https://doi.org/10.4081/monaldi.2021.1680
The Maugeri daily activity profile: a tool to assess physical activity in patients with chronic obstructive pulmonary disease
Submitted: November 12, 2020
Accepted: March 22, 2021
Published: April 2, 2021
Accepted: March 22, 2021
Abstract Views: 1374
PDF: 670
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Patients with chronic obstructive pulmonary disease (COPD) report reduced physical activity (PA). There are only few tools available to assess PA and sedentary behavior in these patients, and none of them aims to differentiate between sedentary and active patterns. The aim of the study was to evaluate an easy tool to profile daily activity time in a cohort of patients with COPD, compared to healthy subjects; the study was set at the Istituti Clinici Scientifici Maugeri (ICS), IRCCS of Tradate and Lumezzane, Italy, and at the Ente Ospedaliero Cantonale Novaggio, Switzerland (Italian Speaking). The populations were inpatients with COPD, healthy subjects. The items of the Maugeri Daily Activity (MaDA) profile were chosen based on literature, interviews with patients and health professionals. Time spent during sleep (ST), when awake (AT), active (ACT) or in sedentary behavior (SET) were recorded. Lung function tests, arterial blood gases, the modified Medical Research Council (mMRC), the six-minute walking distance test (6MWD), the COPD Assessment Test (CAT), and the body-mass index, airflow obstruction, dyspnea, and exercise capacity (BODE) index were also assessed in patients. Sixty patients with COPD and 60 healthy controls filled in the questionnaire. As compared to controls, patients showed longer AT and SET. Active time of patients was significantly correlated with mMRC, CAT, Bode Index and 6MWD, but not with demographics, anthropometrics or stages of disease. Using this tool, we found that patients with COPD spent longer time awake and in sedentary behavior. The MaDA may be useful to evaluate PA in patients with COPD.
Caspersen CJ, Powell KE, and Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep 1985;100:126-31.
Watz H, Pitta F, Rochester CL, et al. An official European Respiratory Society statement on physical activity in COPD. Eur Respir J 2014;44:1521-37.
DOI: https://doi.org/10.1183/09031936.00046814
Lear SA, Hu W, Rangarajan S, et al. The effect of physical activity on mortality and cardiovascular disease in 130000 people from 17 high-income, middle-income, and low-income countries: the PURE study. Lancet 2017;390:2643-54.
DOI: https://doi.org/10.1016/S0140-6736(17)31634-3
Leskinen T, Stenholm S, Aalto V, et al. Physical activity level as a predictor of healthy and chronic disease-free life expectancy between ages 50 and 75. Age Ageing 2018;47:423-9.
DOI: https://doi.org/10.1093/ageing/afy016
Waschki B, Kirsten AM, Holz O, et al. Disease progression and changes in physical activity in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2015;192:295-306.
DOI: https://doi.org/10.1164/rccm.201501-0081OC
Spruit MA, Singh SJ, Garvey C, et al. An official American Thoracic Society/European Respiratory Society statement: key concepts and advances in pulmonary rehabilitation. Am J Respir Crit Care Med 2013;188:e13–64.
Paneroni M, Vitacca M, Venturelli M, et al. The impact of exercise training on fatigue in patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis. Pulmonology 2020;26:304-13.
DOI: https://doi.org/10.1016/j.pulmoe.2020.02.004
Cindy Ng LW, Mackney J, Jenkins S, Hill K. Does exercise training change physical activity in people with COPD? A systematic review and meta-analysis. Chron Respir Dis 2012;9:17-26.
DOI: https://doi.org/10.1177/1479972311430335
Ambrosino N, Clini EM. Response to pulmonary rehabilitation: toward personalised programmes? Eur Respir J 2015;46:1538-40.
DOI: https://doi.org/10.1183/13993003.01125-2015
Dall PM, Coulter EH, Fitzsimons CF, et al. TAxonomy of Self-reported Sedentary behaviour Tools (TASST) framework for development, comparison and evaluation of self-report tools: content analysis and systematic review. BMJ Open 2017;7:e013844.
DOI: https://doi.org/10.1136/bmjopen-2016-013844
Gimeno-Santos E, Raste Y, Demeyer H, et al. The PROactive instruments to measure physical activity in patients with chronic obstructive pulmonary disease. Eur Resp J 2015;46:988-1000.
DOI: https://doi.org/10.1183/09031936.00183014
Wanner M, Hartmann C, Pestoni G, et al. Validation of the Global Physical Activity Questionnaire for self-administration in a European context. BMJ Open Sport Exerc Med 2017;3:e000206.
DOI: https://doi.org/10.1136/bmjsem-2016-000206
Stewart AL, Mills KM, King AC, et al. CHAMPS Physical Activity Questionnaire for Older Adults: Outcomes for Interventions. Med Sci Sports Exerc 2001;33:1126-41.
