Benefits and costs of home pedometer assisted physical activity in patients with COPD. A preliminary randomized controlled trial

Widyastuti, Kiki; Makhabah, Dewi Nurul; Setijadi, Ana Rima; Sutanto, Yusup Subagio; Suradi,; Ambrosino, Nicolino

doi:10.1016/j.pulmoe.2018.01.006

Cited by 22 publications

(16 citation statements)

References 37 publications

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“…Monitoring daily steps count and activity time is the most valid measurement of PA and can help patients achieve an effective daily level of PA 2. Despite recent great advances in pedometers as a tool to estimate daily steps, with miniaturized accelerometer apps now available for use on smartphones, these technologies are still not used by patients as much as they probably should be 8,9. However according to the above definition of PA,2 direct measure of daily energy expenditure may be a more appropriate mode for assessing PA.…”

Section: Introductionmentioning

confidence: 99%

<p>Physical Activity in Patients with Chronic Obstructive Pulmonary Disease on Long-Term Oxygen Therapy: A Cross-Sectional Study</p>

Paneroni¹,

Ambrosino²,

Simonelli³

et al. 2019

COPD

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Background and aimThere are few studies evaluating physical activity (PA) in patients with chronic obstructive pulmonary disease (COPD) on long-term oxygen therapy (LTOT).AimTo assess PA in hypoxemic COPD patients on LTOT.MethodsIn this cross-sectional study, we compared lung function, arterial blood gases, respiratory and peripheral muscle strength, 6-min walking distance (6MWD), daily energy expenditure and steps, and health-related quality of life (HRQL) in COPD patients on LTOT (LTOT group) versus two groups of control patients not needing LTOT: with (HYPOX) and without (COPD) exercise-induced desaturations.ResultsGroups did not differ as regards demographics, anthropometrics, peripheral or respiratory muscle strength. Compared to the other groups, LTOT patients had more severe airway obstruction and lung hyperinflation, greater number and severity of comorbidities, shorter 6MWD, as well as lower mean SpO2 during 6MWD and worse quality of life. LTOT patients had a lower daily energy expenditure, shorter time spent > 3.0 METs and longer sedentary time compared to the COPD group, and less daily steps compared to the other groups. No significant difference in any parameter of PA was found between COPD and HYPOX. In LTOT patients, daily steps showed a strong correlation with 6MWD, and a moderate correlation with airway obstruction, level of oxygenation, comorbidities and quality of life but not with peripheral and respiratory muscle strength. In COPD and HYPOX patients, daily steps were strongly correlated with 6MWD and level of oxygenation as assessed by PaO2/FiO2. There was no significant correlation between mean SpO2 and 6MWD in any group.ConclusionCOPD patients on LTOT perform less physical activity than patients not needing LTOT, both with and without exercise-induced desaturations. Patients with exercise-induced desaturations do not perform less physical activity than those without.

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Section: Introductionmentioning

confidence: 99%

<p>Physical Activity in Patients with Chronic Obstructive Pulmonary Disease on Long-Term Oxygen Therapy: A Cross-Sectional Study</p>

Paneroni¹,

Ambrosino²,

Simonelli³

et al. 2019

COPD

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“…In our study, REVASC patients improved daily steps more than those with pulmonary diseases. A huge variability has been reported in changes in physical activity after pulmonary rehabilitation [33,34]. Considering the overall results, given the high variability of the improvement in daily steps, both in pulmonary and cardiac diseases, we think that a better behavioral approach aimed at improving lifestyles and reducing sedentary behavior in chronic patients should be implemented and added to the training program.…”

Section: Discussionmentioning

confidence: 98%

Therapist Driven Rehabilitation Protocol for Patients with Chronic Heart and Lung Diseases: A Real-Life Study

