Novel Input for Designing Patient-Tailored Pulmonary Rehabilitation: Telemonitoring Physical Activity as a Vital Sign—SMARTREAB Study
Abstract
:1. Introduction
2. Experimental Section
3. Results
3.1. Patients’ Characteristics
3.2. Physical Activity Subjective Assessment
3.3. Physical Activity Objective Assessment
3.4. Combined Analysis of Subjective and Objective Physical Activity Assessment
3.5. Results Applied to Designing Patient-Tailored Pulmonary Rehabilitation Programs
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Total | COPD | ILD | Asthma | Bronch. | Others | |
---|---|---|---|---|---|---|
n = 100 | n = 41 | n = 22 | n = 15 | n = 10 | n = 12 | |
% | n (%) | n (%) | n (%) | n (%) | n (%) | |
Male gender | 50 | 31 (75.6) | 8 (36.4) | 4 (26.7) | 3 (30.0) | 4 (33.3) |
Age (years) | ||||||
mean | 66.1 | 68 | 63.4 | 66 | 68 | 63.2 |
±SD | ±9.8 | ±7.2 | ±9.5 | ±11.9 | ±13.2 | ±11.9 |
Social Status | ||||||
Single | 10 | 4 (9.8) | 4 (18.2) | 1 (6.7) | 0 (0.0) | 1 (8.3) |
Married | 67 | 27 (65.9) | 14 (63.6) | 10 (66.7) | 9 (90.0) | 7 (58.3) |
Divorced | 10 | 6 (14.6) | 2 (9.1) | 0 (0.0) | 0 (0.0) | 2 (16.7) |
Widow | 13 | 4 (9.8) | 2 (9.1) | 4 (26.7) | 1 (10.0) | 2 (16.7) |
Children | 80 | 31 (75.6) | 19 (86.4) | 14 (93.3) | 8 (80.0) | 8 (66.7) |
Grandchildren | 61 | 25 (61.0) | 14 (63.3) | 10 (66.7) | 6 (60.0) | 6 (50.0) |
Education level | ||||||
Absent to school | 4 | 1 (2.4) | 0 (0.0) | 0 (0.0) | 2 (20.0) | 1 (8.3) |
Primary school level | 23 | 8 (19.5) | 5 (22.7) | 6 (40.0) | 2 (20.0) | 2 (16.7) |
Secondary school level | 55 | 23 (56.1) | 12 (54.5) | 9 (60.0) | 5 (50.0) | 6 (50.0) |
High degree level | 18 | 9 (22.0) | 5 (22.7) | 0 (0.0) | 1 (10.0) | 3 (25.0) |
Employment status | ||||||
Active | 19 | 5 (12.2) | 4 (18.2) | 4 (26.7) | 3 (30.0) | 3 (25.0) |
Sick leave | 10 | 3 (7.3) | 4 (18.2) | 2 (13.3) | 0 (0.0) | 1 (8.3) |
Retired | 70 | 32 (78.0) | 14 (63.6) | 9 (60.0) | 7 (70.0) | 8 (66.7) |
Unemployed | 1 | 1 (2.4) | 0 (0.0) | 0 (0.0) | 0 (0.0) | 0 (0.0) |
Social support | ||||||
Family | 95 | 38 (92.7) | 21 (95.5) | 15 (100) | 9 (90.0) | 12 (100) |
Home-assistance | 3 | 2 (4.9) | 1 (4.5) | 0 (0.0) | 0 (0.0) | 0 (0.0) |
None | 2 | 1 (2.4) | 0 (0.0) | 0 (0.0) | 1 (10.0) | 0 (0.0) |
Living environment | ||||||
House | 18 | 7 (17.1) | 4 (18.2) | 1 (6.7) | 5 (50.0) | 1 (8.3) |
Flat | 82 | 34 (82.9) | 18 (81.8) | 14 (93.3) | 5 (50.0) | 11 (91.7) |
Home accessibility | ||||||
Stairs | 57 | 20 (48.8) | 12 (54.5) | 9 (60.0) | 10 (100) | 6 (50.0) |
Elevator | 39 | 19 (46.3) | 8 (36.4) | 6 (40.0) | 0 (0.0) | 6 (50.0) |
No physical barriers | 4 | 2 (4.9) | 2 (9.1) | 0 (0.0) | 0 (0.0) | 0 (0.0) |
Living street | ||||||
Flat area | 62 | 26 (63.4) | 14 (63.6) | 8 (53.3) | 8 (80.0) | 6 (50.0) |
With slope | 38 | 15 (36.6) | 8 (36.4) | 7 (46.7) | 2 (20.0) | 6 (50.0) |
Smoking Status | ||||||
Non smoker | 40 | 2 (4.9) | 11 (50.0) | 9 (60.0) | 10 (100) | 8 (66.7) |
Former smoker | 52 | 34 (82.9) | 10 (45.5) | 4 (26.7) | 0 (0.0) | 4 (33.3) |
Active smoker | 8 | 5 (12.2) | 1 (4.5) | 2 (13.3) | 0 (0.0) | 0 (0.0) |
Number of comorbidities | ||||||
