Summary
Purpose
Pedometry is an objective method to analyse part of physical activity. The aims of this study were to evaluate physical activity (by quantifying walking steps/day) in Romanian chronic obstructive pulmonary disease (COPD) patients and healthy subjects.
Methods
A total of 58 COPD patients (GOLD stages III and IV) and 273 healthy subjects, divided by decades of age, wore pedometers for 2 weeks.
Results
Significant decrease of physical activity level was observed in COPD patients vs. control group (3,414 ± 1,105 vs. 7,200 ± 2,452 steps/day). Walking performance of patients with COPD stage III was better than that of patients with COPD stage IV. For both groups, the lowest activity level was recorded during the weekend. Patients with COPD could not perform any aerobic movement.
Conclusions
This study revealed a difference of physical activity in both healthy individuals and COPD patients, in the latter group the decrease being worse and in accordance with the disease severity.
Zusammenfassung
Ziel der Studie
Die Pedometrie (Schrittzählung) ist eine objektive Methode, Teile der physischen Aktivität zu messen. Ziel der Studie war es, die physische Aktivität durch Quantifizierung der Schritte/Tag bei rumänischen COPD Patienten zu messen und diese mit der ebenso gemessenen physischen Aktivität von gesunden Personen zu vergleichen.
Methodik
58 Patienten mit COPD (Stadium III-IV nach GOLD) und 273 gesunde Personen, die entsprechend der Dekaden ihres Alters geteilt waren, trugen 14 Tage lang ein Pedometer.
Ergebnisse
Patienten mit COPD zeigten eine signifikant niedrigere physische Aktivität als Gesunde (3.414 ± 1.105 vs. 7.200 ± 2.452 Schritte/Tag). Die Gehleistung von Patienten mit einer COPD Stadium III war besser als die der Patienten mit einer COPD Stadium IV. Bei beiden Gruppen wurde die niedrigste Leistung während des Wochenendes beobachtet. Patienten mit COPD konnten überhaupt keine aeroben Bewegungen machen.
Schlussfolgerungen
Diese Studie zeigt einen Unterschied in der physischen Aktivität von Patienten mit COPD im Vergleich zu Gesunden. COPD Patienten haben in Abhängigkeit vom Schweregrad ihrer Erkrankung eine zunehmend eingeschränkte physische Aktivität.
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Tudorache, V., Oancea, C., Avram, C. et al. Changes in physical activity in healthy people and COPD patients. Wien Klin Wochenschr 126, 30–35 (2014). https://doi.org/10.1007/s00508-013-0452-x
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DOI: https://doi.org/10.1007/s00508-013-0452-x