Progression of physical inactivity in COPD patients: the effect of time and climate conditions – a multicenter prospective cohort study

Boutou, Afroditi K, Raste, Yogini, Demeyer, Heleen, Troosters, Thierry, Polkey, Michael I, Vogiatzis, Ioannis, Louvaris, Zafeiris, Rabinovich, Roberto A, van der Molen, Thys, Garcia-Aymerich, Judith and Hopkinson, Nicholas S (2019) Progression of physical inactivity in COPD patients: the effect of time and climate conditions – a multicenter prospective cohort study. International Journal of Chronic Obstructive Pulmonary Disease, 14. pp. 1979-1992. ISSN 1178-2005

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Official URL: https://doi.org/10.2147/copd.s208826

Abstract

Purpose: Longitudinal data on the effect of time and environmental conditions on physical activity (PA) among COPD patients are currently scarce, but this is an important factor in the design of trials to test interventions that might impact on it. Thus, we aimed to assess the effect of time and climate conditions (temperature, day length and rainfall) on progression of PA in a cohort of COPD patients.
Patients and methods: This is a prospective, multicenter, cohort study undertaken as part of the EU/IMI PROactive project, in which we assessed 236 COPD patients simultaneously wearing two activity monitors (Dynaport MiniMod and Actigraph GT3X). A multivariable generalized linear model analysis was conducted to describe the effect of the explanatory variables on PA measures, over three time points (baseline, 6 and 12 months).
Results: At 12 months (n=157; FEV1% predicted=57.7±21.9) there was a significant reduction in all PA measures (Actigraph step count (4284±3533 vs 3533±293)), Actigraph moderate- to vigorous-intensity PA ratio (8.8 (18.8) vs 6.1 (15.7)), Actigraph vector magnitude units (374,902.4 (265,269) vs 336,240 (214,432)), MiniMod walking time (59.1 (34.9) vs 56.9 (38.7) mins) and MiniMod PA intensity (0.183 (0) vs 0.181 (0)). Time had a significant, negative effect on most PA measures in multivariable analysis, after correcting for climate factors, study center, age, FEV1% predicted, 6MWD and other disease severity measures. Rainfall was the only climate factor with a negative effect on most PA parameters.
Conclusion: COPD patients demonstrate a significant decrease in PA over 1 year follow-up, which is further affected by hours of rainfall, but not by other climate considerations.

Item Type: Article
Uncontrolled Keywords: physical activity, chronic obstructive pulmonary disease, elapsed time, climate
Subjects: A300 Clinical Medicine
B900 Others in Subjects allied to Medicine
C600 Sports Science
Department: Faculties > Health and Life Sciences > Sport, Exercise and Rehabilitation
Depositing User: Elena Carlaw
Date Deposited: 03 Sep 2019 14:58
Last Modified: 11 Oct 2019 12:49
URI: http://nrl.northumbria.ac.uk/id/eprint/40500

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