Twitch Mouth Pressure and Disease Severity in Subjects With COPD

Chen, Ju; Liu, Wei; Chen, Rongchang

doi:10.4187/respcare.02553

Cited by 5 publications

(4 citation statements)

References 46 publications

(48 reference statements)

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“…An association between PI max and the achievement of at least one 10-min bout of MVPA was found in our population, remaining significant in never smokers only. In COPD, twitch mouth pressure has previously been shown to decrease with increasing disease severity and PI max could be improved by exercise training [ 6 , 33 ]. A study among marathon athletes compared to sedentary controls reported a higher respiratory muscle endurance in the athletes - probably as a result of breath technique, but a similar PI max [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Association of physical activity with lung function in lung-healthy German adults: results from the KORA FF4 study

et al. 2017

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BackgroundIn lung disease, physical activity (PA) yields beneficial health effects, but its association with the function of healthy lungs has rarely been studied. We investigated the association of accelerometer-based PA with spirometric indices, maximal inspiratory mouth pressure (PImax) and lung diffusion capacity in lung-healthy adults.MethodsIn total, 341 apparently lung-healthy participants from the population-based KORA (Cooperative Health Research in the Region of Augsburg) FF4 cohort study (45% male, aged 48-68 years, 47% never smokers) completed lung function testing and wore ActiGraph accelerometers over a one week period at the hip. In adjusted regression analyses, moderate to vigorous PA (MVPA) was characterized as: sex-specific activity quartiles, achieving ≥ 10 consecutive minutes (yes vs. no), and meeting the WHO PA recommendations (yes vs. no).ResultsPositive associations of MVPA-quartiles with forced expiratory volume in 1 s (FEV1), forced vital capacity (FVC), and corresponding Global Lung Function Initiative z-scores were found. Subjects in the most active quartile (> 47 or > 50 min/day for females and males, respectively) had 142 ml [95% CI: 23, 260] higher FEV1 and 155 ml [95% CI: 10, 301] higher FVC than those in the least active quartile (< 17 or < 21 min/day for females and males, respectively); however these associations were stronger among ex−/current smokers. Achieving at least once 10 consecutive minutes of MVPA was only associated with higher PImax [β-estimate: 0.57 kPa; 95% CI: 0.04, 1.10], remaining significant among never smokers. No associations were found with diffusion capacity or for reaching the WHO-recommended 150 min of MVPA/week in 10-min bouts.ConclusionsAlthough the effects were small, active subjects showed higher spirometric results. The observed associations were more pronounced among ever smokers suggesting a higher benefit of PA for subjects being at a higher risk for chronic lung diseases.Electronic supplementary materialThe online version of this article (10.1186/s12890-017-0562-8) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Association of physical activity with lung function in lung-healthy German adults: results from the KORA FF4 study

et al. 2017

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“…In some cases, its use is preferred, but it is not always possible and does not affect all difficult situations. 12,13 The aim of this study was the investigation of (1) the correlation between P Imax and hand-grip force and (2) the ability of various parameters, such as hand-grip force, sex, and body mass index (BMI) measurements, to predict P Imax .…”

Section: Introductionmentioning

confidence: 99%

Correlation Between Maximum Inspiratory Pressure and Hand-Grip Force in Healthy Young and Middle-Age Individuals

2016

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BACKGROUND: This study aimed to examine the relationship between hand-grip force and maximum inspiratory pressure (P Imax ) in healthy young and middle-age individuals. METHODS: All individuals underwent assessment of inspiratory muscle strength by maximum inspiratory pressure using a U-type water manometer and evaluation of hand-grip force by a hydraulic hand dynamometer. RESULTS: The correlation of P Imax and hand-grip force was strong (r ‫؍‬ 0.76). A multilinear regression model was built to investigate the ability of various parameters, such as hand-grip force, sex, and body mass index measurements, to predict P Imax . P Imax can be accurately predicted by 80% (r ‫؍‬ 0.76) with a simple equation of easily evaluable factors, such as hand-grip force, body mass index, and sex. CONCLUSION: The results showed significant correlation between hand flexors' force and strength of inspiratory muscles in healthy individuals. This appears to be an easy way to evaluate the results indirectly and can help to assess the relationship between hand flexor and inspiratory muscle capacity, especially the diaphragm. Our study should be viewed as a hypothesis-generating one, and further studies are required in the population of critically ill or difficult-to-wean patients. (ClinicalTrials.gov registration NCT02423616.) Key words: hand grip; strength; maximum inspiratory pressure; respiratory assessment; healthy subjects. [Respir Care 2016;61(7):925-929.