median (IQR) | 5 (4) | 5 (3) | 5 (3) | 4 (5) | 5 (5) | 6 (7) |
LTOT | 29 | 16 (39.0) | 11 (50.0) | 0 (0.0) | 1 (10.0) | 1 (8.3) |
Nocturnal NIV | 12 | 5 (12.2) | 3 (13.6) | 3 (20.0) | 1 (10.0) | 0 (0.0) |
Total | COPD | ILD | Asthma | Bronch. | Others | |
---|---|---|---|---|---|---|
n = 100 | n = 41 | n = 22 | n = 15 | n = 10 | n = 12 | |
IPAQ category (n,%) | ||||||
Low | 20 (20.0) | 11 (26.8) | 5 (22.7) | 0 (0.0) | 3 (30.0) | 1 (8.3) |
Moderate | 49 (49.0) | 22 (53.7) | 12 (54.5) | 8 (53.3) | 2 (20.0) | 5 (41.7) |
High | 31 (31.0) | 8 (19.5) | 5 (22.7) | 7 (46.7) | 5 (50.0) | 6 (50.0) |
IPAQ score | ||||||
(MET.min/week) | ||||||
Mean | 2844 | 2318 | 2602 | 3927 | 3340 | 3320 |
±SD | ±2925 | ±2667 | ±3470 | ±2596 | ±3713 | ±2253 |
P 25% | 876 | 620 | 908 | 1872 | 420 | 1413 |
P 50% | 2043 | 1900 | 1446 | 2523 | 2000 | 3214 |
P 75% | 3684 | 2744 | 3036 | 6642 | 6480 | 4922 |
IPAQ sitting time | 5.8 ± 2.7 | 6.4 ± 2.8 | 6.1 ± 2.7 | 4.3 ± 2.3 | 5.2 ± 1.8 | 5.8 ± 3.1 |
(h/day; mean ± SD) |
Total | COPD | ILD | Asthma | Bronch. | Others | |
---|---|---|---|---|---|---|
n = 100 | n = 41 | n = 22 | n = 15 | n = 10 | n = 12 | |
PADL Maximum MET | ||||||
Mean | 2.9 | 2.85 | 2.85 | 2.89 | 2.6 | 3.48 |
±SD | ±0.68 | ±0.65 | ±0.74 | ±0.45 | ±0.61 | ±0.77 |
% telemonitoring time | ||||||
PADL < 2 METs | ||||||
Mean | 80 | 81.4 | 83.3 | 81.3 | 85.5 | 63.2 |
±SD | ±21.0 | ±20.4 | ±19.5 | ±22.1 | ±18.2 | ±21.6 |
PADL from 2 to 3 METs | ||||||
Mean | 19.6 | 18.1 | 16.5 | 18.5 | 14.5 | 35.5 |
±SD | ±20.5 | ±19.6 | ±19.5 | ±21.9 | ±18.1 | ±21.5 |
PADL > 3 METs | ||||||
Mean | 0.4 | 0.5 | 0.2 | 0.2 | 0 | 1.3 |
±SD | ±1.2 | ±1.3 | ±0.4 | ±0.3 | ±0.1 | ±2.4 |
% telemonitoring time | ||||||
SpO2 < 90% | ||||||
Mean | 13.6 | 13.9 | 20.4 | 7.3 | 4.9 | 15.2 |
±SD | ±19.1 | ±19.0 | ±20.9 | ±7.6 | ±6.0 | ±28.7 |
% Telemonitoring Time (Mean ± SD) with SMARTREAB | |||
---|---|---|---|
<2 METs | from 2 to 3 METs | ≥3 METs | |
IPAQ category | |||
Low (n = 20) | 83.2 ± 14.5 | 16.6 ± 14.4 | 0.2 ± 0.3 |
Moderate (n = 49) | 83.0 ± 19.2 | 16.6 ± 18.7 | 0.4 ± 1.0 |
High (n = 31) | 73.2 ± 25.7 | 26.1 ± 25.2 | 0.7 ± 1.8 |
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Santos, C.D.; das Neves, R.C.; Ribeiro, R.M.; Caneiras, C.; Rodrigues, F.; Spruit, M.A.; Bárbara, C. Novel Input for Designing Patient-Tailored Pulmonary Rehabilitation: Telemonitoring Physical Activity as a Vital Sign—SMARTREAB Study. J. Clin. Med. 2020, 9, 2450. https://doi.org/10.3390/jcm9082450
Santos CD, das Neves RC, Ribeiro RM, Caneiras C, Rodrigues F, Spruit MA, Bárbara C. Novel Input for Designing Patient-Tailored Pulmonary Rehabilitation: Telemonitoring Physical Activity as a Vital Sign—SMARTREAB Study. Journal of Clinical Medicine. 2020; 9(8):2450. https://doi.org/10.3390/jcm9082450
Chicago/Turabian StyleSantos, Catarina Duarte, Rui César das Neves, Ruy M. Ribeiro, Cátia Caneiras, Fátima Rodrigues, Martijn A. Spruit, and Cristina Bárbara. 2020. "Novel Input for Designing Patient-Tailored Pulmonary Rehabilitation: Telemonitoring Physical Activity as a Vital Sign—SMARTREAB Study" Journal of Clinical Medicine 9, no. 8: 2450. https://doi.org/10.3390/jcm9082450