Association between physical activity and dynapenia in older adults with COPD: a nationwide survey

Choi, Yoon-Kyung; Lee, Jungsoo; Kim, Yeo Hyung

doi:10.1038/s41598-022-11504-1

Cited by 8 publications

(3 citation statements)

References 44 publications

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“…First, the moderation effect of LBMS on the relationship between PA and depression may be explained via sarcopenia and its relationship to depression. Insufficient PA may lead to the loss of muscle mass and strength [ 46 ], resulting in an increase in the risk for depression. Consequently, good LBMS may attenuate the impact of insufficient PA on the risk for dynapenia and depression.…”

Section: Discussionmentioning

confidence: 99%

Relationship between physical activity and depressive symptoms in older Korean adults: moderation analysis of muscular strength

2022

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Background This population-based cross-sectional study examined the associations between physical activity (PA) and lower body muscle strength (LBMS) with late-life depression in a representative sample of older Korean adults aged 65 years and older. Methods The data used in the current study (n = 10,097/60% women) were extracted from the 2020 Korea Longitudinal Study on Aging, which is a nationwide population-based survey conducted in Korea. Depressive symptoms were assessed with the Geriatric Depression Scale Short-Form. PA and LBMS were evaluated with a self-reported questionnaire and the 5 times sit-to-stand test, respectively. Covariates include age, gender, body mass index, education level, smoking status, alcohol intake, and comorbidity. Results Insufficient PA had higher odds of depression (odds ratio [OR] = 1.201, 95% confidence interval [CI] = 1.035–1.393, p = 0.016), even after adjustments for all covariates, compared to sufficient PA. Poor LBMS had higher odds of depression (OR = 2.173, 95% CI = 1.821–2.593, p < 0.001), even after adjustments for all covariates, compared to good LBMS. Particularly, a significant moderation effect of LBMS on the relationship between PA and depressive symptoms was observed (β = 0.3514 and 95% CI = 0.1294 ~ 0.5733, p < 0.001). Individuals with poor LBMS had a greater odd of depression associated with physical inactivity compared to their counterparts with good LBMS. Conclusions The results of this study support the importance of promoting muscular strength through regular exercise as a preventive strategy against late-life depression in Korean adults.

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Section: Discussionmentioning

confidence: 99%

Relationship between physical activity and depressive symptoms in older Korean adults: moderation analysis of muscular strength

2022

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“…Notably, despite the wide range of available methods, their effect on PA in patients with COPD is limited, which might be attributed to an incomplete understanding of the determinants of PA behavior in the COPD population [12,15]. Although a variety of determinants of PA have been identified, including, but not limited to, exercise capacity, previous exacerbations, dyspnea, quadriceps dysfunction, and hyperinflation [11,[15][16][17], the available information does not clearly answer the determinants of PA in patients with COPD. This is mostly because the available research has been cross-sectional [15].…”

Section: Introductionmentioning

confidence: 99%

To Act or Not to Act—a Sense of Control Is Important for People With Chronic Obstructive Pulmonary Disease to Increase Physical Activity: Grounded Theory Study