Simonelli

Vitacca

Ambrosino

et al. 2020

IJERPH

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Therapist driven protocols may help to tailor rehabilitation programs to individual patients. We aimed to test the feasibility, safety, and clinical usefulness of a therapist driven protocol for rehabilitation including exercise training of patients with heart or lung diseases. An internal audit elaborated the Cardio-Respiratory Exercise Maugeri Algorithm (CREMA) based on: (a) standardized baseline assessments, (b) decision-making pathways, and (c) frequency/intensity/time/type (FITT) of prescription for each exercise. Outpatients (n = 620) with chronic heart disease (CHD), recent myocardial revascularization (REVASC), chronic airway (Obstructive), and restrictive lung (Restrictive) diseases underwent exercise training according to CREMA during 4 years. Peripheral muscle strengthening was the most prescribed exercise (83.6%), while arm endurance training was the least frequently (0.75%). Exercise prescription varied widely among the disease groups (interval training 19–47%, balance 35–49%, lower limb muscle training 6–15%). After training, REVASC patients were the best improvers in the 6 min walking distance (+48.7 (56.1) m), maximal inspiratory pressure (+9.6 (15.4) cmH2O), and daily steps (+1087.2 (3297.1) n/day). Quadriceps and biceps strength, maximal expiratory pressure, and balance improved in all groups, without significant differences. Minor side effects were observed in 11.2% of the patients. The CREMA therapist driven protocol was feasible, safe, and useful for prescribing tailored training programs. Exercise prescriptions and training response differed among diseases.

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“…Omron HJ-321 pedometer will be used to measure relative step count in pregnant women. It has been shown to produce accurate measurement of physical activity in the past studies [32][33][34][35]. Pedometer is a cost-effective alternative for objective measurement of physical activity and able to capture low-intensity activities including walking [36].…”

Section: Measurement Of Physical Activitymentioning

confidence: 99%

Circadian rhythm and its association with birth and infant outcomes: research protocol of a prospective cohort study

Kaur

Teoh

Shukri

et al. 2020

BMC Pregnancy Childbirth

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Background: Circadian rhythm plays an important role as our internal body's clock that synchronizes behavior and physiology according to the external 24-h light-dark cycle. Past studies have associated disrupted circadian rhythm with higher risk of miscarriages, preterm birth and low birth weights. This paper described the protocol of a prospective cohort study which aims to determine the circadian rhythm in pregnant women, identify its association with maternal factors during pregnancy, gestational weight gain, birth and infant outcomes. Methods: Ten government maternal and child health clinics in Kuala Lumpur, Malaysia will be randomly selected. Sample size of 438 first-trimester pregnant women will be followed-up until the birth of their infant. Salivary melatonin and cortisol concentration among subsample will be determined using enzyme-linked immunosorbent assay. Data on sleep quality, psychological distress and morningness/eveningness chronotype of pregnant women will be collected using validated questionnaires. Pedometer will be used to measure 5-day physical activity data. Total gestational weight gain will be determined at the end of pregnancy. Utilization of 3-day food record is to capture meal timing and nutrient intake. All measurements will be done in 2nd and 3rd trimester. Birth outcomes will be collected through clinic records and Centers for Disease Control and Prevention (CDC) Neonatal questionnaire. Infants will be followed-up at 6 and 12 months old to obtain anthropometric measurements. Discussion: There is a growing recognition of the role of maternal circadian rhythm, which entrains fetal circadian rhythms that may subsequently have long-term health consequences. The present study will identify the effect of circadian rhythm on pregnancy outcomes and infant growth in the first year of life.

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Benefits and costs of home pedometer assisted physical activity in patients with COPD. A preliminary randomized controlled trial

Abstract: Home pedometer assisted PA may be a useful and cheaper alternative to outpatient supervised exercise training programs in patients with COPD.

Cited by 22 publications

References 37 publications

<p>Physical Activity in Patients with Chronic Obstructive Pulmonary Disease on Long-Term Oxygen Therapy: A Cross-Sectional Study</p>

<p>Physical Activity in Patients with Chronic Obstructive Pulmonary Disease on Long-Term Oxygen Therapy: A Cross-Sectional Study</p>

Therapist Driven Rehabilitation Protocol for Patients with Chronic Heart and Lung Diseases: A Real-Life Study

Circadian rhythm and its association with birth and infant outcomes: research protocol of a prospective cohort study

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