Relação entre a limitação nas atividades de vida diária (AVD) e o índice BODE em pacientes com doença pulmonar obstrutiva crônica

Abstract

Background: Chronic Obstructive Pulmonary Disease (COPD) is a progressive disease that reduces functional capacity. deteriorating the ability to perform activities of daily living (ADL). A close relationship between morbidity and mortality with functional limitation is observed in patients with COPD. Objectives: To determine if there is a relationship between ADL limitation and the BODE index. which is a predictor of mortality. in patients with moderate to severe COPD. Methods: Thirty-nine patients with COPD GOLD 2 to 4 recruited by convenience. were submitted to the following tests: spirometry. body mass index (BMI). the London Chest Activity of Daily Living (LCADL) scale. six-minute walking test (6MWT). the Medical Research Council (MRC) scale and the BODE index was calculated. The total score and the percentage of the total score LCADL (LCADL %total ) were compared between patients of the four quartiles of the BODE using the Analysis of Variance test. The Spearman correlation coefficient was used to investigate the association between scores of LCADL and BODE index. Results: Patients had an average of FEV 1 %pred=37±12% and were on average 66±8 years-old. The LCADL %total correlated with the BODE index (r=0.65. p<0.05) as well as with the variables FEV 1 . dyspnea and walked distance in the 6MWT (r=-0.42. r=0.76 and r=-0.67. p<0.05. respectively). The comparison of the average scores of the LCADL %total between BODE quartiles 1. 2. 3 and 4. demonstrated that only the 4th quartile differed significantly from the others (p<0.05). Conclusions: ADL limitation has a strong association with the BODE index in patients with moderate to severe COPD and with three of the four variables that composes it. Resumo Contextualização: A Doença Pulmonar Obstrutiva Crônica (DPOC) é uma doença progressiva que reduz a capacidade funcional. comprometendo as atividades de vida diária (AVD). A morbidade e a mortalidade na DPOC apresentam uma estreita relação com a limitação funcional nesses pacientes. Objetivos: Verificar se há associação entre a limitação nas AVD e o índice preditor de mortalidade BODE em pacientes com DPOC moderada a muito grave e não moderada e grave. Métodos: Trinta e nove pacientes com DPOC GOLD 2 a 4. em uma amostra de conveniência. foram submetidos às avaliações: espirometria. índice de massa corpórea (IMC). escala London Chest Activity of Daily Living (LCADL). teste da caminhada de seis minutos (TC6min); escala Medical Research Council (MRC). e o índice BODE foi calculado. O escore total e o percentual do escore total da LCADL (LCADL %total ) foram comparados entre os pacientes dos quatro quartis do BODE utilizando-se ANOVA. O Coeficiente de Correlação de Spearman foi utilizado para verificar a associação entre os escores da LCADL e do índice BODE. Resultados: Os pacientes apresentaram em média VEF 1 %prev=37.0±12.2%. idade=66±8 anos. A LCADL %total apresentou correlação com o BODE (r=0.65. p<0.05) e com as variáveis VEF 1 . dispneia e distância no TC6min (r=-0.42; r=0.76 e r=-0.67. respectivamente; p<0.05). ...

Can the Glittre ADL test differentiate the functional capacity of COPD patients from that of healthy subjects?

“…In the present study, there was also a negative correlation between LCADL %total and degree of pulmonary obstruction, although there was no association between the LCADL score and distance walked in the 6MWT, probably due to the reduced sample size (type II error) 23 . It has been previously demonstrated that a score over 50% in the LCADL %total scale indicates severe ADL limitations 24 . In the present study, the mean score was 33.3% and, therefore, in spite of severe airflow obstruction, the sample did not show severe ADL limitations.…”

COPD patients' oxygen uptake and heart rate on-kinetics at cycle-ergometer: correlation with their predictors of severity

“…In contrast, there were no statistically significant correlations between VO 2 and HR τ and MRT with BMI and BMI, suggesting that this parameter do not quantify the slowing of VO 2 and HR on-kinetics. Other authors also claim to have found no relationship between BMI and peripheral muscle impairment, exercise capacity, muscle mass, level of physical activity in daily life or limitations in dailylife activities 36,[42][43][44][45][46] . The absence of correlation can be attributed to the low levels of disease severity in the COPD patients studied (nine patients in quartile 1, four patients in quartile 2 and only one patient in quartile 3).…”

Self-Care in Heart Failure Inpatients: What Is the Role of Gender and Pathophysiological Characteristics? A Cross-Sectional Multicentre Study

“…It is a questionnaire of 15 items, divided into four domains (self-care, domestic care, leisure and PA), each item was scored from zero to five, with a maximum of 75 points. The higher the value, the greater the limitation in ADL due to dyspnoea [25]. It is possible to obtain a partial score for each domain [26].…”