慢性前庭功能减退成人在身体、功能、生理和情绪特征方面的性别相关差异：一项横断面EXERVEST研究
Sex-related differences in the physical, functional, physiological, and emotional profile of adults with chronic vestibular hypofunction: a cross-sectional EXERVEST study.
文献信息
| PMID | 42719175 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Maitane Ruiz-Rios |
| 作者单位 | GIzartea, Kirola eta Ariketa Fisikoa Ikerkuntza Taldea (GIKAFIT), Society, Sports, and Physical Exercise Research Group, Department of Physical Education and Sport, Faculty of Education and Sport-Physical Activity and Sport Sciences Section, University of the Basque Country (EHU), Vitoria-Gasteiz, Basque Country, Spain. |
| 期刊 | Frontiers in rehabilitation sciences |
| SCI 分区 | Q1 |
| IF | 2.6 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 耳科 |
中文摘要
背景： 慢性前庭功能减退（CVH）通常由疾病或损伤引起，与久坐行为、睡眠不佳和合并症相关。这项横断面描述性研究描述了CVH成人的身体、功能、生理和情绪特征，并探讨了该人群中的性别相关差异。
方法： 对患有CVH的参与者（N = 67，58岁，43名女性）进行了评估，包括身体成分、心肺适能（CRF）、平衡与跌倒风险（姿势描记法和改良动态步态指数，MDGI）、健康相关生活质量（眩晕障碍量表，DHI）、情绪特征（贝克抑郁量表[BDI-II]和贝克焦虑量表[BAI]）、身体活动（PA）水平、久坐行为和睡眠质量（加速度计）。
结果： 作为一个群体，参与者的腰臀比为0.8（0.7-0.9），MDGI平均得分为61.0分，姿势描记法显示标准躯体感觉和视觉数据，DHI、BDI-II和BAI的中位数分别为26.0（16.0-34.0）、11.0（4.0-17.5）和12（7.8-20.3）；睡眠效率>85%，相对于PA水平久坐行为更多（约54%），总睡眠时间（TST）减少，夜间觉醒频率高于推荐值（35.7 ± 14.7分钟）。观察到性别相关差异（P < 0.05）：与男性相比，女性年龄更大，脂肪量更高（+18%），睡眠效率更好（+2.4%），就寝时间更多（+5.7%），TST更长（+8.0%），但去脂体重更低（-9.7%），视觉依赖更低（-18%），CRF更低（-20.7%）。在眩晕障碍、焦虑、抑郁或PA水平方面未观察到性别差异。
结论： CVH成人表现出多维临床特征，在若干身体、功能和生理结局方面存在性别相关差异。这些发现支持全面的临床评估，并需要进行纵向研究以确定这些差异对个性化方案的临床相关性。
英文摘要
BACKGROUND: Chronic vestibular hypofunction (CVH), often resulting from illness or injury, is linked to sedentary behaviour, poor sleep, and comorbidities. This cross-sectional descriptive study characterized the physical, functional, physiological, and emotional profiles of adults with CVH and explored sex-related differences within this population.
METHODS: Participants (N = 67, 58 yrs, 43 women) with CVH were assessed on their body composition, cardiorespiratory fitness (CRF), balance and fall risk (posturography and Modified Dynamic Gait Index, MDGI), health-related quality of life (Dizziness Handicap Inventory, DHI), emotional profile (Beck Depression Inventory [BDI-II] and Beck Anxiety Inventory [BAI]), level of physical activity (PA), sedentary behaviour, and sleep quality (accelerometry).
RESULTS: As a group, participants showed a waist-to-hip ratio of 0.8 (0.7-0.9), mean MDGI score of 61.0 points, standard somatosensory and visual data from posturography, a median values of DHI, BDI-II, and BAI of 26.0 (16.0-34.0), 11.0 (4.0-17.5), and 12 (7.8-20.3), respectively; sleep efficiency >85%, greater sedentary behaviour (∼54%) relative to PA levels, reduced total sleep time (TST) and a higher frequency of nocturnal awakenings than recommended (35.7 ± 14.7 min). Sex-related differences were observed (P < 0.05): women were older, showed higher fat mass (+18%), better sleep efficiency (+2.4%), more bedtime (+5.7%), and TST (+8.0%), but lower fat-free mass (-9.7%), visual dependence (-18%), and CRF (-20.7%) compared to men. No sex differences were observed in dizziness handicap, anxiety, depression, or PA levels.
CONCLUSIONS: Adults with CVH exhibited a multidimensional clinical profile with sex-related differences in several physical, functional, and physiological outcomes. These findings support comprehensive clinical assessment and warrant longitudinal studies to determine the clinical relevance of these differences for personalized programs.