Marklund¹,

Sörlin²,

Stenlund³

et al. 2023

JMIR Form Res

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Background Among people with chronic obstructive pulmonary disease (COPD), low level of daily physical activity (PA) is the main risk factors for developing cardiovascular, metabolic, and musculoskeletal comorbidities. Increasing PA in people with COPD is complex as PA behavior itself is complex and multifaceted, including personal, physiological, and psychological elements as well as social and environmental factors. Although eHealth solutions such as web-based support or websites have shown positive effects on PA in people with COPD, the results are inconclusive, and it is still unclear how eHealth solutions might be used to support positive changes in PA behavior in people with COPD. Objective This study aimed to explore the perceptions of increasing objective PA when using a web-based eHealth tool among people with COPD. Methods This study was part of a pragmatic randomized controlled trial with in-depth interviews between the 3- and 12-month follow-ups. The methodology used was constructivist grounded theory. All sampling included participants from the randomized controlled trial intervention group, that is, participants who had access to the eHealth tool in question and agreed to be contacted for an in-depth interview. Inclusion of participants continued until data saturation was reached, resulting in an inclusion of 13 (n=7, 54% women) participants aged between 49 and 84 years and living in 8 municipalities in Middle and Northern Sweden. Two interviews were conducted face-to-face, and the remaining interviews were conducted via telephone. All interviews were recorded using a Dictaphone. Results The analysis resulted in 3 main categories: welcoming or not welcoming action, having or lacking resources, and lowering the threshold. The first 2 categories contain barriers and facilitators, whereas the third category contains only facilitators. The categories lead to the more latent theme Perceiving enough control to enable action, meaning that it seems that perceiving the right amount of control is essential to maintain or increase the level of PA when using an eHealth tool among patients with COPD. However, the right amount of control seemed to depend on the individual (and context) in question. Conclusions The core category indicates that a need for a certain sense of control was interpreted as necessary for increasing the PA level as well as for using an eHealth tool to help increase the PA level. The eHealth tool seemed to strengthen or weaken the perception of control by either providing support or by being too demanding on the user. Perceptions varied depending on other environmental factors. The Fogg Behavior Model illustrated how motivational levels, ability levels, and functional triggers interact within our findings. Thus, this study provides further evidence for the importance of empowering the patients to boost their level of agency and their ability to improve PA levels. International Registered Report Identifier (IRRID) RR2-10.1136/bmjopen-2019-030788

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“…In addition to assessing changes in PA over time, previous studies have also sought to identify the determinants of PA. Such studies have mainly focused on the profound impact of demographic characteristics and lung function on PA in patients with COPD (Choi et al, 2022). However, recent evidence suggests that many extrapulmonary factors also have a large influence on PA levels (Demeyer et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Physical activity trajectories and their determinants in patients with chronic obstructive pulmonary disease: A cohort study

Zhang

Huang

et al. 2023

Journal of Clinical Nursing

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Aims and Objectives:The aim was to identify latent trajectories in physical activity (PA) and their determinants in adults with chronic obstructive pulmonary disease (COPD) based on the socio-ecological model.Background: PA has been linked to poor long-term outcomes in patients with COPD.However, few studies have explored their PA trajectories and their predictors.Design: Cohort study. Methods:We used data from a national cohort and included 215 participants. PA was quantified using a short PA questionnaire, and group-based trajectory modelling was used to explore the PA trajectories. Multinomial logistic regression was conducted to identify the predictors of PA trajectories. Generalised linear mixed models were used to elucidate the associations between predictors and PA during follow-up. A STROBE checklist was used to guide the reporting of this study.Results: Three PA trajectory patterns were identified among 215 COPD participants with an average age of 60.51 ± 8.87: stable inactive group (66.7%), sharp decline group (25.7%) and stable active group (7.5%). The logistic regression showed that age, sex, income, peak expiratory flow, upper limb capacity, depressive symptoms, the frequency of contact with children were PA predictors. Upper limb capacity weakness and depressive symptoms were found to be associated with a sharp decline in PA during follow-up.Conclusions: This study revealed three PA trajectories among patients with COPD. In addition to strengthening the physical functions and mental health of patients, support from the family, community and society also play a crucial role in promoting PA of patients with COPD. Relevance to ClinicalPractice: It is essential to identify distinct PA trajectories in patients with COPD to develop future interventions that promote PA. No Patient or Public Contribution: A national cohort study was used and no patients or the public were involved in the design and implementation of this study.

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Association between physical activity and dynapenia in older adults with COPD: a nationwide survey

Cited by 8 publications

References 44 publications

Relationship between physical activity and depressive symptoms in older Korean adults: moderation analysis of muscular strength

Relationship between physical activity and depressive symptoms in older Korean adults: moderation analysis of muscular strength

To Act or Not to Act—a Sense of Control Is Important for People With Chronic Obstructive Pulmonary Disease to Increase Physical Activity: Grounded Theory Study

Physical activity trajectories and their determinants in patients with chronic obstructive pulmonary disease: A cohort study

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