O Ox xy yg ge en n s sa at tu ur ra at ti io on n d du ur ri in ng g d da ai il ly y a ac ct ti iv vi it ti ie es s i in n c ch hr ro on ni ic c o ob bs st tr ru uc ct ti iv ve e p pu ul lm mo on na ar ry y d di is se ea as se e During a rehabilitation programme, we studied 30 patients with moderate-tosevere COPD (median forced expiratory volume in one second (FEV1) 37% of predicted), without marked hypoxaemia (median arterial oxygen tension (Pa,O 2 ) 9.1 kPa). Arterial oxygen saturation (Sa,O 2 ) was assessed by pulse oximetry during night (8 h) and day (10.5 h). The mean and minimal Sa,O 2 were calculated, and desaturations were defined as Sa,O 2 falls >4%·h -1 . Daily activities were identified by the patients as resting, eating, washing, nebulization therapy and walking.Mean Sa,O 2 was lower during the night (88%) than during the day (89%). In contrast, minimal Sa,O 2 was lower during the day (69%) than during the night (72%), and the number of desaturations was higher during the day (8.6 desaturations·h -1 ) than during the night (6.8 desaturations·h -1 ). Mean Sa,O 2 was 88% during walking, which was lower than during resting (90%), nebulization (90%), and meals (89%). The number of desaturations was higher during walking (13.1 desaturations·h -1 ), washing (12.6 desaturations·h -1 ), and eating (9.2 desaturations·h -1 ) than during resting (5.3 desaturations·h -1 ).We conclude that daily activities, such as walking, washing and eating, are associated with transient oxygen desaturation in patients with moderate-to-severe chronic obstructive pulmonary disease, even without marked resting hypoxaemia.
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