Analysis of nocturnal actigraphic sleep measures in patients with COPD and their association with daytime physical activity

Spina, Gabriele; Spruit, Martijn A.; Alison, Jennifer A.; Benzo, Roberto; Calverley, Peter M.A.; Clarenbach, Christian F.; Costello, Richard W.; Donaire-González, David; Dürr, Selina; Garcia‐Aymerich, Judith; Gestel, Arnoldus J.R. van; Gramm, Marco; Hernandes, Nídia A.; Hill, Kylie; Hopkinson, Nicholas S; Jarreta, Diana; Kohler, Malcolm; Kirsten, Anne; Leüppi, Jörg D.; Magnussen, H; Maltais, François; Man, William D.-C.; McKeough, Zoe J.; Mesquita, Rafael; Malka, David; Pitta, Fábio; Singh, Sally; Smeenk, Frank W.J.M.; Tal‐Singer, Ruth; Vagaggini, Barbara; Waschki, Benjamin; Watz, Henrik; Wouters, Emiel F.M.; Zogg, Stefanie; Brinker, A.C. den

doi:10.1136/thoraxjnl-2016-208900

Cited by 52 publications

(53 citation statements)

References 41 publications

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“…Recently, it was suggested that sleep quality might increase the amount of physical activity the next day and thus have a favorable impact on lifestyle. 25 Moreover, it was previously shown in patients with obesity hypoventilation syndrome that exercise tolerance results increased with NIV and CPAP but more with NIV. 26 Altogether, these findings suggest that the improvements in these groups may have been related to better nocturnal oxygenation and sleep quality.…”

Section: Discussionmentioning

confidence: 99%

Real-life feasibility and effectiveness of home-based pulmonary rehabilitation in chronic obstructive pulmonary disease requiring medical equipment

Coquart¹,

Chenivesse²,

Racil³

et al. 2017

COPD

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BackgroundPulmonary rehabilitation (PR) is a key treatment of chronic obstructive pulmonary disease (COPD) but studies are still needed to identify the most pertinent criteria to personalize this intervention and improve its efficacy.ObjectiveThis real-life retrospective study compared the effects of home-based PR on exercise tolerance, anxiety, depression, and health-related quality of life (HRQoL) in COPD patients, according to their medical equipment.MethodsExercise tolerance, anxiety, depression, and HRQoL were evaluated in 109 patients equipped with long-term oxygen therapy (LTOT), 84 patients with noninvasive ventilation (NIV), 25 patients with continuous positive airway pressure (CPAP), and 80 patients with no equipment (NE), before, just after, and 6 and 12 months after PR.ResultsAt baseline, the body mass index in the CPAP and NIV groups was higher (p<0.05) than in the other two groups, and the forced expiratory volume in 1 second was lower in the LTOT and NIV groups (p<0.001). All parameters improved after PR in the four groups (p<0.05), but for exercise tolerance, only the 6-minute stepper test showed maintained improvement after 6 and 12 months, whereas the 10 times sit-to-stand and timed up-and-go tests were only improved just after PR. At every time point, exercise tolerance was lower in the LTOT group (p<0.05), with a similar trend in the NIV group.ConclusionDespite differences in the medical equipment to treat COPD, home-based PR showed comparable feasibility, safety, and efficacy in all equipment-based groups. Medical equipment should therefore not be a barrier to home-based PR.

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Section: Discussionmentioning

confidence: 99%

Real-life feasibility and effectiveness of home-based pulmonary rehabilitation in chronic obstructive pulmonary disease requiring medical equipment

Coquart¹,

Chenivesse²,

Racil³

et al. 2017

COPD

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“…Still related to socialenvironmental factors, Arbillaga-Etxarri et al [41] recently observed that dog walking and grandparenting are associated with a higher amount and intensity of physical activity in patients with COPD. In another recent study it was shown that patients with COPD who sleep better (e.g., non-fragmented sleep) are more physically active in the following day [42]. Finally, in a large multicentre randomised controlled trial, Demeyer and coworkers [43] have shown that the amount and intensity of physical activity can be significantly increased in patients with COPD using a 12-week semiautomated telecoaching intervention when compared to the usual care group.…”

