">Introduction:</span></span></b> The current cross-sectional study was conducted with the aim of investigating the relationship between physical activity and the severity of the COVID-19 disease in hospitalized patients.</span></span><br>
<span style="font-size:9pt"><span style="font-family:"Times New Roman",serif"><b><span style="color:black"><span style="letter-spacing:-.2pt">Material & Methods:</span></span></b> The statistical sample of the study consisted of 295 people with COVID-19 who voluntarily participated in this study. The subjects included 104 critically ill patients hospitalized in the intensive care unit (ICU) and 191 patients without severe complications not hospitalized in the ICU. Physical activity was assessed using the short form of the Physical Activity Questionnaire (IPAQ). Evaluation of food intake was done using a semi-quantitative food frequency questionnaire (FFQ) of 147 items.</span></span><br>
<span style="font-size:9pt"><span style="font-family:"Times New Roman",serif"><b><span style="color:black"><span style="letter-spacing:-.2pt">Findings:</span></span></b> The results of this study showed an inverse and significant relationship between physical activity and weight items (P < 0.001) and body mass index (P < 0.001) of patients. Also, patients with more physical activity had significantly higher levels of venous oxygen (P = 0.001) and bicarbonate (P = 0.028). The results of this study after adjusting for possible confounding factors showed that in hospitalized patients with COVID-19, the amount of physical activity is not related to the severity of the disease (P=0.098). Although subgroup analysis based on gender showed an inverse relationship between physical activity and disease severity in women with COVID-19 (P=0.010, CI: 0.040-0.479, OR: 0.045).</span></span><br>
<span style="font-size:9pt"><span style="font-family:"Times New Roman",serif"><b><span style="color:black"><span style="letter-spacing:-.2pt">Discussion & </span></span></b><b><span style="font-size:10.0pt"><span style="letter-spacing:-.2pt">Conclusion:</span></span></b> It seems that proper physical activity has been able to play a decisive role in the prevention and management of women suffering from the severe form of the disease of COVID-19. More studies are needed in order to draw more precise conclusions in this field.</span></span>
فعالیت بدنی, , شدت بیماری, ICU
physical activity, COVID-19, disease severity, ICU
110
121
http://sjimu.medilam.ac.ir/browse.php?a_code=A-10-7351-1&slc_lang=fa&sid=1
Mobina
Aghajani
مبینا
آقاجانی
aghajani.mobina@gmail.com
9600319475328460046729
9600319475328460046729
No
Dept of Exercise Physiology, Faculty of Sport Sciences University of Mazandaran, Babolsar, Iran
گروه فیزیولوژی ورزشی، دانشکده علوم ورزشی، دانشگاه مازندران، بابلسر، ایران
Mehdi
Azimi
مهدی
عظیمی
dr.mehdiazimi@gmail.com
9600319475328460046730
9600319475328460046730
No
Dept of Internal Medicine, School of Medicine, Firoozgar General Hospital, Iran University of Medical Sciences, Tehran, Iran
بخش بیماریهای داخلی، بیمارستان جنرال فیروزگر،دانشکده پزشکی، دانشگاه علوم پزشکی ایران، تهران، ایران
Shadmehr
Mirdar Harijani
شادمهر
میردار هریجانی
sajadmoradi9096@gmail.com
9600319475328460046728
9600319475328460046728
Yes
Athletic Performance and Health Research Center, University of Mazandaran, Babolsar, Iran
قطب علمی پایش سلامت ورزشی و پایش قهرمانی، دانشگاه مازندران، بابلسر، ایران