Title: How Achievable Are Guidelines for a Healthy Lifestyle in Stages I-IV COPD Evaluated Using an Activity Monitor?
Authors: Troosters, Thierry
Battaglia, S
Langer, Daniel
Hubbard, R
Valluri, S
Weisman, I
Bellia, M
Sciurba, F #
Issue Date: 2007
Host Document: Am J Respir Crit Care Med edition:175 pages:A368
Conference: ATS 2007 location:San Francisco date:18-23 May 2007
Abstract: [Poster Board #M54] How Achievable Are Guidelines for a Healthy Lifestyle in Stages I-IV COPD Evaluated Using an Activity Monitor?, [Publication Page: A368]

T. Troosters, PhD., S. Battaglia, M.D., Ph, D. Langer, MSc., R.C. Hubbard, M.D., S.R. Valluri, PhD., I. Weisman, M.D., V. Bellia, M.D., F. Sciurba, M.D., New York, NY, Pittsburgh, PA, Leuven, Belgium, Palermo, Italy

Lack of physical activity (PA) contributes to long term morbidity and mortality in COPD. It is unclear whether patients with COPD can comply with established guidelines for a healthy life style (i.e. more than 30 minutes of moderate intens activities (>3METS), US Surgeon General report 1996 ). We recruited 59 stable COPD patients (FEV1 5526%pred) in three centers (Belgium, Italy and US). PA was assessed with a small (80g) activity monitor which estimates energy expenditure (physical activity) at different predetermined intensities and number of steps (Sensewear Armband BodyMedia Pittsburgh, US). Patients were assessed for 6 or 7 days. PA was analyzed day by day and patients were labeled as compliant with PA guidelines if they met these on at least 5 days during the assessment. The average number of steps per day (57263316) was moderately related to age (R=-0.30, p=0.03) and FEV1 (R=0.34, p=0.01). Table 1 summarizes the compliance with PA guidelines by GOLD.
The number of patients that did not reach the healthy life style guidelines on any day were : 0% of GOLD I, 4% GOLD II, 15% of GOLD III and 25% of GOLD IV patients, indicating that the vast majority of patients (90% of our sample) is able to cope with guidelines of physical activity on at least one of the days of the assessment, but lack the regularity to achieve compliance with the guidelines for healthy physical activity. Further research should focus on interventions that may increase or facilitate regular physical activities.

GOLD I (n=8) GOLD II (n=24) GOLD III (n=19) GOLD IV (n=8)
Compliant (%) 62% 54% 63% 25%
% patients with 5 out of 7 days 30 min PA > 3METS

Session Info: [**] Thematic Poster Session, [B38] EXERCISE IN COPD: FUNCTIONAL ASSESSSMENT
Session Time: 8:15 AM - 4:15 PM
Presentation Time: 8:15 AM
Poster Viewing: 10:45 AM - 12:15 PM
Room: Area M (Hall D, Lower Level), Moscone Center
Publication status: published
KU Leuven publication type: IMa
Appears in Collections:Research Group for Cardiovascular and Respiratory Rehabilitation
# (joint) last author

Files in This Item:

There are no files associated with this item.


All items in Lirias are protected by copyright, with all rights reserved.