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BMC Pulmonary Medicine
Published in: BMC Pulmonary Medicine 1/2018

Open Access 01-12-2018 | Research article

Physical activity and sedentary time are related to clinically relevant health outcomes among adults with obstructive lung disease

Authors: Shilpa Dogra, Joshua Good, Matthew P. Buman, Paul A. Gardiner, Jennifer L. Copeland, Michael K. Stickland

Published in: BMC Pulmonary Medicine | Issue 1/2018

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Abstract

Background

The purpose of the current study was to determine the association between sedentary time and physical activity with clinically relevant health outcomes among adults with impaired spirometry and those with or without self-reported obstructive lung disease (asthma or COPD).

Methods

Data from participants of the Canadian Longitudinal Study on Aging were used for analysis (n = 4156). Lung function was assessed using spirometry. Adults were said to have impaired spirometry if their Forced Expiratory Volume in 1 s was <5th percentile lower limit of normal (LLN). A modified version of the Physical Activity Scale for the Elderly was used to assess sitting time and physical activity levels. Healthcare use and quality of life outcomes were assessed using self report.

Results

Among those with asthma, participating in strengthening activities was associated with lower odds of reporting poor perceived health (OR = 0.65, CI: 0.53, 0.79), poor perceived mental-health (OR = 0.73, CI: 0.60, 0.88), unhealthy aging (OR = 0.68, CI: 0.56, 0.83), and reporting an emergency department visit in the past 12 months (OR = 0.76, CI: 0.60, 0.95). Among those with COPD, those who reported highest weekly sedentary time had higher odds of reporting poor perceived health (OR = 2.70, CI: 1.72, 4.24), poor perceived mental-health (OR = 1.99, CI: 1.29, 3.06), and unhealthy aging (OR = 3.04, CI: 1.96, 4.72). Among those below the LLN, sitting time (OR = 2.57, CI: 1.40, 4.72) and moderate intensity physical activity (OR = 0.23, CI: 0.09, 0.63) were associated with overnight hospital stays.

