Department of Chest Diseases, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Tuberk Toraks. 2022 Mar;70(1):54-62. doi: 10.5578/tt.20229907.
INTRODUCTION: Determination of exercise capacity is crucial for chronic obstructive pulmonary disease (COPD) management since it is an indicator of life quality and mortality. Various previously defined tests, including the cardiopulmonary exercise test (CPET), the 6-minute walking test (6MWT), and the incremental shuttle walk test, are used to determine COPD patients' exercise capacity. However, they all have some disadvantages, such as time, personnel, and equipment requirements, limiting their daily practice use. Here, it was aimed to investigate the role of 4-meter gait speed (4mGS) in evaluating exercise capacity in COPD. MATERIALS AND METHODS: We included 40-to-70-year-old COPD patients with no contraindications for exercise testing. We performed the tests at standard intervals without affecting each other's results. We also performed spirometry. We used the modified Medical Research Council Scale, COPD Assessment Test, and BODE index to determine the current status of individuals. RESULT: Twenty-three (female/male= 2/21) subjects aged 58.1 ± 7.3 were included in the study. A statistically significant correlation was observed between 4mGS and peak VO2 values. There was also a statistically significant relationship between 4mGS and 6MWT distance. 4mGS correlated with CAT and BODE scores to represent the general medical status of patients. CONCLUSIONS: Considering its easy applicability and reproducibility, 4mGS seems to be a strong candidate for daily clinical use in monitoring the exercise capacity of COPD patients. Further studies in larger patient groups are needed to support these results.
简介:对于慢性阻塞性肺疾病(COPD)的管理,运动能力的测定至关重要,因为它是生活质量和死亡率的指标。有多种先前定义的测试用于确定 COPD 患者的运动能力,包括心肺运动试验(CPET)、6 分钟步行试验(6MWT)和递增穿梭步行试验。然而,它们都有一些缺点,例如时间、人员和设备要求,限制了它们在日常实践中的使用。在这里,我们旨在研究 4 米步行速度(4mGS)在评估 COPD 患者运动能力中的作用。
材料和方法:我们纳入了年龄在 40 至 70 岁之间、无运动测试禁忌证的 COPD 患者。我们在不影响彼此结果的标准间隔内进行测试。我们还进行了肺功能检查。我们使用改良的医学研究委员会量表、COPD 评估测试和 BODE 指数来确定个体的当前状况。
结果:研究纳入了 23 名(女性/男性=2/21)年龄为 58.1 ± 7.3 岁的受试者。4mGS 与峰值 VO2 值之间存在显著的相关性。4mGS 与 6MWT 距离之间也存在显著的关系。4mGS 与 CAT 和 BODE 评分相关,代表患者的一般医疗状况。
结论:考虑到其易于应用和可重复性,4mGS 似乎是监测 COPD 患者运动能力的一种强有力的日常临床应用候选方法。需要在更大的患者群体中进行进一步的研究来支持这些结果。
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