DOI: https://doi.org/10.1097/00005768-200107000-00010
Mokkink LB, Terwee CB, Patrick DL, et al. The COSMIN checklist for assessing the methodological quality of studies on measurement properties of health status measurement instruments: an international Delphi study. Qual Life Res 2010;19:539-49.
DOI: https://doi.org/10.1007/s11136-010-9606-8
Global Initiative for Chronic Obstructive Lung Disease (GOLD). Global Strategy for Prevention, Diagnosis and Management of COPD. 2019 Report. 2019. Accessed: April 6, 2020. Available from: http://goldcopd.org/gold-reports/
Celli BR, MacNee W, Agusti A, et al. Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position paper. Eur Respir J 2004;23:932-46.
DOI: https://doi.org/10.1183/09031936.04.00014304
Pellegrino R, Viegi G, Brusasco V, et al. Interpretative strategies for lung function tests. Eur Respir J 2005;26:948-68.
DOI: https://doi.org/10.1183/09031936.05.00035205
Fletcher CM. Standardised questionnaire on respiratory symptoms: a statement prepared and approved by the MRC Committee on the Aetiology of Chronic Bronchitis (MRC breathlessness score). Br Med J 1960;2:1665.
Holland AE, Spruit MA, Troosters T, et al. An official European Society/American Thoracic Society technical standard: field walking tests in chronic respiratory disease. Eur Respir J 2014;44:1428-46.
DOI: https://doi.org/10.1183/09031936.00150314
Enright PL, Sherrill DL. Reference equations for the six-minute walk in healthy adults. Am J Respir Crit Care Med 1998;158:1384-7.
DOI: https://doi.org/10.1164/ajrccm.158.5.9710086
Borg G. Psychophysical basis of perceived exertion. Med Sci Sports Exerc 1982;14:377-381.
DOI: https://doi.org/10.1249/00005768-198205000-00012
Jones PW, Harding G, Berry P, et al. Development and first validation of the COPD Assessment Test. Eur Respir J 2009;34:648-54.
DOI: https://doi.org/10.1183/09031936.00102509
Celli BR, Cote CG, Marin JM, et al. The body-mass index, airflow obstruction, dyspnea, and exercise capacity index in chronic obstructive pulmonary disease. N Engl J Med 2004;350:1005-12.
DOI: https://doi.org/10.1056/NEJMoa021322
Steene-Johannessen J, Anderssen SA, van der Ploeg HP, et al. Are self-report measures able to define individuals as physically active or inactive? Med Sci Sports Exerc 2016;48:235-44.
DOI: https://doi.org/10.1249/MSS.0000000000000760
Pitta F, Troosters T, Spruit MA, et al. Characteristics of physical activities in daily life in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2005;171:972-7.
DOI: https://doi.org/10.1164/rccm.200407-855OC
Frei A, Williams K, Vetsch A, et al. A comprehensive systematic review of the development process of 104 patient-reported outcomes (PROs) for physical activity in chronically ill and elderly people. Health Qual Life Outcomes 2011;9:116-28.
DOI: https://doi.org/10.1186/1477-7525-9-116
Gimeno-Santos E, Frei A, Dobbels F, et al. Validity of instruments to measure physical activity may be questionable due to a lack of conceptual frameworks: a systematic review. Health Qual Life Outcomes 2011;9:86-98.
DOI: https://doi.org/10.1186/1477-7525-9-86
Donaire-Gonzalez D, Gimeno-Santos E, Serra I, et al. Validation of the Yale Physical Activity Survey in chronic obstructive pulmonary disease patients. Arch Bronconeumol 2011;47:552-60.
DOI: https://doi.org/10.1016/j.arbres.2011.07.002
Garfield BE, Canavan JL, Smith CJ, et al. Stanford Seven-Day Physical Activity Recall questionnaire in COPD. Eur Respir J 2012;40:356-62.
DOI: https://doi.org/10.1183/09031936.00113611
DePew ZS, Garofoli AC, Novotny PJ, Benzo RP. Screening for severe physical inactivity in chronic obstructive pulmonary disease: the value of simple measures and the validation of two physical activity questionnaires. Chron Respir Dis 2013;10:19-27.
DOI: https://doi.org/10.1177/1479972312464243
van Gestel AJ, Clarenbach CF, Stowhas AC, et al. Predicting daily physical activity in patients with chronic obstructive pulmonary disease. PLoS One 2012;7:e48081.
DOI: https://doi.org/10.1371/journal.pone.0048081
Sievi NA, Brack T, Brutsche MH, et al. Accelerometer- versus questionnaire-based assessment of physical activity and their changes over time in patients with COPD. Int J Chron Obstruct Pulmon Dis 2017;12:1113-1118.
DOI: https://doi.org/10.2147/COPD.S130195
Pitta F, Troosters T, Spruit MA, et al. Activity monitoring for assessment of physical activities in daily life in patients with chronic obstructive pulmonary disease. Arch Phys Med Rehabil 2005;86:1979-85.
