Physical activity in people with asbestos related pleural disease and dust-related interstitial lung disease

Abstract

This study aimed to measure the levels of physical activity (PA) in people with dust-related pleural and interstitial lung diseases and to compare these levels of PA to a healthy population. There is limited data on PA in this patient population and no previous studies have compared PA in people with dust-related respiratory diseases to a healthy control group. Participants with a diagnosis of a dust-related respiratory disease including asbestosis and asbestos related pleural disease (ARPD) and a healthy age-and gendermatched population wore the SenseWear 1 Pro3 armband for 9 days. Six-minute walk distance, Medical Outcomes Study 36-item short-form health survey and the Hospital Anxiety and Depression Scale were also measured. Fifty participants were recruited and 46 completed the study; 22 with ARPD, 10 with dustrelated interstitial lung disease (ILD) and 14 healthy age-matched participants. The mean (standard deviation) steps/day were 6097 (1939) steps/day for dust-related ILD, 9150 (3392) steps/day for ARPD and 10,630 (3465) steps/day for healthy participants. Compared with the healthy participants, dust-related ILD participants were significantly less active as measured by steps/day ((mean difference 4533 steps/day (95% confidence interval (CI): 1888-7178)) and energy expenditure, ((mean difference 512 calories (95% CI: 196-827)) and spent significantly less time engaging in moderate, vigorous or very vigorous activities (i.e. >3 metabolic equivalents; mean difference 1.2 hours/day (95% CI: 0.4-2.0)). There were no differences in levels of PA between healthy participants and those with ARPD. PA was reduced in people with dustrelated ILD but not those with ARPD when compared with healthy age and gender-matched individuals.

Current best practice in rehabilitation in interstitial lung disease

“…This suggests physical inactivity may play a role in muscle dysfunction, particularly in advanced disease. People with ILD and dust-related ILD are markedly inactive compared with healthy peers [Wickerson et al 2013; Dale et al 2015]; however, activity levels are improved on days when participating in PR [Wickerson et al 2013]. This highlights the multifactorial benefits that may be achieved through PR in this group.…”

Bedeutung von Depression und Angst im Krankheitsmanagement von pneumologischen Berufskrankheiten

“…[24]. In einer jüngsten Untersuchung von Dale et al [14] haben Patienten mit staubverursachten interstitiellen Lungenerkrankungen signifikant geringere Aktivitätslevel, gemessen anhand der Schritte pro Tag und des Energieverbrauchs, als Patienten mit asbestbedingten Pleuraveränderungen oder gleichaltrige gesunde Personen. Patienten mit Asbestose oder asbestbedingten Pleuraveränderungen profitieren in einer randomisierten kontrollierten Studie von einem 8-wöchigen Training hinsichtlich der körperlichen Leistungsfähigkeit und der körperlichen Aktivität sowie der Lebensqualität und der emotionalen Funktion im Anschluss des Programms sowie 26 Wochen danach [13].…”

Reliability and validity of the Chinese version of the Breathlessness Beliefs Questionnaire

“…Dyspnoea is a prominent symptom of respiratory diseases, such as chronic obstructive pulmonary disease (COPD), asthma and interstitial lung disease (ILD), 1 – 3 and it is associated with reduced physical activity. 4 , 5 Low levels of physical activity are generally observed in patients with respiratory diseases, 6 , 7 and these low levels of activity have been shown to be an independent predictor of mortality in patients with COPD. 8 In clinical practice, patients with respiratory diseases often avoid dyspnoea-eliciting activities.…”