Conclusions

Higher physical activity levels and lower sedentary time may be associated with lower healthcare use and better quality of life. This research may have implications related to the use of physical activity for improving health outcomes and quality of life among adults with obstructive lung disease or impaired spirometry.
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Literature
1.
To T, Stanojevic S, Moores G, Gershon AS, Bateman ED, Cruz AA, et al. Global asthma prevalence in adults: findings from the cross-sectional world health survey. BMC Public Health. 2012;12(1):204.CrossRefPubMedPubMedCentral
2.
Terzikhan N, Verhamme KM, Hofman A, Stricker BH, Brusselle GG, Lahousse L. Prevalence and incidence of COPD in smokers and non-smokers: the Rotterdam study. Eur J Epidemiol. 2016;31(8):785–92.CrossRefPubMedPubMedCentral
3.
Buist AS, McBurnie MA, Vollmer WM, Gillespie S, Burney P, Mannino DM, et al. International variation in the prevalence of COPD (the BOLD study): a population-based prevalence study. Lancet. 2007;370(9589):741–50.CrossRefPubMed
4.
Crighton EJ, Ragetlie R, Luo J, To T, Gershon A. A spatial analysis of COPD prevalence, incidence, mortality and health service use in Ontario. Health Rep. 2015;26(3):10.PubMed
5.
6.
Dogra S, Baker J, Ardern CI. The role of physical activity and body mass index in the health care use of adults with asthma. Ann Allergy Asthma Immunol. 2009;102(6):462–8.CrossRefPubMed
7.
Garcia-Aymerich J, Lange P, Benet M, Schnohr P, Antó JM. Regular physical activity reduces hospital admission and mortality in chronic obstructive pulmonary disease: a population based cohort study. Thorax. 2006;61(9):772–8.CrossRefPubMedPubMedCentral
8.
Seidel D, Cheung A, Suh E, Raste Y, Atakhorrami M, Spruit M. Physical inactivity and risk of hospitalisation for chronic obstructive pulmonary disease. Int J Tuberc Lung Dis. 2012;16(8):1015–9.CrossRefPubMed
9.
Hartman JE, Boezen HM, De Greef MH, Bossenbroek L, ten Hacken NH. Consequences of physical inactivity in chronic obstructive pulmonary disease. Expert Rev Respir Med. 2010;4(6):735–45.CrossRefPubMed
10.
Gimeno-Santos E, Frei A, Steurer-Stey C, De Batlle J, Rabinovich RA, Raste Y, et al. Determinants and outcomes of physical activity in patients with COPD: a systematic review. Thorax. 2014;69(8):731–9.CrossRefPubMedPubMedCentral
11.
12.
Miller MR, Quanjer PH, Swanney MP, Ruppel G, Enright PL. Interpreting lung function data using 80% predicted and fixed thresholds misclassifies more than 20% of patients. Chest J. 2011;139(1):52–9.CrossRef
13.
Zaigham S, Wollmer P, Engström G. Lung function, forced expiratory volume in 1 s decline and COPD hospitalisations over 44 years of follow-up. Eur Respir J. 2016;47(3):742–50.
14.
Tremblay MS, Aubert S, Barnes JD, Saunders TJ, Carson V, Latimer-Cheung AE, et al. Sedentary behavior research network (SBRN)–terminology consensus project process and outcome. Int J Behav Nutr Phys Act. 2017;14(1):75.CrossRefPubMedPubMedCentral
15.
de Rezende LF, Rey-Lopez JP, Matsudo VK, do Carmo Luiz O. Sedentary behavior and health outcomes among older adults: a systematic review. BMC Public Health. 2014;14:333.CrossRefPubMed
16.
Copeland JL, Ashe MC, Biddle SJ, Brown WJ, Buman MP, Chastin S, et al. Sedentary time in older adults: a critical review of measurement, associations with health, and interventions. Br J Sports Med. 2017;51(21):1539.
17.
Fragoso CA, Beavers DP, Hankinson JL, Flynn G, Berra K, Kritchevsky SB, et al. Respiratory impairment and dyspnea and their associations with physical inactivity and mobility in sedentary community-dwelling older persons. J Am Geriatr Soc. 2014;62(4):622–8.CrossRef
18.
Furlanetto KC, Donária L, Schneider LP, Lopes JR, Ribeiro M, Fernandes KB, et al. Sedentary behavior is an independent predictor of mortality in subjects with COPD. Respir Care. 2017;62(5):579–87.CrossRefPubMed
19.
Doggett N, Dogra S. Physical inactivity and television-viewing time among aboriginal adults with asthma: a cross-sectional analysis of the aboriginal peoples survey. Health promotion and chronic disease prevention in Canada: research, policy and. Practice. 2015;35(3):54.
20.
Vlaski E, Stavric K, Seckova L, Kimovska M, Isjanovska R. Influence of physical activity and television-watching time on asthma and allergic rhinitis among young adolescents: preventive or aggravating? Allergol Immunopathol (Madr). 2008;36(5):247–53.CrossRef
21.
Vorrink SN, Kort HS, Troosters T, Lammers JW. Level of daily physical activity in individuals with COPD compared with healthy controls. Respir Res. 2011;12:33.CrossRefPubMedPubMedCentral
22.
23.
Tan WC, Bourbeau J, Hernandez P, Chapman K, Cowie R, FitzGerald M, et al. Canadian prediction equations of spirometric lung function for Caucasian adults 20 to 90 years of age: results from the Canadian obstructive lung disease (COLD) study and the lung health Canadian environment (LHCE) study. Can Respir J. 2011;18(6):321–6.CrossRefPubMedPubMedCentral
24.
Washburn RA, Smith KW, Jette AM, Janney CA. The physical activity scale for the elderly (PASE): development and evaluation. J Clin Epidemiol. 1993;46(2):153–62.CrossRefPubMed
25.
