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Impact of Previous Physical Activity Levels on Symptomatology, Functionality, and Strength during an Acute Exacerbation in COPD Patients

Faculty of health of Sciences, University of Granada, Granada 18016, Spain
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Healthcare 2018, 6(4), 139; https://doi.org/10.3390/healthcare6040139
Received: 1 November 2018 / Revised: 21 November 2018 / Accepted: 28 November 2018 / Published: 29 November 2018
(This article belongs to the Special Issue Chronic Obstructive Pulmonary Disease: Updates in Lung Health)
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Abstract

The main objective of this study is to determine the relationship between physical activity (PA) level prior to hospitalization and the pulmonary symptomatology, functionality, exercise capacity, and strength of acute exacerbated chronic obstructive pulmonary disease (COPD) patients. In this observational study, all data were taken during the patient’s first day in hospital. Patients were divided into two groups (a PA group, and a physical inactivity (PI) group), according to the PA level evaluated by the Baecke questionnaire. Cough status was evaluated by the Leicester Cough Questionnaire (LCQ), and dyspnea was assessed using the modified Medical Research Council dyspnea scale (mMRC). Functionality was measured by the Functional Independence Measure (FIM) and the London Chest Activity of Daily Living scale (LCADL). Exercise capacity was evaluated by the two-minute step-in-place (2MSP) test, and strength assessed by dynamometry. A total of 151 patients were included in this observational study. Patients in the PI group obtained worse results compared to the PA group, and significant differences (p < 0.05) were found in all of the variables. Those COPD patients who regularly perform PA have less dyspnea and cough, as well as better functionality, exercise capacity and strength during an exacerbation, without relationship to the severity of the pathology. View Full-Text
Keywords: COPD; chronic obstructive pulmonary disease; physical activity COPD; chronic obstructive pulmonary disease; physical activity
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López-López, L.; Torres-Sánchez, I.; Romero-Fernández, R.; Granados-Santiago, M.; Rodríguez-Torres, J.; Valenza, M.C. Impact of Previous Physical Activity Levels on Symptomatology, Functionality, and Strength during an Acute Exacerbation in COPD Patients. Healthcare 2018, 6, 139.

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