Step Counting and Energy Expenditure Estimation in Patients With Chronic Obstructive Pulmonary Disease and Healthy Elderly: Accuracy of 2 Motion Sensors

Furlanetto, Karina Couto; Bisca, Gianna Waldrich; Oldemberg, Nicoli; Sant’Anna, Thaís; Morakami, Fernanda Kazmierski; Camillo, Carlos Augusto; Cavalheri, Vinícius; Hernandes, Nídia A.; Probst, Vanessa S.; Ramos, Ercy Mara Cípulo; Brunetto, Antonio F.; Pitta, Fábio

doi:10.1016/j.apmr.2009.10.024

Cited by 79 publications

(71 citation statements)

References 28 publications

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“…Table 2 and Figure 2 show change in time expending at least 3 METs from baseline to 8 weeks and from baseline to 6 months following the PR program. We found no significant between-group differences in time expending at least 3 METs from baseline to 8 weeks (median [Q1, Q3] change in intervention group, 11 [21,33] min; vs. control group, 11 [22,28] min; P = 0.62). Similarly, no significant between-group differences in change in time expending at least 3 METs were observed at 6 months (intervention group, 2 [212, 25] min; vs. control group, 12 [27,31] min; P = 0.16) ( Table 2 and Figure 2).…”

Section: Patient Flowmentioning

confidence: 67%

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Pedometer Step Count Targets during Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease. A Randomized Controlled Trial

Nolan

Maddocks

Canavan

et al. 2017

Am J Respir Crit Care Med

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Rationale: Increasing physical activity is a key therapeutic aim in chronic obstructive pulmonary disease (COPD). Pulmonary rehabilitation (PR) improves exercise capacity, but there is conflicting evidence regarding its ability to improve physical activity levels.Objectives: To determine whether using pedometers as an adjunct to PR can enhance time spent in at least moderate-intensity physical activity (time expending >3 metabolic equivalents [METs]) by people with COPD.Methods: In this single-blind randomized controlled trial, participants were assigned 1:1 to receive a control intervention (PR comprising 8 wk, two supervised sessions per week) or the trial intervention (PR plus pedometer-directed step targets, reviewed weekly for 8 wk). In the randomization process, we used minimization to balance groups for age, sex, FEV 1 percent predicted, and baseline exercise capacity and physical activity levels. Outcome assessors and PR therapists were blinded to group allocation. The primary analysis was based on the intention-to-treat principle. Conclusions: Pedometer-directed step-count targets during an outpatient PR program did not enhance moderate-intensity physical activity levels in people with COPD. Clinical trial registered with www.clinicaltrials.gov (NCT01719822).Keywords: physical activity; rehabilitation; chronic obstructive pulmonary disease Increasing physical activity levels is a key therapeutic aim in chronic obstructive pulmonary disease (COPD) (1) because physical inactivity is associated with increased risk of mortality and exacerbations, greater decline in lung function, and impaired quality of life (2-4). There is strong evidence for the effectiveness of pulmonary rehabilitation (PR) in improving exercise capacity in COPD (5), but the effect of PR on physical activity levels is modest (6).Pedometers may help people to become more active. Authors of a metaanalysis of 18 observational studies and 8 randomized

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Section: Patient Flowmentioning

confidence: 67%

“…The contact time with healthcare professionals was greater in the aforementioned studies, with time periods ranging from 12 to 52 weeks (25,26) in contrast to 8 weeks in our study. Furthermore, only one study in addition to ours assessed the medium-term impact of the intervention on physical activity levels (33).…”

Section: Discussionmentioning

confidence: 99%

Pedometer Step Count Targets during Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease. A Randomized Controlled Trial

Nolan

Maddocks

Canavan

et al. 2017

Am J Respir Crit Care Med

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“…A multi-sensor system, which measured galvanic skin response, heat flow and skin temperature in addition to motion, provided accurate estimates of energy expenditure was shown by [5] and [10] . Although not accurate at step counting, the multi-sensor system outperformed the step counters in estimating energy expenditure at slow walking speeds.…”

Section: Related Workmentioning

confidence: 99%

Microcontroller-Based Remote Temperature Monitoring System

Jimmoh¹,

Adedayo²,

Enemakwu³

et al. 2016

IOSR

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“…С по мощью шагомера точно подсчитывается число ша гов, однако менее точно -расстояние и еще менее точно -затраты энергии [41]. С помощью шагомера возможна недооценка числа шагов и затрат энергии при медленной ходьбе, свойственной многим боль ным ХОБЛ [42][43][44]. При этом снижается точность измерений у больных со среднетяжелой, тяжелой и крайне тяжелой степенью заболевания.…”

Section: шагомерыunclassified

Evaluation of physical activity in patients with chronic obstructive pulmonary disease: recommendations of European Respiratory Society

Редакционная¹

2015

Pulʹmonologiâ (Mosk.)

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РезюмеВ рекомендациях Европейского респираторного общества (ЕРО) приводятся консенсус экспертов ЕРО и современные представления о физической активности (ФА) больных хронической обструктивной болезнью легких (ХОБЛ). Дано определение ФА; показаны вли яние ее снижения на легочную функцию; необходимость госпитализации и летальность у больных ХОБЛ; распространенность низкой ФА и ее корреляции с физическим состоянием больных; подходы к лечению, направленному на улучшение ФА при ХОБЛ; описаны методы оценки ФА при ХОБЛ. Представлены также направления будущих научных исследований: в первую очередь, способность ФА мо дифицировать течение заболевания; методы улучшения переносимости физических нагрузок и уменьшения одышки на фоне нагрузки. SummaryThis European Respiratory Society (ERS) statement provides a comprehensive overview on physical activity in patients with chronic obstructive pul monary disease (COPD). A multidisciplinary Task Force of experts representing the ERS Scientific Group 01.02 ''Rehabilitation and Chronic Care'' determined the overall scope of this statement through consensus. Focused literature reviews were conducted in key topic areas and the final con tent of this Statement was agreed upon by all members. The current knowledge regarding physical activity in COPD is presented, including the def inition of physical activity, the consequences of physical inactivity on lung function decline and COPD incidence, physical activity assessment, prevalence of physical inactivity in COPD, clinical correlates of physical activity, effects of physical inactivity on hospitalisations and mortality, and treatment strategies to improve physical activity in patients with COPD. This Task Force identified multiple major areas of research that need to be addressed further in the coming years. These include, but are not limited to, the disease modifying potential of increased physical activity, and to further understand how improvements in exercise capacity, dyspnoea and self efficacy following interventions may translate into increased physical activity.

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Step Counting and Energy Expenditure Estimation in Patients With Chronic Obstructive Pulmonary Disease and Healthy Elderly: Accuracy of 2 Motion Sensors

Cited by 79 publications

References 28 publications

Pedometer Step Count Targets during Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease. A Randomized Controlled Trial

Pedometer Step Count Targets during Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease. A Randomized Controlled Trial

Microcontroller-Based Remote Temperature Monitoring System

Evaluation of physical activity in patients with chronic obstructive pulmonary disease: recommendations of European Respiratory Society

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