Metabolic and Ventilatory Parameters of Four Activities of Daily Living Accomplished With Arms in COPD Patients

Velloso, Marcelo; Stella, Sérgio; Cendon, Sônia; Silva, Antonio Carlos da; Jardim, José R.

doi:10.1378/chest.123.4.1047

Cited by 113 publications

(87 citation statements)

References 23 publications

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“…This indicates that limitations of physical activity are visible first in patients with GOLD stage II/BODE score 1, but the limitations do not affect the physical activity level at that stage. The present authors speculate that one possible explanation of this discrepancy might be the increased metabolic and ventilatory demands for activities of daily living in patients with COPD compared to healthy subjects [35]. Another possibility might be that patients with COPD in GOLD stage II avoid walking-related activities first, while other activities are not affected at that stage.…”

Section: Physical Activity In Patients With Copdmentioning

confidence: 65%

Physical activity in patients with COPD

Watz¹,

Waschki²,

Meyer³

et al. 2008

European Respiratory Journal

573

509

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Section: Physical Activity In Patients With Copdmentioning

confidence: 65%

Physical activity in patients with COPD

Watz¹,

Waschki²,

Meyer³

et al. 2008

European Respiratory Journal

573

509

View full text Add to dashboard Cite

“…However, patients have higher metabolic and ventilatory demand when performing activities involving unsupported arm elevation, with important dyspnea. [12][13][14] The middle deltoid is directly involved in all ADLs with upper limbs, especially those that require elevation of shoulders. Unlike the quadriceps femoris, it seems that the middle deltoid has a multi-mode fiber distribution (ie, normal, atrophic, and hypertrophic sizes 15 ), which could influence the development of muscle fatigue when performing ADLs with upper limbs.…”

Section: Introductionmentioning

confidence: 99%

Upper and Lower Limb Muscles in Patients With COPD: Similarities in Muscle Efficiency But Differences in Fatigue Resistance

et al. 2013

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BACKGROUND: Peripheral muscle dysfunction is a common finding in patients with COPD; however, the structural adaptation and functional impairment of the upper and lower limb muscles do not seem to be homogenous. We compared muscle fatigue and recovery time between 2 representative muscles: the middle deltoid and the quadriceps femoris. METHODS: Twenty-one subjects with COPD (FEV 1 46.1 ؎ 10.3% of predicted) underwent maximal voluntary isometric contraction and an endurance test (60% of maximal voluntary isometric contraction, to the limit of tolerance). The maximal voluntary isometric contraction test was repeated after 10 min, 30 min, 60 min, and 24 hours for both the quadriceps femoris and middle deltoid. Surface electromyography was recorded throughout the endurance test. RESULTS: Maximal voluntary isometric contraction significantly decreased only for the middle deltoid between 10 and 60 min after the endurance test. A significant increase of the root mean square and a greater decline in median frequency throughout the endurance test occurred for the middle deltoid, compared with the quadriceps femoris. When dyspnea and fatigue scores were corrected by endurance time, higher values were observed for the middle deltoid (0.07 and 0.08, respectively) in relation to the quadriceps femoris (0.02 and 0.03, respectively). CONCLUSIONS: Subjects with COPD had a higher fatigability of a representative upper limb muscle (middle deltoid) than a lower limb muscle (quadriceps femoris).

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“…Embora, Casaburi et al (1997) em seu trabalho tenham verificado redução significativa do grau de obstrução pulmonar em indivíduos com grave DPOC após a participação de programas de reabilitação, esse não é um resultado comumente observado após a prática de atividade física (16) . O elevado grau de obstrução pulmonar promove o surgimento da dispnéia, que é um fator importante na limitação do exercício (17) . Essa variável também é importante preditor de mortalidade na DPOC (14) .…”

Section: Resultsunclassified

Índice prognóstico de mortalidade BODE e atividade física em doentes pulmonares obstrutivos crônicos

Simon

Hass

Zimmermman

et al. 2009

Rev Bras Med Esporte

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RESuMo introdução e objetivo:A DPOC é importante causa de mortalidade no mundo. Para predizer a mortalidade em pacientes com doença pulmonar obstrutiva crônica (DPOC), o índice BODE é utilizado e sua pontuação pode ser reduzida com a prática de atividade física. Este estudo objetiva verificar a associação entre o índice BODE com atividade física em indivíduos com DPOC. Métodos: Foi calculado o índice BODE usando as variáveis: distância no teste da caminhada de seis minutos (TC6´); Medical Research Council Dyspnea Score (MRC); índice de massa corpórea (IMC) e grau de obstrução ao fluxo aéreo (VEF 1 ). Os indivíduos foram divididos em grupos classificados em ativos fisicamente (AF) e inativos fisicamente (IF). O teste do qui-quadrado foi utilizado para testar a independência das variáveis. O teste t foi utilizado para comparar as variáveis TC6' , MRC, IMC, VEF 1 entre os grupos de indivíduos AF e IF. Resultados e Conclusão: Em 38 pacientes com moderada e grave obstrução ao fluxo aéreo (36,5 ± 11,9), o valor médio do BODE foi de 4,1 ± 2,1 para o grupo de indivíduos AF; para o grupo de indivíduos IF, o valor médio do BODE foi de 6 ± 2,2. Houve diferença significativa na comparação das variáveis TC6' , MRC, BODE entre os grupos. Existiu maior ocorrência de indivíduos que praticam atividade física de se situar nos quartis um e dois e os indivíduos que não praticam atividade física se situarem nos quartis três e quatro. A existência da maior pontuação do BODE para os pacientes com DPOC considerados inativos fisicamente sustenta o conceito geral de que a inatividade aumenta o risco de morte.Palavras-chave: doença obstrutiva, exercício, espirometria. aBStRaCt introduction: COPD is an important cause of morbidity and mortality in the world. The BODE is an important predictive index of mortality and its scores can be reduced with the practice of physical activity. objective: To verify the association between BODE and physical activity in patients with chronic obstructive pulmonary disease (COPD). Methods: the BODE index was calculated using the following variables: distance in the 6-minute walk test (6MWT); Medical Research Council Dyspnea Score (MRC); body mass index (BMI) and degree of pulmonary function (FEV 1 ). The patients were divided in groups classified as physically active (PA) or physically inactive (PI). Qui-square test was used to verify the independence of the variables. T-Student test was used to compare the 6WMT, MRC, BMI, FEV 1 variables between PA and PI groups. Results and conclusion: In 38 patients with moderate and serious obstruction to the air flow (36.5 ± 11.9), BODE mean value was of 4.1 ± 2.1 for the PA group, while for the PI group BODE mean value was of ± 2.2. Significant difference in the comparison of WD6' , MRC, BODE variables between groups was observed. There was more occurrence of individuals who practice physical activity in quartiles one and two, while individuals who do not practice aerobic physical activity were in quartiles three and four. Higher scores of BODE for DPOC patients consi...

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Metabolic and Ventilatory Parameters of Four Activities of Daily Living Accomplished With Arms in COPD Patients

Cited by 113 publications

References 23 publications

Physical activity in patients with COPD

Physical activity in patients with COPD

Upper and Lower Limb Muscles in Patients With COPD: Similarities in Muscle Efficiency But Differences in Fatigue Resistance

Índice prognóstico de mortalidade BODE e atividade física em doentes pulmonares obstrutivos crônicos

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