Actividad física y su relación con el estado de salud en pacientes EPOC estables

Royo, Margarita Marín; Císcar, Concha Pellicer; Villaescusa, Cruz González; Fabra, María José Bueso; Benito, Carmen Aguar; Rodríguez, Ada Luz Andreu; Silvestre, Alberto Herrejón; Cataluña, Juan José Soler

doi:10.1016/j.arbres.2011.03.004

Cited by 15 publications

(5 citation statements)

References 39 publications

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“…Regarding physical activity, previous studies have already shown that its practice is generally associated with a higher degree of mental health [50], a slowdown in the loss of lung function, and a decrease in the number of exacerbations of the disease [12,51]. Probably, the explanation for the fact that being physically active reduces psychological distress is that physical activity improves heart function and peripheral muscle function, as well as increasing maximum oxygen consumption, among other effects, which would have a positive impact on the perception of dyspnea and consequently on the quality of life and well-being of COPD patients [52].…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Determinants of Mental Health among COPD Patients in a Population-Based Sample in Spain

Fuentes-Alonso

López-Herránz

López‐de‐Andrés

et al. 2021

JCM

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(1) Background: To assess the prevalence of mental disorders (depression and anxiety), psychological distress, and psychiatric medications consumption among persons suffering from COPD; to compare this prevalence with non-COPD controls and to identify which variables are associated with worse mental health. (2) Methods: This is an epidemiological case-control study. The data were obtained from the Spanish National Health Survey 2017. Subjects were classified as COPD if they reported suffering from COPD and the diagnosis of this condition had been confirmed by a physician. For each case, we selected a non-COPD control matched by sex, age, and province of residence. Conditional logistic regression was used for multivariable analysis. (3) Results: The prevalence of mental disorders (33.9% vs. 17.1%; p < 0.001), psychological distress (35.4% vs. 18.2%; p < 0.001), and psychiatric medications consumption (34.1% vs. 21.9%; p < 0.001) was higher among COPD cases compared with non-COPD controls. After controlling for possible confounding variables, such as comorbid conditions and lifestyles, using multivariable regression, the probability of reporting mental disorders (OR 1.41; 95% CI 1.10–1.82).), psychological distress (OR 1.48; 95% CI 1.12–1.91), and psychiatric medications consumption (OR 1.38 95% CI 1.11–1.71) remained associated with COPD. Among COPD cases, being a woman, poor self-perceived health, more use of health services, and active smoking increased the probability of suffering from mental disorders, psychological distress, and psychiatric medication use. Stroke and chronic pain were the comorbidities more strongly associated with these mental health variables. (4) Conclusions: COPD patients have worse mental health and higher psychological distress and consume more psychiatric medications than non-COPD matched controls. Variables associated with poorer mental health included being a woman, poor self-perceived health, use of health services, and active smoking.

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Section: Discussionmentioning

confidence: 99%

Prevalence and Determinants of Mental Health among COPD Patients in a Population-Based Sample in Spain

Fuentes-Alonso

López-Herránz

López‐de‐Andrés

et al. 2021

JCM

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“…One of the most characteristic aspects of COPD is the slow and progressive development of exercise limitation, which in the most severe cases can be disabling [16,39]. The main manifestation of airflow obstruction is exertional dyspnea, although fatigue can also play an important role.…”

Section: Discussionmentioning

confidence: 99%

Usefulness of the LCOPD, CAFS and CASIS Scales in Understanding the Impact of COPD on Patients

Miravitlles

Iriberri²,

Barrueco³

et al. 2012

Respiration

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Background: The Living with COPD (LCOPD), COPD and Asthma Fatigue Scale (CAFS), and COPD and Asthma Sleep Impact Scale (CASIS) are instruments developed to assess the overall impact of chronic obstructive pulmonary disease (COPD) on daily life, fatigue, and sleep impairment, respectively. Objectives: To assess the usefulness of these instruments and to identify factors associated with the concepts they measure. Method: The questionnaires were administered to patients with moderate to severe COPD. Descriptive analyses of sociodemographic and clinical data were performed, and bivariate and multivariate analyses were used to identify factors associated with the overall impact of COPD on patients' lives, fatigue, and sleep impairment. Results: A total of 408 patients was included (mostly males, 91.2%), with an average age of 68 years (SD = 9.3). Statistically significant differences were observed in the scores of the three questionnaires with regard to level of education, presence of chronic cough or expectoration, level of dyspnea, number of exacerbations, physical activity level, presence of depression and anxiety, and number of treatments indicated for COPD. The LCOPD and CAFS questionnaires also discriminated between different levels of airflow obstruction and, in the case of CAFS, age and gender. Linear regression showed that level of dyspnea, physical activity, and presence of anxiety were significantly related to the LCOPD, CAFS and CASIS scores. The presence of depression was significant in the LCOPD and CAFS questionnaires and chronic cough was significant in the CAFS questionnaire. Conclusions: The LCOPD, CAFS, and CASIS instruments are valid and useful in understanding the overall impact of COPD on daily life, fatigue, and sleep impairment in patients with moderate to severe COPD.

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“…Recently, another prospective observational study showed improvements in both the number of exacerbations and the quality of life in COPD patients participating in a walking program [23]. Despite this, a scarce body of literature on people with COPD shows a tendency towards a sedentary lifestyle [27,28].…”

Section: Introductionmentioning

confidence: 99%

Associations between Physical Activity and Comorbidities in People with COPD Residing in Spain: A Cross-Sectional Analysis

Castillo

Smith

Suárez

et al. 2020

IJERPH

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There is a high prevalence of comorbidities among patients with chronic obstructive pulmonary disease (COPD). Comorbidities are likely common in patients with any COPD degree and are associated with increased mortality. The aim of this study was to determine the prevalence of thirty-one different COPD comorbidities and to evaluate the association between physical activity (PA) levels in people with COPD residing in Spain. Cross-sectional data from the Spanish National Health Survey 2017 were analysed. A total of 601 adults (52.2% females) with COPD aged 15 to 69 participated in this study. PA (exposure) was measured with the International Physical Activity Questionnaire (IPAQ) short form and comorbidities (outcomes) were self-reported in response to the question “Have you ever been diagnosed with…?” Multivariable logistic regression, in three different models, was used to assess this association. Results showed a high prevalence of comorbidities (94%), these being chronic lumbar back pain (38.9%), chronic allergy (34.8%), arthrosis (34.1%), chronic cervical back pain (33.3%), asthma (32.9%) and hypertension (32.8%) the most prevalent. Low PA level was significantly associated with urinary incontinence (2.115[1.213–3.689]), chronic constipation (1.970[1.119–3.459]), cataracts (1.840[1.074–3.153]), chronic anxiety (1.508[1.002–2.269]) and chronic lumbar back pain (1.489[1.044–2.125]). Therefore, people with COPD should increase their PA levels in order to reduce their risk of comorbidities and increase their quality of life.

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Actividad física y su relación con el estado de salud en pacientes EPOC estables

Cited by 15 publications

References 39 publications

Prevalence and Determinants of Mental Health among COPD Patients in a Population-Based Sample in Spain

Prevalence and Determinants of Mental Health among COPD Patients in a Population-Based Sample in Spain

Usefulness of the LCOPD, CAFS and CASIS Scales in Understanding the Impact of COPD on Patients

Associations between Physical Activity and Comorbidities in People with COPD Residing in Spain: A Cross-Sectional Analysis

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