Socio-environmental correlates of physical activity in patients with chronic obstructive pulmonary disease (COPD)

Arbillaga-Etxarri, Ane; Gimeno‐Santos, Elena; Barberán-García, Anael; Benet, Marta; Borrell, Eulàlia; Dadvand, Payam; Foraster, María; Marín, Alicia; Monteagudo, Mónica; Rodríguez-Roisín, Robert; Vall-Casas, Pere; Vilaró, Jordi; Garcia‐Aymerich, Judith

doi:10.1136/thoraxjnl-2016-209209

Cited by 53 publications

(40 citation statements)

References 30 publications

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“…Only a fraction of the reduction in DL PA in patients with sarcoidosis could be explained by the resting and exercise functional parameters examined here, suggesting that it may be important to investigate the influence of environmental and sociodemographic factors in future studies. In support of this, a study of patients with chronic obstructive pulmonary disease found that dog ownership or having small children was significantly associated with time spent in moderate to sustained physical activities (3‐6 metabolic equivalents) . Place of residence and psychological factors also seem to be important influences on the level of physical activity.…”

Section: Discussionmentioning

confidence: 89%

Daily life physical activity in patients with chronic stage IV sarcoidosis: A multicenter cohort study

Froidure¹,

Kyheng²,

Grosbois³

et al. 2019

Health Science Reports

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Background and objectives Little is known about the consequences of chronic sarcoidosis on daily life physical activity (DLPA). The aim of this prospective study was to measure DLPA in patients with chronic sarcoidosis and to determine its relationship to clinical and functional parameters. Methods Fifty‐three patients with chronic sarcoidosis and 28 healthy control subjects were enrolled in this multicenter prospective study. Two markers of DLPA (number of steps walked per day [SPD]) and total daily energy expenditure (TEE) were assessed for five consecutive days with a physical activity monitor. Pulmonary function, aerobic capacity (maximal oxygen uptake [VO2max]), exercise capacity (6‐min walk test [6MWT]), and quality of life (self‐reported questionnaires) were also evaluated. Comparisons of DLPA parameters between the two groups were performed using an analysis of covariance adjusted for age, sex, and body mass index (BMI). Relationships between DLPA parameters and patient characteristics were assessed in multivariable linear regression models. Results Patients with sarcoidosis walked significantly fewer SPD than did the control subjects (6395 ± 4119 and 11 817 ± 3600, respectively; P < 0.001 after adjustment for age, BMI, and sex). TEE was not significantly different between patients with sarcoidosis and healthy controls (median [interquartile range]: 2369 [2004‐2827] and 2387 [2319‐2876] kcal/day, respectively, P = 0.054 adjusted for age, BMI, and sex). SPD showed significant positive correlations with 6MWT distance (Pearson's correlation, r = 0.32, 95% confidence intervals [95%CI] = 0.06, 0.55; P = 0.019), VO2max (r = 0.44, 95%CI = 0.17, 0.65; P = 0.002), and Visual Simplified Respiratory Questionnaire score (r = 0.44, 95%CI = 0.19, 0.64; P = 0.001), and a significant negative correlation with modified Medical Research Council questionnaire score (r = −0.38, 95%CI = −0.60, −0.10; P = 0.009). TEE was significantly correlated with BMI (r = 0.38, 95%CI = 0.13, 0.59; P = 0.004), forced expiratory volume in 1 second (r = 0.55, 95%CI = 0.33, 0.71; P < 0.001), total lung capacity (r = 0.44, 95%CI = 0.18, 0.64; P = 0.001), and forced vital capacity (r = 0.56, 95%CI = 0.34, 0.72; P < 0.001). In multivariable analysis, SPD remained associated only with VO2max. Conclusion Patients with chronic sarcoidosis appear to have reduced DLPA mainly because of compromised VO2max.

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Section: Discussionmentioning

confidence: 89%

Daily life physical activity in patients with chronic stage IV sarcoidosis: A multicenter cohort study

Froidure¹,

Kyheng²,

Grosbois³

et al. 2019

Health Science Reports

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“…For example, our group has recently shown that patients with COPD who have a physically active loved one have a higher likelihood of being physically active themselves [40]. 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].…”

Section: Characteristicmentioning

confidence: 87%

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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“…Indeed, a report from the World Health Organization [ 13 ] suggests that interventions adapted to the local context and/or using existing social support and community structures are the most successful. In COPD, patients who live with others, walk the dog, take care of grandchildren or have an active partner have higher physical activity levels than those who do not, regardless of COPD severity and other individual characteristics [ 14 – 16 ], which suggests that interpersonal and environmental factors are key factors to include in future interventions.…”

Section: Introductionmentioning

confidence: 99%

Long-term efficacy and effectiveness of a behavioural and community-based exercise intervention (Urban Training) to increase physical activity in patients with COPD: a randomised controlled trial

et al. 2018

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There is a need to increase and maintain physical activity in patients with chronic obstructive pulmonary disease (COPD). We assessed 12-month efficacy and effectiveness of the Urban Training intervention on physical activity in COPD patients.This randomised controlled trial (NCT01897298) allocated 407 COPD patients from primary and hospital settings 1:1 to usual care (n=205) or Urban Training (n=202). Urban Training consisted of a baseline motivational interview, advice to walk on urban trails designed for COPD patients in outdoor public spaces and other optional components for feedback, motivation, information and support (pedometer, calendar, physical activity brochure, website, phone text messages, walking groups and a phone number). The primary outcome was 12-month change in steps·day−1 measured by accelerometer.Efficacy analysis (with per-protocol analysis set, n=233 classified as adherent to the assigned intervention) showed adjusted (95% CI) 12-month difference +957 (184–1731) steps·day−1 between Urban Training and usual care. Effectiveness analysis (with intention-to-treat analysis set, n=280 patients completing the study at 12 months including unwilling and self-reported non-adherent patients) showed no differences between groups. Leg muscle pain during walks was more frequently reported in Urban Training than usual care, without differences in any of the other adverse events.Urban Training, combining behavioural strategies with unsupervised outdoor walking, was efficacious in increasing physical activity after 12 months in COPD patients, with few safety concerns. However, it was ineffective in the full population including unwilling and self-reported non-adherent patients.

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Socio-environmental correlates of physical activity in patients with chronic obstructive pulmonary disease (COPD)

Cited by 53 publications

References 30 publications

Daily life physical activity in patients with chronic stage IV sarcoidosis: A multicenter cohort study

Daily life physical activity in patients with chronic stage IV sarcoidosis: A multicenter cohort study

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

Long-term efficacy and effectiveness of a behavioural and community-based exercise intervention (Urban Training) to increase physical activity in patients with COPD: a randomised controlled trial

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