Evaluation of multidimensional COPD-related subjective fatigue following a Pulmonary Rehabilitation programme

Lewko, Agnieszka; Bidgood, Penelope; Jewell, Andrew P.; Garrod, Rachel

doi:10.1016/j.rmed.2013.09.003

Cited by 25 publications

(21 citation statements)

References 44 publications

(47 reference statements)

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“…The depression score was not improved by PR in the present study nor in our previous cohort study with a larger number of patients . Most of the previous studies showed that PR improved depression and anxiety scores, although some studies showed the depression score did not change after PR . This discrepancy might be explained by the differences in the PR programs.…”

Section: Discussioncontrasting

confidence: 89%

Factors associated with the effect of pulmonary rehabilitation on physical activity in patients with chronic obstructive pulmonary disease

Kanao

Shiraishi

Higashimoto

et al. 2015

Geriatrics Gerontology Int

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Section: Discussioncontrasting

confidence: 89%

Factors associated with the effect of pulmonary rehabilitation on physical activity in patients with chronic obstructive pulmonary disease

Kanao

Shiraishi

Higashimoto

et al. 2015

Geriatrics Gerontology Int

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“…It is a known symptom of advanced lung diseases that impacts quality of life and psychological health [2]. There is a general impression that features of fatigue manifest as underlying depression [3] however, each differ and may represent different aspects of underlying psychological impairment.…”

Section: Introductionmentioning

confidence: 99%

“…These patients regularly undergo pulmonary rehabilitation as part of their therapy [2,6]. Rational for using pulmonary rehabilitation as an adjuvant to pharmacotherapy is well established [7].…”

Section: Introductionmentioning

confidence: 99%

Effects of Pulmonary Rehabilitation on Fatigue Severity Scale In Patients with Lung Disease

Talwar

Sahni

John

et al. 2014

Advances in Respiratory Medicine

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Introduction: Fatigue is a known symptom of advanced lung disease and impacts quality of life and psychological health. Many of these patients undergo pulmonary rehabilitation as part of their therapy. Understanding the effect of pulmonary rehabilitation on fatigue in these patients is important, as one may be able to design more focused rehabilitation programs. The aim of this study is to evaluate the effect of pulmonary rehabilitation on fatigue as measured by the Fatigue Severity Scale (FSS) in patients with advanced lung disease. Material and Methods: Patients were enrolled in a standardized 6 week pulmonary rehabilitation program. They were asked to complete questionnaires to evaluate their self-reported fatigue (FSS), and depression as measured by Geriatric Depression Scale (GDS). The GDS is a self-reported assessment tool used to identify depression in patients. The FSS is a validated instrument that indicates a perception of fatigue that might require medical intervention. Participants completed questionnaires both at baseline and after completing the standardized pulmonary rehabilitation program. Data was analyzed in Statistical Analysis System (SAS). The change in FSS was evaluated using the Wilcoxon signed-rank test. p-values < 0.05 were considered statistically significant. Results: 21 patients (12 females; 9 males; mean age 64.3 ± 11.2 yrs) were considered for the study. Pre-pulmonary rehabilitation FSS scores ranged from 1.6 to 6.7 (mean score of 4.6 ± 1.7). Post pulmonary rehabilitation FSS scores ranged 1.0 to 6.2 (mean score of 3.9 ± 1.6). The median pre-rehabilitation FSS was 5.3 (inter quartile range; Q1–Q3: 3.0–6.1), and median post rehabilitation FSS was 3.9 (inter quartile range; Q1–Q3: 2.6–5.1). There was a significant decrease in FSS scores after completing pulmonary rehabilitation program (p < 0.0208). There was a decrease in GDS (pre-rehabilitation, mean: 5.5 ± 3.6; post-rehabilitation, mean: 4.2 ± 2.9), but this decrease was not statistically significant. The change in GDS correlated with the change in FSS (Spearman Correlation Coefficient 0.525, p < 0.0146). Conclusions: Patients with advanced lung disease reported a measurable component of fatigue. Participating in pulmonary rehabilitation resulted in significant improvement in patient’s self-reported fatigue severity. Further studies are necessary to evaluate and design interventions to improve fatigue in in the setting of advanced lung disease.

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“…Pulmonary rehabilitation including exercise training has been shown to increase exercise capacity 134 but the effect of pulmonary rehabilitation on physical activity seems to be small 135 . A recent study showed that pulmonary rehabilitation improved different dimensions of fatigue 136 . However, the impact of fatigue on motivation and mental functions remained unchanged, thus suggesting that fatigue might still influence the motivation to engage in PA after pulmonary rehabilitation.…”

Section: Factors Associated With Low Physical Activitymentioning

confidence: 99%

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

Tödt¹

2014

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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...

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Evaluation of multidimensional COPD-related subjective fatigue following a Pulmonary Rehabilitation programme

Cited by 25 publications

References 44 publications

Factors associated with the effect of pulmonary rehabilitation on physical activity in patients with chronic obstructive pulmonary disease

Factors associated with the effect of pulmonary rehabilitation on physical activity in patients with chronic obstructive pulmonary disease

Effects of Pulmonary Rehabilitation on Fatigue Severity Scale In Patients with Lung Disease

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

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