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Factors associated with low physical activity in patients with chronic obstructive pulmonary disease: a cross-sectional study.

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Title: Factors associated with low physical activity in patients with chronic obstructive pulmonary disease: a cross-sectional study.
Authors: Tödt, Kristina, Skargren, Elisabeth, Jakobsson, Per, Theander, Kersti, Unosson, Mitra
Source: Scandinavian Journal of Caring Sciences. Dec2015, Vol. 29 Issue 4, p697-707. 11p. 4 Charts.
Subjects: Physical activity, Anxiety, Body composition, Chi-squared test, Confidence intervals, Statistical correlation, Mental depression, Fatigue (Physiology), Grip strength, Obstructive lung diseases, Prognosis, Questionnaires, Research funding, Self-evaluation, Statistics, Mathematical variables, Sample size (Statistics), Data analysis, Multiple regression analysis, Effect sizes (Statistics), Body mass index, Accelerometry, Cross-sectional method, Vital capacity (Respiration), Descriptive statistics, Exercise tolerance, Odds ratio, Kruskal-Wallis Test, One-way analysis of variance, Psychology
Geographic Terms: Sweden
Abstract: Objectives: Low physical activity (PA) in chronic obstructive pulmonary disease (COPD) is associated with poor prognosis. In addition, physical activity seems to be low early in the disease. The aim of this study was to describe the level of PA in patients with stable COPD and to explore factors associated with low PA, with a focus on fatigue, symptom burden and body composition. Methods: In a cross-sectional study, 101 patients (52 women) with COPD were classified having low, moderate or high PA according to the International Physical Activity Questionnaire - Short. Fatigue, dyspnoea, depression and anxiety, symptom burden, body composition, physical capacity (lung function, exercise capacity, muscle strength), exacerbation rate and systemic inflammation were assessed. A multiple logistic regression was used to identify independent associations with low PA. Results: Mean age was 68 (±7) years, and mean percentage of predicted forced expiratory volume in 1 second was 50 (±16.5). Forty-two patients reported a low PA level, while 34 moderate and 25 reported high levels. Factors independently associated with low PA, presented as odds ratio (95% confidence interval), were severe fatigue 5.87 (1.23- 28.12), exercise capacity 0.99 (0.99-1.0) and the number of pack-years 1.04 (1.01-1.07). No relationship was found between depression, anxiety, body composition, exacerbation rate or systemic inflammation and PA. Conclusions: Severe fatigue, worse exercise capacity and a higher amount of smoking were independently associated with low PA. Promoting physical activity is important in all patients with COPD. Our result suggests that patients with severe fatigue might need specific strategies to prevent physical inactivity. [ABSTRACT FROM AUTHOR]
Copyright of Scandinavian Journal of Caring Sciences is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Factors associated with low physical activity in patients with chronic obstructive pulmonary disease: a cross-sectional study.
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  Data: <searchLink fieldCode="AR" term="%22Tödt%2C+Kristina%22">Tödt, Kristina</searchLink><br /><searchLink fieldCode="AR" term="%22Skargren%2C+Elisabeth%22">Skargren, Elisabeth</searchLink><br /><searchLink fieldCode="AR" term="%22Jakobsson%2C+Per%22">Jakobsson, Per</searchLink><br /><searchLink fieldCode="AR" term="%22Theander%2C+Kersti%22">Theander, Kersti</searchLink><br /><searchLink fieldCode="AR" term="%22Unosson%2C+Mitra%22">Unosson, Mitra</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Scandinavian+Journal+of+Caring+Sciences%22">Scandinavian Journal of Caring Sciences</searchLink>. Dec2015, Vol. 29 Issue 4, p697-707. 11p. 4 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Physical+activity%22">Physical activity</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Body+composition%22">Body composition</searchLink><br /><searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+correlation%22">Statistical correlation</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Fatigue+%28Physiology%29%22">Fatigue (Physiology)</searchLink><br /><searchLink fieldCode="DE" term="%22Grip+strength%22">Grip strength</searchLink><br /><searchLink fieldCode="DE" term="%22Obstructive+lung+diseases%22">Obstructive lung diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Prognosis%22">Prognosis</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Self-evaluation%22">Self-evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Mathematical+variables%22">Mathematical variables</searchLink><br /><searchLink fieldCode="DE" term="%22Sample+size+%28Statistics%29%22">Sample size (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis%22">Data analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Multiple+regression+analysis%22">Multiple regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Effect+sizes+%28Statistics%29%22">Effect sizes (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Body+mass+index%22">Body mass index</searchLink><br /><searchLink fieldCode="DE" term="%22Accelerometry%22">Accelerometry</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Vital+capacity+%28Respiration%29%22">Vital capacity (Respiration)</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Exercise+tolerance%22">Exercise tolerance</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Kruskal-Wallis+Test%22">Kruskal-Wallis Test</searchLink><br /><searchLink fieldCode="DE" term="%22One-way+analysis+of+variance%22">One-way analysis of variance</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology%22">Psychology</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Sweden%22">Sweden</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objectives: Low physical activity (PA) in chronic obstructive pulmonary disease (COPD) is associated with poor prognosis. In addition, physical activity seems to be low early in the disease. The aim of this study was to describe the level of PA in patients with stable COPD and to explore factors associated with low PA, with a focus on fatigue, symptom burden and body composition. Methods: In a cross-sectional study, 101 patients (52 women) with COPD were classified having low, moderate or high PA according to the International Physical Activity Questionnaire - Short. Fatigue, dyspnoea, depression and anxiety, symptom burden, body composition, physical capacity (lung function, exercise capacity, muscle strength), exacerbation rate and systemic inflammation were assessed. A multiple logistic regression was used to identify independent associations with low PA. Results: Mean age was 68 (±7) years, and mean percentage of predicted forced expiratory volume in 1 second was 50 (±16.5). Forty-two patients reported a low PA level, while 34 moderate and 25 reported high levels. Factors independently associated with low PA, presented as odds ratio (95% confidence interval), were severe fatigue 5.87 (1.23- 28.12), exercise capacity 0.99 (0.99-1.0) and the number of pack-years 1.04 (1.01-1.07). No relationship was found between depression, anxiety, body composition, exacerbation rate or systemic inflammation and PA. Conclusions: Severe fatigue, worse exercise capacity and a higher amount of smoking were independently associated with low PA. Promoting physical activity is important in all patients with COPD. Our result suggests that patients with severe fatigue might need specific strategies to prevent physical inactivity. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Scandinavian Journal of Caring Sciences is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=111811991
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      – Type: doi
        Value: 10.1111/scs.12200
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      – Code: eng
        Text: English
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    Subjects:
      – SubjectFull: Physical activity
        Type: general
      – SubjectFull: Anxiety
        Type: general
      – SubjectFull: Body composition
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Confidence intervals
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      – SubjectFull: Statistical correlation
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      – SubjectFull: Mental depression
        Type: general
      – SubjectFull: Fatigue (Physiology)
        Type: general
      – SubjectFull: Grip strength
        Type: general
      – SubjectFull: Obstructive lung diseases
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      – SubjectFull: Prognosis
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Research funding
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      – SubjectFull: Self-evaluation
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      – SubjectFull: Statistics
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      – SubjectFull: Mathematical variables
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      – SubjectFull: Sample size (Statistics)
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      – SubjectFull: Vital capacity (Respiration)
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      – SubjectFull: Exercise tolerance
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      – SubjectFull: One-way analysis of variance
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      – SubjectFull: Psychology
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      – SubjectFull: Sweden
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              Text: Dec2015
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