Physical Activity and Sedentary Behaviour Patterns in 326 Persons with COPD before Starting a Pulmonary Rehabilitation: A Cluster Analysis
by
Wolfgang Geidl 1,*
, Johannes Carl 1, Samuel Cassar 1,†, Nicola Lehbert 2, Eriselda Mino 1, Michael Wittmann 2, Rupert Wagner 2, Konrad Schultz 2 and Klaus Pfeifer 1
Wolfgang Geidl 1,*, Johannes Carl 1, Samuel Cassar 1,†, Nicola Lehbert 2, Eriselda Mino 1, Michael Wittmann 2, Rupert Wagner 2, Konrad Schultz 2 and Klaus Pfeifer 1
1
Department of Sport Science and Sport, Division Exercise and Health, Friedrich-Alexander University Erlangen-Nürnberg (FAU), 91058 Erlangen, Germany
2
Clinic Bad Reichenhall, Centre for Rehabilitation, Pulmonology and Orthopedics, 83435 Bad Reichenhall, Germany
*
Author to whom correspondence should be addressed.
†
Cassar moved to the Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, 3125 Melbourne, Australia in September 2018.
J. Clin. Med. 2019, 8(9), 1346; https://doi.org/10.3390/jcm8091346
Received: 11 July 2019 / Revised: 20 August 2019 / Accepted: 27 August 2019 / Published: 29 August 2019
(This article belongs to the Special Issue Pulmonary Rehabilitation, Exercise Training and Physical Activity Coaching for Chronic Lung Disorders)
This study applies a cluster analysis to identify typical physical activity (PA) and sedentary behaviour (SB) patterns in people with chronic obstructive pulmonary disease (COPD) before starting pulmonary rehabilitation (PR). We implemented an observational design which assessed baseline data of objectively measured PA and SB from the STAR (Stay Active after Rehabilitation) study. A total of 355 persons wore an accelerometer (Actigraph wGT3X) for seven days before the start of their PR. Sociodemographic and disease-related parameters were assessed at the start of PR. We applied cluster analysis and compared clusters applying univariate variance analyses. Data was available for 326 persons (31.6% women; age ø = 58 years). Cluster analysis revealed four movement clusters with distinct PA and SB patterns: Sedentary non-movers (28.5%), sedentary occasional movers (41.7%), sedentary movers (19.6%), and sedentary exercisers (10.1%). The four clusters displayed varying levels of moderate PA before rehabilitation (Ø daily min: 9; 28; 38; 70). Notably, all four clusters displayed considerably long average sedentary time per day (Ø daily minutes: 644; 561; 490; 446). The clusters differed significantly in disease-related parameters of GOLD severity, FEV1, CAT, and 6-Min-Walk-Test. In addition to PA promotion, PR programs should consider the reduction of sedentary behaviour as a valuable goal.
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Keywords:
chronic obstructive pulmonary disease; exercise; motor activity; lung diseases; classificatory approach
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MDPI and ACS Style
Geidl, W.; Carl, J.; Cassar, S.; Lehbert, N.; Mino, E.; Wittmann, M.; Wagner, R.; Schultz, K.; Pfeifer, K. Physical Activity and Sedentary Behaviour Patterns in 326 Persons with COPD before Starting a Pulmonary Rehabilitation: A Cluster Analysis. J. Clin. Med. 2019, 8, 1346.
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