Functional Status of Patients with COPD Assessed by London Chest Activity of Daily Living Scale: Gender Association and Validity of a Cutoff Point

Belo, Letícia Fernandes; Rodrigues, Antenor; Paes, Thaís; Machado, Felipe; Schneider, Lorena Paltanin; Vicentin, Ana Paula; Probst, Vanessa Suziane; Pitta, Fábio; Hernandes, Nídia A.

doi:10.1007/s00408-019-00235-2

Cited by 5 publications

(3 citation statements)

References 31 publications

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“…Multivariate analyses were performed via multiple linear regression analyses to correct for fixed covariates: sex, age, body mass index (BMI) and forced expiratory volume in 1 s (FEV 1 %pred). The fixed covariates were chosen as these are easy to assess in clinical practice and related to physical function and patient-reported outcomes [ 41 , 42 , 43 , 44 , 45 , 46 ].…”

Section: Methodsmentioning

confidence: 99%

Physical Tests Are Poorly Related to Patient-Reported Outcome Measures during Severe Acute Exacerbations of COPD

Quadflieg

Machado

Haesevoets

et al. 2021

JCM

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Acute exacerbations of chronic obstructive pulmonary disease (AECOPD) have a negative impact on patients’ health status, including physical function and patient-reported outcomes. We aimed to explore the associations between physical tests and patient-reported outcome measures (PROMs) in hospitalised patients for an AECOPD. Patients were assessed on the day of discharge. Quadriceps force, handgrip strength, short physical performance battery (SPPB), five-repetition sit-to-stand test (5STS), four-meter gait speed test (4MGS), balance test, six-minute walk test (6MWT), COPD Assessment Test (CAT), London Chest Activity of Daily Living scale (LCADL), modified Medical Research Council (mMRC) dyspnea scale, Checklist of Individual Strength (CIS)-fatigue subscale, and Patient Health Questionnaire (PHQ-9) were collected. Sixty-nine patients with an AECOPD were included (54% female; age 69 ± 9 years; FEV1 39.2 (28.6–49.1%) predicted). Six-minute walk distance was strongly correlated with mMRC (ρ: −0.64, p < 0.0001) and moderately correlated with LCADL total score, subscales self-care and household activities (ρ ranging from −0.40 to −0.58, p < 0.01). Moreover, 4MGS was moderately correlated with mMRC (ρ: −0.49, p < 0.0001). Other correlations were weak or non-significant. During a severe AECOPD, physical tests are generally poorly related to PROMs. Therefore, a comprehensive assessment combining both physical tests and PROMs needs to be conducted in these patients to understand their health status.

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Section: Methodsmentioning

confidence: 99%

Physical Tests Are Poorly Related to Patient-Reported Outcome Measures during Severe Acute Exacerbations of COPD

Quadflieg

Machado

Haesevoets

et al. 2021

JCM

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“…Notably, the fear of falling and actual incidents of falls can directly impact both the quality of life and disrupt fundamental and functional daily activities for elderly individuals 21 . Fundamental daily functional activities encompass personal hygiene and self-care tasks 22 . In contrast, instrumental functional activities pertain to activities involving various tools utilized by older adults in their homes 23 .…”

Section: Introductionmentioning

confidence: 99%

Fear of falling, quality of life, and daily functional activity of elderly women with and without a history of falling: a cross-sectional study

Miri,

Norasteh

2024

Annals of Medicine &Amp; Surgery

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Background: This study aimed to evaluate the fear of falling, quality of life, and daily functional activity of older women aged 60 years or older with or without a history of falling. Materials and Methods: 200 older adult women were recruited for the cross-sectional study in Iran. This cross-sectional study collected data from July to August 2023 through convenience sampling. The researchers collected data using a five-part questionnaire, that collected information that included demographic characteristics, the Fall Efficacy Scale in the Elderly-International Version (FES-I), 12-item Quality of Life assessment (SF-12), Instrumental Activities of Daily Living (IADL) and Activities of Daily Living (ADL). Results: FES-I score in older women with a history of falls was significantly higher than those without a history of falls (Median: 38.0, interquartile range (IQR): 31.5 to 44.0 versus Median: 22.0, IQR: 20.0 to 30.0; P<0.001). The median quality-of-life score using the SF-12 was significantly lower in women with a history of falls than in those without a history of falls (Median: 25.0, IQR: 21.0 to 30.0 versus Median: 35.0, IQR: 31.0 to 39.0; P<0.001). The ADL scores were significantly lower among women with a history of falls than those without (P<0.001). A similar result was obtained for IADL scores (P<0.001). Conclusion: Overall, this study’s findings highlight the adverse impact of a history of falls on three key factors: fear of falling, quality of life, and daily functional activity (including both basic and instrumental activities). The findings delineates that ultimately, the history of falls can serve as a valuable indicator for better understanding trends in elderly care and addressing the associated challenges.

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“…These clinical differences between men and women further emphasise the importance of prompt recognition of possible cases, suitable diagnostic procedures, accurate assessment of the severity of the disease and appropriate treatment [8]. There is also a difference between men and women with COPD regarding the functional status, where men had better scores than women regarding total score, domestic and leisure domains of the London Chest Activity of Daily Living [14].…”

Section: Introductionmentioning

confidence: 99%

No gender-related bias in COPD diagnosis and treatment in Sweden: a randomised, controlled, case-based trial

et al. 2020

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IntroductionCOPD is a major cause of morbidity and mortality. The prevalence, morbidity and mortality of COPD among females have increased. Previous studies indicate a possible gender bias in the diagnosis and management of COPD. The present study aims to determine if there is gender bias in the management of COPD in Sweden.MethodsThis was a double-blind, randomised (1:1), controlled, parallel-group, web-based trial using the hypothetical case scenario of a former smoker (40 pack-years and quit smoking 3 years ago) who was male or female. The participants were blind to the randomisation and the purpose of the trial. The case progressively revealed more information with associated questions on how the physician would manage the patient. Study participants chose from a list of tests and treatments at each step of the case scenario.ResultsIn total, 134 physicians were randomised to a male (n=62) or a female (n=72) case. There was no difference in initial diagnosis (61 (98%) male cases and 70 (97%) female cases diagnosed with COPD) and planned diagnostic procedures between the male and female cases. Spirometry was chosen by all the physicians as one of the requested diagnostic tests. The management of the hypothetical COPD case did not differ by sex of the responding physician.ConclusionIn Sweden, diagnosis and management of a hypothetical patient with COPD did not differ by the gender of the patient or physician.

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Functional Status of Patients with COPD Assessed by London Chest Activity of Daily Living Scale: Gender Association and Validity of a Cutoff Point

Cited by 5 publications

References 31 publications

Physical Tests Are Poorly Related to Patient-Reported Outcome Measures during Severe Acute Exacerbations of COPD

Physical Tests Are Poorly Related to Patient-Reported Outcome Measures during Severe Acute Exacerbations of COPD

Fear of falling, quality of life, and daily functional activity of elderly women with and without a history of falling: a cross-sectional study

No gender-related bias in COPD diagnosis and treatment in Sweden: a randomised, controlled, case-based trial

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