DOI: https://doi.org/10.1016/j.apmr.2005.04.016
Forsen L, Loland NW, Vuillemin A, et al. Self-administered physical activity questionnaires for the elderly: a systematic review of measurement properties. Sports Med 2010; 40:601-3.
DOI: https://doi.org/10.2165/11531350-000000000-00000
Mesquita R, Spina G, Pitta F, et al. Physical activity patterns and clusters in 1001 patients with COPD. Chron Respir Dis 2017;14:256-69.
DOI: https://doi.org/10.1177/1479972316687207
Maestri R, Bruschi C, Fracchia C, et al. Physiological and clinical characteristics of patients with COPD admitted to an inpatient pulmonary rehabilitation program: A real-life study. Pulmonology 2019;25:71-8.
DOI: https://doi.org/10.1016/j.pulmoe.2018.07.001
Budhiraja R, Siddiqi TA, Quan SF. Sleep disorders in chronic obstructive pulmonary disease: etiology, impact, and management. J Clin Sleep Med 2015;11:259-70.
DOI: https://doi.org/10.5664/jcsm.4540
Vitacca M, Paneroni M, Braghiroli A, et al. Exercise capacity and comorbidities in patients with obstructive sleep apnoea. J Clin Sleep Med 2020;15;16:531-8.
DOI: https://doi.org/10.5664/jcsm.8258
Demeyer H, Gimeno-Santos E, Rabinovich RA, et al. Physical Activity Characteristics across GOLD Quadrants Depend on the Questionnaire Used. PLoS One 2016;11:e0151255.
DOI: https://doi.org/10.1371/journal.pone.0151255
Hayata A, Minakata Y, Matsunaga K, et al. Differences in physical activity according to mMRC grade in patients with COPD. Int J Chron Obstruct Pulmon Dis 2016;11:2203-8.
DOI: https://doi.org/10.2147/COPD.S109694
Shrikrishna D, Patel M, Tanner RJ, et al. Quadriceps wasting and physical inactivity in patients with COPD. Eur Respir J 2012;40:1115-22.
DOI: https://doi.org/10.1183/09031936.00170111
Widyastuti K, Makhabah DN, Setijadi AR, et al. Benefits and costs of home pedometer assisted physical activity in patients with COPD. A preliminary randomized controlled trial. Pulmonology 2018;24:211-8.
DOI: https://doi.org/10.1016/j.pulmoe.2018.01.006
Paneroni M, Ambrosino N, Simonelli C, et al. Physical activity in patients with chronic obstructive pulmonary disease under long term oxygen therapy: a cross-sectional study. Int J Chron Obstruct Pulmon Dis 2019;14:2815-23.
DOI: https://doi.org/10.2147/COPD.S228465
Nguyen HQ, Moy ML, Liu IL, et al. Effect of physical activity coaching on acute care and survival among patients with chronic obstructive pulmonary disease. A pragmatic randomized clinical trial. JAMA Netw Open 2019;2:e199657.
DOI: https://doi.org/10.1001/jamanetworkopen.2019.9657
Santos DC, Santos JA, Santos M, et al. Pulmonary rehabilitation adapted index of self-efficacy (PRAISE) validated to Portuguese respiratory patients. Pulmonology 2019;25:334-9.
DOI: https://doi.org/10.1016/j.pulmoe.2019.06.003
World Health Organization. Global recommendations on physical activity for health. Accessed: April 7, 2020. Available from: http://whqlibdoc.who.int/publications/2010/9789241599979
Chastin SFM, Dontje ML, Skelton DA, et al. Systematic comparative validation of self-report measures of sedentary time against an objective measure of postural sitting (activPAL). Int J Behav Nutr Phys Act 2018:26;15:21.
DOI: https://doi.org/10.1186/s12966-018-0652-x
Park SK and Larson JL. The relationship between physical activity and metabolic syndrome in people with chronic obstructive pulmonary disease. J Cardiovasc Nurs 2014;29:499-507.
DOI: https://doi.org/10.1097/JCN.0000000000000096
Gimeno-Santos E, Frei A, Steurer-Stey C, et al. Determinants and outcomes of physical activity in patients with COPD: a systematic review. Thorax 2014;69:731-9.
DOI: https://doi.org/10.1136/thoraxjnl-2013-204763
Reid KJ, Baron KG, Lu B, et al. Aerobic exercise improves self-reported sleep and quality of life in older adults with insomnia. Sleep Med 2010;11:934-40.
DOI: https://doi.org/10.1016/j.sleep.2010.04.014
How to Cite
Zampogna, Elisabetta, Giorgio Bertolotti, Nicolino Ambrosino, Giuseppe Lo Bello, Francesca Cherubino, Alessandra Ianni, Mara Paneroni, et al. 2021. “The Maugeri Daily Activity Profile: A Tool to Assess Physical Activity in Patients With Chronic Obstructive Pulmonary Disease”. Monaldi Archives for Chest Disease 91 (4). https://doi.org/10.4081/monaldi.2021.1680.
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