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Published ahead of print on January 21, 2005, doi:10.1164/rccm.200407-855OC

Am. J. Respir. Crit. Care Med., Volume 171, Number 9, May 2005, 972-977

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Submitted on July 7, 2004
Accepted on January 18, 2005

Characteristics of Physical Activities in Daily Life in Chronic Obstructive Pulmonary Disease

Fabio Pitta1, Thierry Troosters2, Martijn A Spruit2, Vanessa S Probst2, Marc Decramer2, and Rik Gosselink2*

1 Department of Respiratory Rehabilitation and Respiratory Division, University Hospitals, Katholieke Universiteit Leuven, Leuven, Belgium; Department of Rehabilitation Sciences, Faculty of Kinesiology and Rehabilitation Sciences, Katholieke Universiteit Leuven, Leuven, Belgium; Department of Physiotherapy, Universidade Estadual de Londrina, Londrina, Brazil, 2 Department of Respiratory Rehabilitation and Respiratory Division, University Hospitals, Katholieke Universiteit Leuven, Leuven, Belgium; Department of Rehabilitation Sciences, Faculty of Kinesiology and Rehabilitation Sciences, Katholieke Universiteit Leuven, Leuven, Belgium

* To whom correspondence should be addressed. E-mail: Rik.Gosselink{at}uz.kuleuven.ac.be.

Quantification of physical activities in daily life in patients with chronic obstructive pulmonary disease has increasing clinical interest. However, detailed comparison with healthy subjects is not available. Furthermore, it is unknown whether time spent actively during daily life is related to lung function, muscle force or maximal and functional exercise capacity. We assessed physical activities and movement intensity with the DynaPort® activity monitor in 50 patients (age 64±7 years; forced expiratory volume in the first second 43±18 %predicted) and 25 healthy elderly (age 66±5 years). Patients showed lower walking time (44±26 versus 81±26 minutes/day), standing time (191±99 versus 295±109 minutes/day) and movement intensity during walking (1.8±0.3 versus 2.4±0.5 m/s2; p<0.0001 for all), as well as higher sitting time (374±139 versus 306±108 minutes/day; p=0.04) and lying time (87±97 versus 29±33 minutes/day; p=0.004). Walking time was highly correlated to the six-minute walking test (r =0.76; p<0.0001) and more modestly to maximal exercise capacity, lung function and muscle force (0.28<r<0.64; p≤0.05). Patients with chronic obstructive pulmonary disease are markedly inactive in daily life. Functional exercise capacity is the strongest correlate of physical activities in daily life.
Key words: COPD, DynaPort, accelerometer, controlled study, physical activity




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