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“…Inspiratory muscle strength was demonstrated to be decreased as the severity of COPD increases that were evaluated by the BODE multidimensional index in several studies (25)(26)(27). The results showed that the DOSE Index score is related to a handgrip and inspiratory muscle strength following literature findings.…”

Section: Discussionmentioning

confidence: 60%

“…Ozsoy et al found that hand grip and inspiratory muscle strength were not different between GOLD B (high symptom level/low exacerbation risk) and GOLD C (low symptom level/ high exacerbation risk) patients with COPD (24). Inspiratory muscle strength was demonstrated to be decreased as the severity of COPD increases that were evaluated by the BODE multidimensional index in several studies (25)(26)(27). The results showed that the DOSE Index score is related to a handgrip and inspiratory muscle strength following literature findings.…”

Section: Discussionmentioning

confidence: 99%

Kroni̇k Obstrükti̇f Akci̇ğer Hastaliğinda Dose İndeksi̇ Kas Fonksi̇yon Bozukluğu, Günlük Yaşam Akti̇vi̇teleri̇ Ve Yaşam Kali̇tesi̇ İle İli̇şki̇li̇di̇r

Çakmak

Çalık-Kütükçü²,

Arıkan³

et al. 2020

Türk Fizyoterapi Ve Rehabilitasyon Dergisi

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Purpose: Composite measures have potential to account for many of the facets of disease in chronic obstructive pulmonary disease (COPD). The purpose of this study was to investigate the relationship between the DOSE (Dyspnea, Obstruction, Smoking, Exacerbation) Index which is a multi-component assessment tool and handgrip and respiratory muscle strength, activities of daily living (ADL) and health-related quality of life in patients COPD. Methods: Forty-five patients with COPD (30 males, 15 females, mean FEV 1 =50.60±16.00%) were included. The DOSE Index was calculated using the modified Medical Research Council dyspnea scale, obstruction level, smoking status, and exacerbation rate. Inspiratory and expiratory muscle strength (MIP and MEP) was measured using a mouth-pressure device. Handgrip strength was determined using hand dynamometer. Activities of daily living were evaluated using the London Chest Activity of Daily Living Scale (LCADL), and quality of life was assessed using the diseasespecific COPD Assessment Test (CAT). Results: The DOSE Index score was related with handgrip strength (r=-0.388, p=0.009), MIP (r=-0.323, p=0.033), LCADL-physical activity score (r=0.314, p=0.038), LCADL-leisure activities score (r=0.397, p=0.008), and CAT score (r=0.435, p=0.003). Conclusion: Increased multi-component disease severity is related to decreased handgrip and respiratory muscle strength, physical activity and leisure time activities of daily living, and worse health-related quality of life in COPD patients. The DOSE Index, a simple disease severity assessment tool, is a convenient and practical tool for assessment in pulmonary rehabilitation programs.

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Twitch Mouth Pressure and Disease Severity in Subjects With COPD

Cited by 5 publications

References 46 publications

Association of physical activity with lung function in lung-healthy German adults: results from the KORA FF4 study

Association of physical activity with lung function in lung-healthy German adults: results from the KORA FF4 study

Correlation Between Maximum Inspiratory Pressure and Hand-Grip Force in Healthy Young and Middle-Age Individuals

Kroni̇k Obstrükti̇f Akci̇ğer Hastaliğinda Dose İndeksi̇ Kas Fonksi̇yon Bozukluğu, Günlük Yaşam Akti̇vi̇teleri̇ Ve Yaşam Kali̇tesi̇ İle İli̇şki̇li̇di̇r

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