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Impact of comorbidities on physical activity in COPD


Sievi, Noriane A; Senn, Oliver; Brack, Thomas; Brutsche, Martin H; Frey, Martin; Sarosh, Irani; Leuppi, Jörg D; Thurnheer, Robert; Franzen, Daniel; Kohler, Malcolm; Clarenbach, Christian F (2015). Impact of comorbidities on physical activity in COPD. Respirology, 20(3):413-418.

Abstract

Background and objective: Both comorbidities and physical inactivity have been shown to impair quality of life and contribute to hospital admissions and mortality in COPD patients. We hypothesized that the comorbid status predicts the level of daily physical activity in COPD.
Methods: In 228 patients with COPD (76% men; median (quartiles) age: 64 (59/69) years; FEV1 % pred.: 44 (31/63)) comorbidities were assessed by medical history, clinical interviews, examination and blood analysis. Physical activity level (PAL) was measured by an activity monitor (SenseWear Pro™). The association between PAL and comorbidities was investigated by univariate and multivariate regression analysis.
Results: 79% of the COPD patients had at least one additional chronic comorbidity, 56% had 2 or more comorbidities and 35% had 3 or more comorbidities. In univariate analysis body mass index, the number of pack years and having at least one additional comorbidity was negatively associated with PAL while there was a positive nonlinear association between FEV1 and PAL. The presence of at least one additional comorbidity was independently associated with PAL irrespective of airflow limitation.
Conclusion: In this cohort almost 80% of COPD patients had at least one additional chronic comorbidity. The level of daily PA seems to be significantly impaired by the presence of comorbidities irrespective of the type of comorbidity and independent of the degree of airflow limitation.

Abstract

Background and objective: Both comorbidities and physical inactivity have been shown to impair quality of life and contribute to hospital admissions and mortality in COPD patients. We hypothesized that the comorbid status predicts the level of daily physical activity in COPD.
Methods: In 228 patients with COPD (76% men; median (quartiles) age: 64 (59/69) years; FEV1 % pred.: 44 (31/63)) comorbidities were assessed by medical history, clinical interviews, examination and blood analysis. Physical activity level (PAL) was measured by an activity monitor (SenseWear Pro™). The association between PAL and comorbidities was investigated by univariate and multivariate regression analysis.
Results: 79% of the COPD patients had at least one additional chronic comorbidity, 56% had 2 or more comorbidities and 35% had 3 or more comorbidities. In univariate analysis body mass index, the number of pack years and having at least one additional comorbidity was negatively associated with PAL while there was a positive nonlinear association between FEV1 and PAL. The presence of at least one additional comorbidity was independently associated with PAL irrespective of airflow limitation.
Conclusion: In this cohort almost 80% of COPD patients had at least one additional chronic comorbidity. The level of daily PA seems to be significantly impaired by the presence of comorbidities irrespective of the type of comorbidity and independent of the degree of airflow limitation.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Pneumology
04 Faculty of Medicine > University Hospital Zurich > Institute of General Practice
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2015
Deposited On:13 Jan 2015 10:12
Last Modified:05 Apr 2016 18:42
Publisher:Wiley-Blackwell Publishing, Inc.
ISSN:1323-7799
Publisher DOI:https://doi.org/10.1111/resp.12456
PubMed ID:25565363

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