COPD, chronic bronchitis and capacity for day-to-day activities: Negative impact of illness on the health-related quality of life

Kanervisto, Merja; Saarelainen, Seppo; Vasankari, Tuula; Jousilahti, Pekka; Heistaro, Sami; Heliövaara, Markku; Luukkaala, Tiina; Paavilainen, Eija

doi:10.1177/1479972310368691

Cited by 33 publications

(37 citation statements)

References 32 publications

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“…Several studies have reported worse health outcomes for subjects with CB and normal lung function than for healthy subjects, including a greater risk of COPD, hospitalization and death [7,29]. Subjects with CB may also have poorer physical fitness, and they may be limited in their daily activities and exercise [30]. Self-limitation of physical activity and a sedentary lifestyle could at least in part explain our findings also in this group.…”

Section: Discussionsupporting

confidence: 50%

Mild Asthma and Chronic Bronchitis Seem to Influence Functional Exercise Capacity: A Multi-Case Control Study

Marcon¹,

Girardi²,

Ferrari³

et al. 2013

Int Arch Allergy Immunol

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Background: In the Genes Environment Interaction in Respiratory Diseases population-based multi-case control study, we investigated whether asthma, chronic bronchitis (CB) and rhinitis were associated with a reduced 6-minute walk distance (6MWD), and whether the 6MWD determinants were similar for subjects with/without respiratory diseases. Methods: Cases of asthma (n = 360), CB (n = 120), rhinitis (n = 203) and controls (no respiratory diseases: n = 302) were recruited. The variation in the 6MWD across the groups was analyzed by ANCOVA, adjusting for gender, age, height, weight and comorbidity. The 6MWD determinants were studied by linear regression, and heterogeneity across the cases and controls was investigated. Results: The 6MWD differed across cases and controls (p = 0.01). It was shorter for cases of asthma (–17.1, 95% CI –28.3 to –5.8 m) and CB (–20.7, 95% CI: –36.6 to –4.8 m) than for controls (604 ± 68 m on average), but not for cases of rhinitis. The negative association between age and the 6MWD was significant for cases of CB, but not for the other groups (p = 0.001). Conclusions: Even at the level of severity found in the general population, asthma and CB could influence the 6MWD, which seems to reflect the functional exercise level for daily physical activities. The negative association between ageing and the 6MWD was particularly strong in subjects with CB. Our report adds to the mounting evidence that CB is not a trivial condition, especially in the ageing adult population, and it supports the importance of monitoring functional capacity and of physical reconditioning in mild asthma.

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Section: Discussionsupporting

confidence: 50%

Mild Asthma and Chronic Bronchitis Seem to Influence Functional Exercise Capacity: A Multi-Case Control Study

Marcon¹,

Girardi²,

Ferrari³

et al. 2013

Int Arch Allergy Immunol

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“…Females tend to have a greater sensitivity to their perception of physical stimuli, particularly unpleasant experimental or chronic pain (Edwards, 2003). Women with chronic obstructive pulmonary disease have poorer health related quality of life than men (Kanervisto, 2010) and have a 2–3 fold higher suicide risk (Webb, 2012). Women with respiratory disorders, such as COPD, self-report more psychological distress than men (Laurin 2007; Di Marco et al 2006).…”

Section: Discussionmentioning

confidence: 99%

Subjective ratings of prolonged inspiratory resistive loaded breathing in males and females

Miller

Davenport

2014

Psychophysiology

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Dyspnea and fear of suffocation are burdensome to patients with respiratory disease. Inspiratory resistive loads offer an experimental respiratory stimulus to quantify the discriminative domain of respiratory perception. Resistive (R) load magnitude estimation (ME) and subjective ratings were measured over sustained multiple breaths in healthy subjects. There was no significant group difference between the ME for breath 1 and 20 for small R loads, but a significant gender difference for large R loads. Subjective responses of fear, fear of suffocation, displeasure, chest pressure, faintness, dizziness, fear of losing control, trembling, and tingling were significantly greater for females. These results demonstrate that ME of large resistive sustained loads elicits non-significant increases in ME in females, but a significant decrease in ME for males. The maintenance of ME in females co-occurs with increased aversive processing relative to males.

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“…Our results show significant emotional and physical adaptation that has also been reported in previous studies on COPD. [15][16][17][18][19][20][21][22][23] Participants remarkably emphasize what they can achieve, despite multimorbidity, leading to a generally positive perception of functional status. Although we confirm that fear is a central point of attention in patients with COPD, this does not seem to be merely related to dyspnea and fear of suffocating.…”

Section: Discussionmentioning

confidence: 99%

Chronic obstructive pulmonary disease and comorbidities through the eyes of the patient

et al. 2012

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Patient's attitudes and illness beliefs have shown to be of great importance in chronic obstructive pulmonary disease (COPD). As former qualitative research has mainly focused on patients with end-stage COPD, who are recruited within hospital or pulmonary rehabilitation settings, and excluding patients with disabling comorbidities, this study specifically aims to explore the perspectives of patients with COPD and comorbidities in primary care. This study was designed as a qualitative, explorative study using open patient interviews. The study was conducted at three primary care practices, East Flanders, Belgium. A total number of seven patients, diagnosed with COPD and given a minimum score of 2 on the Charlson Comorbidity Index were included. In-depth interviews were recorded and transcribed verbatim. Thematic analysis was deductive using NVivo software. Researchers' triangulation was performed. Participants show high adaptation capabilities and report quite positively about their functional status, with an emphasis on social participation and partnership. Knowledge of the causes and consequences of COPD appears rather limited, and participants predominantly show an external locus of control in relation to the reported factors influencing the disease and strategies for self-management. Patients with COPD with comorbidity integrate their illness and symptoms into their lives. However, a lack of knowledge and education may leave them more anxious and more dependent on health care than necessary. Our results indicate that health care workers should adopt a positive approach toward patient's functioning and empower and inform their patients. We believe that chronic care for patients with COPD should provide personalized rehabilitation taking into account individual patient characteristics and self-management and coping attitudes. We believe that there is a generic core to be identified, which can tackle both COPD and comorbidities. Further research is mandatory to develop these generic programs focusing on patients with complicated needs. Primary care can provide the setting for exploration.

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COPD, chronic bronchitis and capacity for day-to-day activities: Negative impact of illness on the health-related quality of life

Cited by 33 publications

References 32 publications

Mild Asthma and Chronic Bronchitis Seem to Influence Functional Exercise Capacity: A Multi-Case Control Study

Mild Asthma and Chronic Bronchitis Seem to Influence Functional Exercise Capacity: A Multi-Case Control Study

Subjective ratings of prolonged inspiratory resistive loaded breathing in males and females

Chronic obstructive pulmonary disease and comorbidities through the eyes of the patient

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