Section: Characteristicmentioning

confidence: 97%

Changes in physical activity and sedentary behaviour following pulmonary rehabilitation in patients with COPD

Mesquita

Meijer

Pitta

et al. 2017

Respiratory Medicine

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A more profound investigation about the responses in activity levels following pulmonary rehabilitation (PR) in patients with COPD is needed. We aimed to describe groups of patients with COPD according to patterns of change in physical activity and sedentary behaviour following PR. 90 patients with COPD (60% male; mean age 67 ± 8; median FEV 47 (32-62) %pred) completed a comprehensive PR programme. A triaxial accelerometer was used to assess the time in sedentary behaviour, light activities and moderate-to-vigorous physical activity (MVPA). Additionally, exercise capacity, quality of life, and symptoms of anxiety and depression were assessed before and after PR. Six groups with different patterns of change in physical activity and sedentary behaviour were identified. The two most prevalent patterns were represented by good responders (increase in physical activity and reduction in sedentary behaviour, 34%) and poor responders (decrease in physical activity and increase in sedentary behaviour, 30%). Good responders had greater improvements in six-minute walk distance (6MWD) and symptoms of depression than poor responders (P < 0.05 for all). Strong correlation was found between changes in sedentary behaviour and changes in light activities (r = -0.89; P < 0.0001). Changes in 6MWD correlated fairly with changes in sedentary behaviour (r = -0.26), light activities (r = 0.25), and MVPA (r = 0.24); P < 0.05 for all. Different patterns of change in activity levels following PR can be found in patients with COPD. Focusing on light physical activities might be a potential strategy to make patients less sedentary, but for this to be achieved prior (or at least parallel) improvements in functional capacity seem to be necessary.

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“…Importantly, there was a clear correlation between quality of sleep and physical activity. While a casual relation could obviously not be proven, it was however suggested by the fact that days with reduced physical activity were preceded by nights with poor sleep quality [188]. The underlying causes though, remain unclear, with increased work of breathing, associated symptoms or associated hypoxemia (see below) being potential candidates.…”

Section: Sleep Quality and Pulmonary Rehabilitationmentioning

confidence: 99%

An update on pulmonary rehabilitation techniques for patients with chronic obstructive pulmonary disease

Wouters

Posthuma

Koopman

et al. 2020

Expert Review of Respiratory Medicine

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Introduction: Pulmonary rehabilitation (PR) is one of the core components in the management of patients with chronic obstructive pulmonary disease (COPD). In order to achieve the maximal level of independence, autonomy, and functioning of the patient, targeted therapies and interventions based on the identification of physical, emotional and social traits need to be provided by a dedicated, interdisciplinary PR team. Areas covered: The review discusses cardiopulmonary exercise testing in the selection of different modes of training modalities. Neuromuscular electrical stimulation as well as gait assessment and training are discussed as well as add-on therapies as oxygen, noninvasive ventilator support or endoscopic lung volume reduction in selected patients. The potentials of pulsed inhaled nitric oxide in patients with underlying pulmonary hypertension is explored as well as nutritional support. The impact of sleep quality on outcomes of PR is reviewed. Expert opinion: Individualized, comprehensive intervention based on thorough assessment of physical, emotional, and social traits in COPD patients forms a continuous challenge for health-care professionals and PR organizations in order to dynamically implement and adapt these strategies based on dynamic, more optimal understanding of underlying pathophysiological mechanisms.

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Analysis of nocturnal actigraphic sleep measures in patients with COPD and their association with daytime physical activity

Abstract: There is a relationship between measures of sleep in patients with COPD and the amount of activity they undertake during the waking day. Identifying groups with specific sleep characteristics may be useful information when designing physical activity-enhancing interventions.

Cited by 52 publications

References 41 publications

Real-life feasibility and effectiveness of home-based pulmonary rehabilitation in chronic obstructive pulmonary disease requiring medical equipment

Real-life feasibility and effectiveness of home-based pulmonary rehabilitation in chronic obstructive pulmonary disease requiring medical equipment

Changes in physical activity and sedentary behaviour following pulmonary rehabilitation in patients with COPD

An update on pulmonary rehabilitation techniques for patients with chronic obstructive pulmonary disease

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