Possíveis conseqüências de não se atingir a mínima atividade física diária recomendada em pacientes com doença pulmonar obstrutiva cronica estável

Pitta, Fábio; Troosters, Thierry; Probst, Vanessa S.; Lucas, Sarah; Decramer, Marc; Gosselink, Rik

doi:10.1590/s1806-37132006000400008

Cited by 40 publications

(16 citation statements)

References 25 publications

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“…Among the reported accelerometers, the only well-validated accelerometer for COPD patients is the DynaPort Activity Monitor (DAM; McRoberts BV, The Hague, The Netherlands) [13,14,15]. However, it is difficult to estimate the activity of COPD patients using this apparatus, because the DAM battery works for only several hours, and the sensors are relatively large and should be worn at two parts of the patient’s body (waist and left thigh).…”

Section: Introductionmentioning

confidence: 99%

Validation of a Compact Motion Sensor for the Measurement of Physical Activity in Patients with Chronic Obstructive Pulmonary Disease

et al. 2011

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Background: The DynaPort Activity Monitor (DAM) has been reported to be useful to evaluate the activity in healthy subjects and patients with chronic obstructive pulmonary disease (COPD). However, it is difficult to estimate the activity of COPD patients using DAM, because its battery works only for several hours and sensors should be worn at two parts of the body. A newly developed compact, single-position triaxial accelerometer (Actimarker) can measure the activity for >1 month, but has not been validated for COPD patients. Objectives: The validity of the Actimarker was evaluated in COPD patients. Methods: In study 1, the validity of the device was tested in 14 stable COPD patients by comparing it with DAM. In study 2, the influence of the weather on activity was examined. In study 3, the number of measurement days required to ensure repeatability was determined. Results: The durations of activity measured by the Actimarker and DAM were significantly correlated at intensity values ≧2.0, ≧2.5 and ≧3.0 METs. The duration of activity on rainy days was significantly shorter than that on non-rainy days. The values of intraclass correlation coefficients were >0.8 in 3-, 4- or 5-day measurements, and there was no systematic bias at any number of days or intensities with Bland-Altman plots. Conclusions: The validity of the Actimarker was confirmed, and repeatability was obtained when the data from at least 3 non-rainy weekdays were analyzed. Actimarker appears to be useful as a simplified method to evaluate the physical activity of COPD patients.

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Section: Introductionmentioning

confidence: 99%

Validation of a Compact Motion Sensor for the Measurement of Physical Activity in Patients with Chronic Obstructive Pulmonary Disease

et al. 2011

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“…Only a few studies have investigated physical activity recommendations in COPD, and these studies differ importantly in the reported proportion of patients meeting the used recommendations (16-84% patients met the recommendation in the different studies) [12,13,35,36]. Indeed, this broad range can easily be explained by differences in the study populations but certainly also by different methods used to assess if patients meet a recommendation.…”

Section: Discussionmentioning

confidence: 99%

“…Indeed, this broad range can easily be explained by differences in the study populations but certainly also by different methods used to assess if patients meet a recommendation. For example, two studies set 30 min of walking time as a threshold to meet the recommendation [13,36], one study used a questionnaire on leisure time physical activity [35], and one study used EE estimated with an accelerometer [12]. The latter study of Donaire-Gonzalez et al [12] is the most alike to our study.…”

Section: Discussionmentioning

confidence: 99%

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Physical Activity Recommendations in Patients with Chronic Obstructive Pulmonary Disease

Hartman

Boezen

Zuidema³

et al. 2014

Respiration

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Background: Physical activity recommendations are hardly studied in patients with chronic obstructive pulmonary disease (COPD), and specifically recommendations that are individualized to a patient's aerobic fitness level are not studied. Objectives: To compare individualized (relative) and nonindividualized (absolute) physical activity recommendations in patients with COPD and to assess whether there are differences between patients with mild to moderate and (very) severe COPD. Methods: We compared 7 different physical activity recommendations that were described in the literature. Four recommendations were individualized based on the patient's aerobic fitness level measured by a maximal cycle ergometer test. Three recommendations were nonindividualized. The recommendations were measured with an accelerometer, pedometer or questionnaire in 115 patients with mild to very severe COPD (68% male, mean age 65 years, mean FEV₁ 58% predicted). Results: The percentage of patients that met the different recommendations ranged from 22 to 86% and only 8 patients met all 7 recommendations. The agreement between the different recommendations was poor (intraclass correlation coefficient, 0.28). Individualizing the recommendations resulted in a higher number of patients with severe or very severe COPD meeting the individualized recommendations compared to the nonindividualized recommendations. In contrast, patients with mild to moderate COPD less frequently met the individualized recommendations. Conclusions: Our study showed that applying various physical activity recommendations with small differences in frequency, intensity or time led to large differences in the classification of patients with COPD into being sufficiently physically active or not. Consequently, the used recommendation will highly affect the proposed physical activity advice to the patient.

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“…No acompanhamento de doenças crônicas como a doença pulmonar obstrutiva crônica, a co-responsabilização dos sujeitos é imprescindível 5 ; os pacientes freqüentemente não aderem às recomendações médicas de realizar atividade física 9 , seguir a terapêutica medicamentosa ou abandonar o tabagismo 10 . Entretanto, pelo olhar crítico do paciente 11 , baseado na racionalidade leiga, a "não adesão" à intervenção terapêutica pode ser interpretada como um protesto contra um tratamento que agride seu modo de pensar e agir no mundo e não um simples não-cumprimento de ordens médicas 12,13 .…”

Section: Introductionunclassified

Sopro de vida: experiência com a doença pulmonar obstrutiva crônica na pobreza urbana de Fortaleza, Ceará, Brasil

2008

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Trata-se de estudo antropológico de pessoas com a doença pulmonar obstrutiva crônica vivenciada na pobreza urbana de Fortaleza, Ceará, Brasil. De março a novembro de 2006, conduzimos com seis pacientes o estudo de casos, a entrevista etnográfica, a narrativa da enfermidade, e a observação participante no atendimento hospitalar e visitas domiciliares. Utilizamos a análise de conteúdo temática e a interpretação semântica contextualizada para interligar a experiência individual aos sistemas de significação, ações tomadas e condicionantes estruturais. Conclui-se que a doença pulmonar obstrutiva crônica provoca sensações, sinais e significados subjetivos. O diagnóstico torna a vida "um sufoco", surgindo limitações e privações de atividades laborais, sexuais, domésticas, familiares e de lazer. Evitar o contato direto com "o catarro" do doente, deixar de fumar ou diminuir a freqüência e evitar fumaça, tratar os sintomas com remédios caseiros e terapias corporais populares, manter a calma durante as crises, rejeitar restrições categóricas e impostas e entregar-se às forças espirituais são estratégias leigas para enfrentar o cansaço, a crise e a baixa auto-estima. A subjetividade da enfermidade, portanto, jamais pode ser excluída na medição da "carga global da doença" no nordeste brasileiro.

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Possíveis conseqüências de não se atingir a mínima atividade física diária recomendada em pacientes com doença pulmonar obstrutiva cronica estável

Cited by 40 publications

References 25 publications

Validation of a Compact Motion Sensor for the Measurement of Physical Activity in Patients with Chronic Obstructive Pulmonary Disease

Validation of a Compact Motion Sensor for the Measurement of Physical Activity in Patients with Chronic Obstructive Pulmonary Disease

Physical Activity Recommendations in Patients with Chronic Obstructive Pulmonary Disease

Sopro de vida: experiência com a doença pulmonar obstrutiva crônica na pobreza urbana de Fortaleza, Ceará, Brasil

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