Document Detail


Disparities in Activity Level and Nutrition Between Patients With Chronic Hepatitis C and Blood Donors.
MedLine Citation:
PMID:  22543035     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: To compare physical activity levels and dietary choices of patients who have chronic hepatitis C (CHC) with those of blood donors (BDs). DESIGN: A prospective survey. SETTING: A liver disease treatment center and a blood donor center from a nonprofit health system. PATIENTS: A total of 149 subjects (93 with CHC and 56 BDs) participated. Subjects were 18 years or older and agreed to participate; those with CHC had no evidence of cirrhosis. METHODS: All subjects provided basic clinical information and completed a nutrition survey, which contained questions about dietary choices and their frequency, and the Human Activity Profile, which measured maximum effort (Maximum Activity Score; MAS) and daily activity (Adjusted Activity Score; AAS). Independent samples t-tests, Pearson correlations, and multiple stepwise regression analyses were performed. MAIN OUTCOMES MEASUREMENTS: MAS and AAS scales and 13 indices on the nutrition survey. RESULTS: No significant differences were found between BDs and patients with CHC in terms of age, gender, race, body mass index, hyperlipidemia, hypertension, or diabetes mellitus. Mean body mass index was 27.5, 17.8% had hyperlipidemia, and 9.6% had diabetes. BDs reported significantly more exercise per week (mean: patients with CHC = 193.6 minutes/week and BDs = 280.4 minutes/week; P = .039) and had a significantly greater MAS (mean: patients with CHC = 77.2 and BDs = 87.4, P = .0001) and AAS (mean: patients with CHC = 72.58 and BDs = 83.8, P = .0001). Stepwise multiple regression analysis proposed 2 models predicting AAS: the presence of CHC (R = .445; R(2) = .198; adjusted R(2) = .184); and the presence of CHC and presence of hypertension (R = .537; R(2) = .289; adjusted R(2) = .263). BDs consumed significantly more alcohol and starchy foods than did patients with CHC (P = .0001 and P = .031, respectively), which may be explained by the compliance of patients with CHC to their hepatologist's recommendations regarding the minimization of alcohol consumption. CONCLUSIONS: Persons with CHC participate in less activity and less vigorous physical activity than do BDs and consume less starch and alcohol. These data about activity level and dietary intake in patients with CHC are novel; few data on these topics have been published previously. Low level of activity adds a substantial risk to this overweight CHC population, many of whom have multiple components of metabolic syndrome.
Authors:
Juhi Moon; Jillian Kallman; Patrice Winter; Manirath Srishord; Yun Fang; Lynn Gerber; Zobair Younossi
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-4-28
Journal Detail:
Title:  PM & R : the journal of injury, function, and rehabilitation     Volume:  -     ISSN:  1934-1563     ISO Abbreviation:  -     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-4-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101491319     Medline TA:  PM R     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.
Affiliation:
Betty and Guy Beatty Center for Integrated Research, Outcomes Research Program, and Center for Liver Disease, Department of Medicine, Inova Health System, Falls Church, VA.
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