Determinants and impact of fatigue in patients with chronic obstructive pulmonary disease

Baghai-Ravary, R; Quint, Jennifer K; Goldring, James; Hurst, John R.; Donaldson, Gavin C.; Wedzicha, Jadwiga A.

doi:10.1016/j.rmed.2008.09.022

Cited by 113 publications

(143 citation statements)

References 37 publications

Supporting

Mentioning

120

Contrasting

Unclassified

Order By: Relevance

“…This result is consistent with previous studies that have noted significant relationships between dyspnea and fatigue [55][56][57][58]. Also Kapella et al, (2006) [59] reported that there was significant correlation between dyspnea and fatigue scores among the COPD patients.…”

Section: Discussionsupporting

confidence: 92%

Effect of Implementation of Teaching Modules about Physiological and Psychological Parameters on Expected Clinical Outcomes of Patients with Chronic Obstructive Pulmonary Disease

Wehieda¹

2017

AJNS

View full text Add to dashboard Cite

Dyspnea and fatigue, the two most common symptoms experienced by patients with chronic obstructive pulmonary disease, are believed to result in decreased activity levels and poor quality of life. This study was carried out to determine effect of implementation of teaching modules about physiological and psychological parameters on expected clinical outcomes of patients with chronic obstructive pulmonary disease. A quasi experimental research design was utilized to achieve the aim of this study. This study was conducted at chest department of Menofia University Hospital. A purposive sample of 140 adult patients, three tools was used for data collection. Bio socio demographic assessment questionnaire, physiological measurement tool and anxiety scale. There were highly statistical significant differences between study and control groups post one and two months of teaching regarding dyspnea, fatigue, cough vital signs and anxiety. Also it was found that there was a positive correlation between dyspnea, fatigue and anxiety. A teaching carried out for the patients of the study group had positive effect on dyspnea, fatigue, cough, vital signs and anxiety and there was a positive correlation between dyspnea, fatigue and anxiety. Initiate outpatient hospital based pulmonary rehabilitation program. A booklet should be available and distributed for all patients with choronic obstructive pulmonary disease.

show abstract

Section: Discussionsupporting

confidence: 92%

Effect of Implementation of Teaching Modules about Physiological and Psychological Parameters on Expected Clinical Outcomes of Patients with Chronic Obstructive Pulmonary Disease

Wehieda¹

2017

AJNS

View full text Add to dashboard Cite

show abstract

“…This was associated with a nearly six fold higher probability of having low PA compared to patients with no experience of fatigue. The association between severe fatigue and low PA is in line with other studies showing a relation between fatigue and PA 53 64 and corroborates with the findings of Baghai-Ravary et al 64 who reported fatigue to be the only factor associated with time spent outdoors. Although no causal relationship can be outlined, our result gives the impression that severe fatigue is a considerable restrictor of PA.…”

Section: Factors Associated With Low Physical Activitysupporting

confidence: 92%

“…Two recent studies showed a negative relation between fatigue and PA 53 64 . In the study by Baghai-Ravary et al 64 fatigue remained the only factor significantly associated with time spent outdoors, suggesting fatigue is considerable restrictor of physical activity. One study found fatigue to be one of the correlates to physical activity measured with an activity monitor 53 while another study did not found a relation between fatigue and physical activity measured with an accelerometer 49 .…”

Section: Fatiguementioning

confidence: 88%

The relationship between physical function and experience of fatigue in patients with chronic obstructive pulmonary disease

Tödt¹

2014

View full text Add to dashboard Cite

Background Chronic Obstructive Pulmonary Disease (COPD) is increasing throughout the world and most rapidly among women. COPD is characterized by a progressive loss of physical functions. The reason for this is multi-factorial and include not only lung related deficiencies but also several systemic consequences and symptoms of which several are potential restrictors of physical function. The relationship between physical function and symptoms are not clear, especially not among women with COPD. Aim The overall aim of this thesis was to illuminate the relationship between two dimensions of physical function (physical activity and physical capacity) and experience of fatigue. The specific aims were to explore factors associated with low physical activity and to examine experience of fatigue and its relationship to physical capacity and disease severity in men and women with COPD. Methods A cross-sectional study was conducted including 121 patients (67 women) with stable COPD and mean age of 67 (+/-7) years. Physical activity was measured with the International Physical Activity Questionnaire short form. Physical capacity included assessment of lung function (dynamic spirometry), exercise capacity (the 6-minute walk distance [perceived dyspnoea and leg fatigue in connection to the test]) and muscle strength (the Timed Stands Test and grip strength). Fatigue was assessed with structured questions covering the frequency, duration and severity of fatigue the previous month and patients were categorized as those with no fatigue, moderate fatigue or severe fatigue. Data about other symptoms (dyspnoea, anxiety and depression), symptom burden (Memorial Symptom Assessment Scale), fat and fat free mass (bio-impedance analysis) and smoking history was collected. Results Forty-two percent of the patients reported a low physical activity level. A majority of the patients reported experience of fatigue the previous month, 52% moderate fatigue and 25% severe fatigue. Low physical activity was associated with severe fatigue, worse exercise capacity and a higher amount of smoking. There were no differences in experience of fatigue between men and women. Men with fatigue had worse physical capacity and disease severity compared to men without fatigue. Women with fatigue had comparable physical capacity and disease severity to women without fatigue except for a higher perceived leg fatigue after the exercise capacity test. Multiple logistic regression analysis showed that exercise capacity and disease severity were associated with fatigue in both men and women but in women, leg fatigue was also strongly associated with the presence of fatigue. Conclusions Severe fatigue, worse exercise capacity and a higher amount of smoking were independently associated with low PA. This result suggests that patients with severe fatigue might need specific strategies to become more physically active. Presence of fatigue was associated with exercise capacity and disease severity in both men and women. In addition, in women leg fatigue was strongly a...

show abstract

“…The associations between experience of fatigue and lung function in earlier studies are contradictive. Bagaia-Ravary et al 38 showed that increased fatigue was not associated with airflow limitation, whereas Lewko et al 39 reported higher fatigue scores for patients with severe airflow limitation . These differences may depend on the different methods used to assess the symptoms.…”

Section: Msas Symptom Burden and Subscales Scoresmentioning

confidence: 97%

Symptom burden in stable COPD patients with moderate or severe airflow limitation

et al. 2014

View full text Add to dashboard Cite

Running head: Symptom burden in moderate or severe airflow limitations Symptom burden in stable COPD patients with moderate or severe airflow limitations. AbstractObjectives. To describe a multidimensional symptom profile in patients with stable chronic obstructive pulmonary disease (COPD) and determine whether symptom experience differed between patients with moderate or severe airflow limitations.Background. Patients with severe airflow limitation experience numerous symptoms, but

show abstract

Determinants and impact of fatigue in patients with chronic obstructive pulmonary disease

Abstract: The perception of fatigue increased in patients with COPD compared to age-matched control subjects, and associated with morbidity when patients were stable and at exacerbation.

Cited by 113 publications

References 37 publications

Effect of Implementation of Teaching Modules about Physiological and Psychological Parameters on Expected Clinical Outcomes of Patients with Chronic Obstructive Pulmonary Disease

Effect of Implementation of Teaching Modules about Physiological and Psychological Parameters on Expected Clinical Outcomes of Patients with Chronic Obstructive Pulmonary Disease

The relationship between physical function and experience of fatigue in patients with chronic obstructive pulmonary disease

Symptom burden in stable COPD patients with moderate or severe airflow limitation

Contact Info

Product

Resources

About