Do London Chest Activity of Daily Living Scale and St George's Respiratory Questionnaire Reflect Limitations During Activities of Daily Living in Patients With COPD?

Abstract

Purpose: It is unclear whether activities of daily living (ADL) and quality-of-life scales reflect real ADL limitations. The aim of the study was to assess the limitation during ADL simulation and to identify whether the London Chest Activity of Daily Living (LCADL) Scale and St George's Respiratory Questionnaire (SGRQ) are able to reflect the patient's real limitations during ADL simulation. Methods: Forty-eight patients with chronic obstructive pulmonary disease (age = 69 ± 8 y; forced expiratory volume in the first second of expiration [FEV1] = 1.37 ± 0.49 L) were assessed by SGRQ and LCADL Scale. Activities of daily living simulations were performed: showering (ADL1); lifting and lowering containers above the shoulder girdle (ADL2); and raising and lowering pots below the pelvic girdle (ADL3). Results: Spo 2 and ΔSpo 2 in ADL2 were statistically lower than in ADL3. Ventilatory demand was statistically higher in ADL2 and ADL3 than in ADL1. Metabolic equivalent values were similar between the ADLs with values above 3.6. Oxygen desaturation was present in 41.7% (ADL1) and 33.3% (ADL2) of the patients. The LCADL% showed a moderate positive correlation with dyspnea in ADL3 and metabolic demand in ADL1. The SGRQ score presented a moderate positive correlation with dyspnea in all ADL simulations and metabolic demand in ADL1 and ADL3. Dyspnea in ADL3 and metabolic demand in ADL1 explained 33% of the variability in LCADL%. The dyspnea and metabolic demand in ADL3 explained 67% of the variability in SGRQ. Conclusion: Activities of daily living lead to oxygen desaturation and high ventilatory demand. London Chest Activity of Daily Living Scale reflected 33% and SGRQ reflected 67% of the functional limitation during ADL simulation, such as dyspnea and the metabolic demand during ADL.

Nutritional Risk and Sarcopenia Features in Patients with Crohn’s Disease: Relation to Body Composition, Physical Performance, Nutritional Questionnaires and Biomarkers

“…The participants, during their therapy with biological agents, answered the questionnaires, which were read and filled out by one volunteer, making it easier for them to give the answers. The following questionnaires were used: (i) the modified Harvey Bradshaw Index (MHBI) [ 37 ] to examine the level of the disease’s remission or exacerbation, (ii) the Sarcopenia Questionnaire (SARC-F) [ 38 ] for the examination of the incidence of sarcopenia, (iii) the Lawton Instrumental Activities of Daily Living Scale (LIADLS) [ 39 ] and (iv) the Activities Daily Living Scale (ADLS) [ 40 ] to record patients’ functional ability for complex and basic daily activities, respectively and (v) the Mini Nutritional Assessment (MNA) questionnaire (short form) [ 41 ].…”

New Insights into Activities of Daily Living Performance in Chronic Obstructive Pulmonary Disease

“…However, self-reporting may be affected by memory or the adaptation strategies developed over time in people living with COPD resulting in inaccurate reporting of performance. 24,25 To achieve a thorough evaluation of ADL performance, a combination of self-reporting and observation is therefore recommended. 5,26 The relationship between self-reporting and observation in ADL performance and ET use has been investigated among client groups with chronic diseases, and relationships from nonexistent to moderate were found.…”

Juggling the management of everyday life activities in persons living with chronic obstructive pulmonary disease

“…This varies across health care professionals and researchers. There are especially two aspects of interest within these definitions; one aspect focuses on physical functioning or symptoms [35][36][37]; the other on ADL performance [7,8]. When reviewing the literature of ADL evaluations of people with COPD, it appears that most evaluations used in the literature apply an ADL definition referring to the physical performance in the activity.…”