Physical activity and fatigue in chronic obstructive pulmonary disease - A population based study

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Andersson, MikaelUppsala universitet,Fysioterapi,Lungmedicin och allergologi,Department of Neuroscience, Physiotherapy, Uppsala University (författare)

Physical activity and fatigue in chronic obstructive pulmonary disease - A population based study

Artikel/kapitelEngelska2015

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Elsevier BV,2015
printrdacarrier

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LIBRIS-ID:oai:DiVA.org:uu-261986
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-261986URI
https://doi.org/10.1016/j.rmed.2015.05.007DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-105964URI
https://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-3905URI

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Språk:engelska
Sammanfattning på:engelska

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Validerad; 2015; Nivå 2; 20150525 (andbra)
Background: In subjects with chronic obstructive pulmonary disease (COPD), symptoms of fatigue, concomitant heart disease and low physical activity levels are more frequently described than in subjects without COPD. However, there are no population-based studies addressing the relationship between physical activity, fatigue and heart disease in COPD. The aim was to compare physical activity levels among subjects with and without COPD in a population based study, and to evaluate if concomitant heart disease and fatigue was associated to physical activity. Methods: In this, 470 subjects with COPD and 659 subjects without COPD (non-COPD) participated in examinations including structured interview and spirometry. A ratio of the forced expiratory volume in one second (FEV1)/best of forced vital capacity (FVC) and vital capacity (VC) <0.7 was used to define COPD. Physical activity was assessed with the International Physical Activity Questionnaire (IPAQ), and fatigue with the Functional Assessment of Chronic Illness Therapy - Fatigue scale (FACIT-F). Results: The prevalence of low physical activity was higher among subjects with FEV1 <80% predicted compared to non-COPD subjects (22.4% vs. 14.6%, p = 0.041). The factors most strongly associated with low physical activity in subjects with COPD were older age, OR 1.52, (95% CI 1.12-2.06), a history of heart disease, OR 2.11 (1.10-4.08), and clinically significant fatigue, OR 2.33 (1.31-4.13); while obesity was the only significant factor among non-COPD subjects, OR 2.26 (1.17-4.35). Conclusion: Physical activity levels are reduced when lung function is decreased below 80% of predicted, and the factors associated with low physical activity are different among subject with and without COPD. We propose that the presence of fatigue and heart disease are useful to evaluate when identifying subjects for pulmonary rehabilitation.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Lungmedicin och allergi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Respiratory Medicine and Allergy hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kardiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Cardiac and Cardiovascular Systems hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Annan hälsovetenskap hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Other Health Sciences hsv//eng
COPD
Physical activity
Epidemiology
Population-based study
Health Science

Biuppslag (personer, institutioner, konferenser, titlar ...)

Stridsman, CarolineLuleå tekniska universitet,Medicinsk vetenskap(Swepub:ltu)carstr (författare)
Rönmark, EvaUmeå universitet,Yrkes- och miljömedicin,National Institute for Working Life, Norrbottens Läns Landsting, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine, The OLIN Unit, Umeå University, Karolinska Institutet, Lung and Allergy Research(Swepub:umu)evra0004 (författare)
Lindberg, AnneUmeå universitet,Medicin,Norrbottens Läns Landsting, OLIN studies, Sunderby Hospital, Sunderby sjukhus, Luleå, Department of Public Health and Clinical Medicine, Division of Medicine, Umeå University(Swepub:umu)anelig02 (författare)
Emtner, MargaretaUppsala universitet,Lungmedicin och allergologi,Fysioterapi,Department of Neuroscience, Physiotherapy, Uppsala University(Swepub:uu)margemtn (författare)
Uppsala universitetFysioterapi (creator_code:org_t)

Sammanhörande titlar

Ingår i:Respiratory Medicine: Elsevier BV109:8, s. 1048-10570954-61111532-3064

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Av författaren/redakt...: Andersson, Mikae ...; Stridsman, Carol ...; Rönmark, Eva; Lindberg, Anne; Emtner, Margaret ...

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Lungmedicin och ...

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kardiologi

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Annan hälsoveten ...

Artiklar i publikationen: Respiratory Medi ...

Av lärosätet: Uppsala universitet; Umeå universitet; Luleå tekniska universitet

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