Esteban Cristóbal, Antón-Ladislao Ane, Aramburu Amaia, Chasco Leyre, Orive Miren, Sobradillo Patricia, López-Roldan Lorena, Jiménez-Puente Alberto, de Miguel Javier, García-Talavera Ignacio, Quintana José M
Respiratory Department, Hospital Galdakao, Galdakao, Bizkaia, Spain; BioCruces-Bizkaia Health Research Institute, Barakaldo, Spain; Health Services Research on Chronic Patients Network (REDISSEC), Spain; Red de Investigación en Cronicidad, Atención Primaria y Promoción de la Salud (RICAPPS), Spain.
Research Unit, Hospital Galdakao, Galdakao, Bizkaia, Spain; Health Services Research on Chronic Patients Network (REDISSEC), Spain.
Respir Med Res. 2023 Nov;84:101052. doi: 10.1016/j.resmer.2023.101052. Epub 2023 Oct 6.
To establish amongst a cohort of patients admitted with Chronic Obstructive Pulmonary Disease which factors were associated with their level of Physical Activity and Sedentary Behavior prior to the admission event.
Prospective observational cohort study. Nine Spanish hospitals participated. Patients were recruited consecutively. Variables relating to the patients' clinical baseline status were recorded, including the COPD Assessment test, the HADS anxiety-depression test, comorbidities and the Yale Physical Activity Survey. Data relating to admission and up to two months after discharge were also recorded.
1638 COPD patients were studied, with a mean age of 72.39 (SD 10.33), 76.56 % male, FEV1 49.41 % (SD19.19), Charlson index 2. The level of PA at baseline was 30.79 points (SD 22.43). Multivariable linear regression analysis identified the following as being associated with low PA: older age, obesity, higher level of hemoglobin, lower score of Barthel index, which means disability, health related quality of life (EuroQoL-5d and CAT) and dyspnea. Variables associated with sedentary behavior were: older age, presence of obstructive apnea syndrome, higher disability, presence of depressive symptoms and dyspnea.
In a cohort of hospitalized COPD patients, we have found several variables, some of them modifiable, associated with physical activity/inactivity and sedentary behavior.
在一组因慢性阻塞性肺疾病入院的患者中，确定入院前与他们的身体活动水平和久坐行为相关的因素。
前瞻性观察队列研究。九家西班牙医院参与。患者连续招募。记录与患者临床基线状态相关的变量，包括慢性阻塞性肺疾病评估测试、医院焦虑抑郁量表、合并症和耶鲁身体活动调查。还记录了入院及出院后长达两个月的数据。
研究了1638名慢性阻塞性肺疾病患者，平均年龄72.39岁（标准差10.33），男性占76.56%，第一秒用力呼气容积为49.41%（标准差19.19），查尔森指数为2。基线时的身体活动水平为30.79分（标准差22.43）。多变量线性回归分析确定以下因素与低身体活动水平相关：年龄较大、肥胖、血红蛋白水平较高、巴氏指数得分较低（意味着残疾）、健康相关生活质量（欧洲五维度健康量表和慢性阻塞性肺疾病评估测试）以及呼吸困难。与久坐行为相关的变量有：年龄较大、存在阻塞性睡眠呼吸暂停综合征、残疾程度较高、存在抑郁症状和呼吸困难。
在一组住院的慢性阻塞性肺疾病患者中，我们发现了几个与身体活动/不活动和久坐行为相关的变量，其中一些是可改变的。