Hirshkowitz M, Whiton K, Albert SM, Alessi C, Bruni O, DonCarlos L, et al. National Sleep Foundation’s sleep time duration recommendations: methodology and results summary. Sleep Health. 2015;1(1):40–3.CrossRefPubMed
26.
27.
Raina PS, Wolfson C, Kirkland SA, Griffith LE, Oremus M, Patterson C, et al. The Canadian longitudinal study on aging (CLSA). Can J Aging/La Revue canadienne du vieillissement. 2009;28(3):221–9.CrossRef
28.
Konstantaki E, Priftis K, Antonogeorgos G, Papoutsakis C, Drakouli M, Matziou V. The association of sedentary lifestyle with childhood asthma. The role of nurse as educator. Allergol Immunopathol (Madr). 2014;42(6):609–15.CrossRef
29.
Freitas PD, Ferreira PG, Silva AG, Stelmach R, Carvalho-Pinto RM, Fernandes FL, et al. The role of exercise in a weight-loss program on clinical control in obese adults with asthma. A randomized controlled trial. Am J Respir Crit Care Med. 2017;195(1):32–42.CrossRefPubMed
30.
Esteban C, Quintana J, Aburto M, Moraza J, Egurrola M, Pérez-Izquierdo J, et al. Impact of changes in physical activity on health-related quality of life among patients with COPD. Eur Respir J. 2010;36(2):292–300.CrossRefPubMed
31.
Dürr S, Zogg S, Miedinger D, Steveling EH, Maier S, Leuppi JD. Daily physical activity, functional capacity and quality of life in patients with COPD. COPD: J Chron Obstruct Pulmon Dis. 2014;11(6):689–96.CrossRef
32.
Durheim MT, Smith PJ, Babyak MA, Mabe SK, Martinu T, Welty-Wolf KE, et al. Six-minute-walk distance and accelerometry predict outcomes in chronic obstructive pulmonary disease independent of global initiative for chronic obstructive lung disease 2011 group. Ann Am Thorac Soc. 2015;12(3):349–56.CrossRefPubMedPubMedCentral
33.
Donaire-Gonzalez D, Gimeno-Santos E, Balcells E, de Batlle J, Ramon MA, Rodriguez E, et al. Benefits of physical activity on COPD hospitalisation depend on intensity. Eur Respir J. 2015;46(5):1281–9.CrossRefPubMed
34.
Osterling K, MacFadyen K, Gilbert R, Dechman G. The effects of high intensity exercise during pulmonary rehabilitation on ventilatory parameters in people with moderate to severe stable COPD: a systematic review. Int J Chron Obstruct Pulmon Dis. 2014;9:1069.CrossRefPubMedPubMedCentral
35.
Morris NR, Walsh J, Adams L, Alision J. Exercise training in COPD: what is it about intensity? Respirology. 2016;21(7):1185–92.CrossRefPubMed
36.
Oga T, Nishimura K, Tsukino M, Sato S, Hajiro T. Analysis of the factors related to mortality in chronic obstructive pulmonary disease: role of exercise capacity and health status. Am J Respir Crit Care Med. 2003;167(4):544–9.CrossRefPubMed
37.
Zambom-Ferraresi F, Cebollero P, Gorostiaga EM, Hernández M, Hueto J, Cascante J, et al. Effects of combined resistance and endurance training versus resistance training alone on strength, exercise capacity, and quality of life in patients with COPD. J Cardiopulm Rehabil Prev. 2015;35(6):446–53.CrossRefPubMed
38.
Maltais F, Jobin J, Sullivan MJ, Bernard S, Whittom F, Killian KJ, et al. Metabolic and hemodynamic responses of lower limb during exercise in patients with COPD. J Appl Physiol. 1998;84(5):1573–80.CrossRefPubMed
39.
Park SK, Richardson CR, Holleman RG, Larson JL. Physical activity in people with COPD, using the National Health and nutrition evaluation survey dataset (2003–2006). Heart Lung. 2013;42(4):235–40.CrossRefPubMedPubMedCentral
40.
Vaz Fragoso CA, Beavers DP, Hankinson JL, Flynn G, Berra K, Kritchevsky SB, et al. Respiratory impairment and dyspnea and their associations with physical inactivity and mobility in sedentary community-dwelling older persons. J Am Geriatr Soc. 2014;62(4):622–8.CrossRefPubMedPubMedCentral
41.
Wittchen H-U, Carter R, Pfister H, Montgomery S, Kessler R. Disabilities and quality of life in pure and comorbid generalized anxiety disorder and major depression in a national survey. Int Clin Psychopharmacol. 2000;15(6):319–28.
42.
Harlow SD, Goldberg EL, Comstock GW. A longitudinal study of risk factors for depressive symptomatology in elderly widowed and married women. Am J Epidemiol. 1991;134(5):526–38.CrossRefPubMed
43.
Kennedy GJ, Kelman HR, Thomas C. The emergence of depressive symptoms in late life: the importance of declining health and increasing disability. J Community Health. 1990;15(2):93–104.CrossRefPubMed
44.
Idler EL, Benyamini Y. Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav. 1997:21–37.
45.
Edwards MK, Loprinzi PD. Systemic inflammation as a function of the individual and combined associations of sedentary behaviour, physical activity and cardiorespiratory fitness. Clin Physiol Funct Imaging. 2018;38(1):93–9.
46.
Willoughby TN, Doan J, Currie CL, Copeland JL. Short-term changes in daily movement behaviour influence salivary C-reactive protein in healthy women. Appl Physiol Nutr Metab. 2018; In Press
Metadata
Title
Physical activity and sedentary time are related to clinically relevant health outcomes among adults with obstructive lung disease
Authors
Shilpa Dogra
Joshua Good
Matthew P. Buman
Paul A. Gardiner
Jennifer L. Copeland
Michael K. Stickland
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Pulmonary Medicine / Issue 1/2018
Electronic ISSN: 1471-2466
DOI
https://doi.org/10.1186/s12890-018-0659-8

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