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KMID : 1011220180040010021
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Clinical & Experimental Thrombosis and Hemostasis
2018 Volume.4 No. 1 p.21 ~ p.27
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A Study of Physical Activity and Fitness Test of Hemophilia Patients
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Baek Seong-Hwan
Lee Min-Ju
Kim Mi-Kyung
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Abstract
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Purpose: The purpose of this study was to investigate physical activity and physical fitness of patients with hemophilia.
Methods: Patients who attended a camp run by the Korea Hemophilia Association in 2017 were asked to complete questionnaires and a physical fitness test. The questionnaires were the International physical activity questionnaire (IPAQ) and Physical self-description questionnaire (PSDQ). The physical fitness test was evaluated through strength, flexibility, agility, and endurance.
Results: The mean age of the patients was 39.0 years. The percentages of patients with severe hemophilia, joint surgery, and joint disorder were 85.5%, 77.4%, and 71.0%, respectively. In total, 31% of patients participated in health-enhancing physical activity, and mean total physical activity was 3027 Metabolic Equivalent Task (MET), as assessed by the IPAQ. The physical self-description score was 3.4 as assessed by the PSDQ, and the sub item of self-esteem was high, while endurance was low. In the physical fitness test, muscle strength and agility were poor, and flexibility was good. The physical description score was significantly lower for patients who had experienced joint surgery, joint disorder, and overweight. There was a positive correlation between physical activity and physical self-description.
Conclusion: Physical activity and exercise are important for both physical and psychological health and have been emphasized in hemophilia treatment with proper prophylaxis therapy. When performing physical activity and exercise, through evaluation of physical fitness and care of a specialist, it is necessary to precisely understand the state of the joints and individual health and to perform physical activities and exercises tailored to the individual, along with attention to bleeding.
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KEYWORD
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Hemophilia, Exercise, Self-concept, Physical fitness
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