Physical Activity In Daily Life In Brazilian COPD Patients During and After Exacerbation

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art_BORGES_Physical_Activity_In_Daily_Life_In_Brazilian_COPD_2012.PDF (1.43 MB)
Citações na Scopus
48
Tipo de produção
article
Data de publicação
2012
Editora
INFORMA HEALTHCARE
DOI
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Scopus
Web of Science
PubMed
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JCR
SJR
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Autor de Grupo de pesquisa
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Citação
COPD-JOURNAL OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE, v.9, n.6, p.596-602, 2012
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background: Although hospitalization is recognized as an important cause of reduction in physical activity in daily life (PADL) in COPD, there is only one study evaluating this effect, and it was performed in European COPD patients who have a lower PADL than that of South American COPD patients. Objectives: To investigate the effect of hospitalization due to acute exacerbation of PADL in Brazilian COPD patients and to evaluate the factors that determines the physical activity levels during hospitalization and after discharge. Methods: PADL was quantified using a 3-axis accelerometer on the 3rd day of hospitalization and 1 month after discharge in Brazilian COPD patients who were hospitalized due to disease exacerbation. Six-minute walking distance (6MWD), lower limb strength and pulmonary function were also evaluated. Results: A total of 20 patients completed the study. During hospitalization, patients spent most of the time (87%) lying down or sitting; however, 1 month after they were walking >40 min/day. In addition, patients with prior hospitalization had a lower level of physical activity compared to those without a previous history of hospitalization. The time spent walking during hospitalization was significantly explained by the quadriceps strength (r(2) = 0.29; p < 0.05), while 1 month after, the time spent walking was only significantly explained by the 6MWD (r(2) = 0.51; p = 0.02). Conclusions: Brazilian COPD patients are inactive during hospitalization but become active 1 month after discharge. Previously hospitalized are more inactive both during and after exacerbation. The quadriceps strength and 6MWD explain the physical activity levels during hospitalization and at home, respectively.
Palavras-chave
Accelerometer, Six-minute walking distance, Muscle force
URI
https://observatorio.fm.usp.br/handle/OPI/580
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MFT
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/20