Physical Activity in Adults With an Amputation as Assessed With a Self‐Reported Exercise Vital Sign

Autor: Aliasghar Tarkhan, Cindy Y. Lin, Lisa S. Ray, Mark Sederberg, E. Sally Lee
Rok vydání: 2020
Předmět:
Zdroj: PM&R. 12:861-869
ISSN: 1934-1563
1934-1482
Popis: BACKGROUND Physical activity (PA) is important for the prevention and treatment of numerous chronic medical conditions. Individuals with a limb amputation face unique challenges for staying physically active. There are few studies evaluating PA of civilians with amputation in the United States. OBJECTIVE To evaluate self-reported PA in persons with an amputation in the outpatient setting using a standardized exercise vital sign (EVS) and correlate PA with demographic information, amputation characteristics, and disease burden. DESIGN Cross-sectional observational study. SETTING Outpatient rehabilitation clinic at a tertiary care institution. INTERVENTIONS N/A. PARTICIPANTS Two hundred twenty-nine patients with limb amputation. MAIN OUTCOME MEASUREMENTS EVS (self-reported weekly participation in moderate to vigorous intensity exercise), disease burden using a modified Charlson Comorbidity Index (CCI), possession of a prosthetic limb, amputation level, time from amputation, body mass index (BMI), gender, race, and age. RESULTS A total of 28.8% of patients with limb amputation self-reported exercising at or above 150 min/wk as recommended by the United States Department of Health and Human Services (HHS); 31.8% of patients with transfemoral amputations, 27.8% with transtibial amputations, and 36% with upper extremity amputations reported exercising the recommended amount. Those with a prosthesis exercised 0.91 h/wk more than those without a prosthesis (95% CI 0.01, 1.8, P = .047), and female patients exercised 1.09 h/wk less than male patients (95% confidence interval [CI] 1.69-0.49, P
Databáze: OpenAIRE
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