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Exercise Capacity and Activities of Daily Living are Related in Patients With Chronic Obstructive Pulmonary Disease
Affiliation:1. Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Ankara, Turkey;2. Hacettepe University, Faculty of Health Sciences, Department of Ergotherapy, Ankara, Turkey;3. Dokuz Eylul University, School of Physiotherapy and Rehabilitation, Izmir, Turkey;4. Hacettepe University, Faculty of Medicine, Department of Chest Medicine, Ankara, Turkey;1. Servicio de Neumología, Hospital Universitario Vall d’Hebron, Barcelona, España;2. CIBER Enfermedades Respiratorias (CibeRes), Madrid, España;3. Departamento de Biología Celular, Fisiología e Inmunología, Universitat Autònoma de Barcelona, Bellaterra, Barcelona, España;1. Área de Medicina Preventiva y Salud Pública, Universidad de Santiago de Compostela, Santiago de Compostela, A Coruña, España;2. Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBER-ESP), Madrid, España;1. Servicio de Neumología, Departamento de Medicina, Hospital Universitario Vall d’Hebron, Universidad Autónoma de Barcelona, Barcelona, España;2. CIBER Enfermedades Respiratorias (CIBERES), Hospital Universitario Vall d’Hebron, Universidad Autónoma de Barcelona, Barcelona, España;1. Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain;2. CIBER de Enfermedades Respiratorias (CIBERES), Barcelona, Spain;3. Servei de Pneumología, Hospital Universitari Vall d’Hebron, Departament de Medicina, Universitat Autònoma de Barcelona (UAB), Barcelona, Spain;1. SBU, Turkiye Yuksek Ihtisas Training and Research Hospital, Thoracic Surgery and Lung Transplantation Clinic, Ankara, Turkey;2. Konya Numune Hospital, Department of Thoracic Surgery, Konya, Turkey;3. Ataturk Training and Research Hospital, Department of Thoracic Surgery, Ankara, Turkey;4. SBU, Ataturk Chest Diseases and Thoracic Surgery Training and Research Hospital, Department of Pathology, Ankara, Turkey;1. Respiratory Diseases, University of Bari, Italy;2. Respiratory Diseases, University of Foggia, Italy;3. Fallacara Hospital, Triggiano, Italy
Abstract:IntroductionThe knowledge of the relationship between exercise capacity and activities of daily living (ADLs) is important to minimize the negative outcomes in ADLs resulting from reduced exercise capacity in patients with chronic obstructive pulmonary disease (COPD). There is a limited study about the association between exercise capacity and ADLs in patients with COPD. This study aimed to investigate the relationship between maximal exercise capacity and ADLs in patients with GOLD stage II–III COPD.MethodsTwenty-seven clinically stable GOLD stage II–III COPD patients were included (mean age = 58.59 ± 9.63 years and mean FEV1 = 50.6 ± 13.7%) in this cross-sectional study. Maximal and submaximal exercise capacity were evaluated using an incremental shuttle walk test (ISWT) and 6-min walk test (6MWT), respectively. Activities of daily living were assessed using Glittre-ADL test.ResultsThe ISWT distance was significantly correlated with Glittre-ADL test time (r = −0.517, p = 0.006). There was also a negative correlation between 6MWT distance and Glittre-ADL test time (r = −0.506, p = 0.007).ConclusionA moderate relationship was found between maximal exercise capacity and general activities of daily living performance. The reduction in exercise capacity increases the negative influences in ADLs and strengthens our beliefs that exercise interventions in pulmonary rehabilitation could influence activities of daily living positively.
Keywords:COPD  Exercise capacity  Activities of daily living  EPOC  Capacidad de ejercicio  Actividad de la vida diaria
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