Discriminant Validity of a Single Clinical Question for the Screening of Inactivity in Individuals Living with COPD
Chronic obstructive pulmonary disease; Outcome assessment; Physical activity
| Authors: | ; ; ; ; ; ; |
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| Format: | Article |
| Status: | Published version |
| Publication date: | 2022 |
| Country: | España |
| Institution: | Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| Repository: | Recercat. Dipósit de la Recerca de Catalunya |
| OAI Identifier: | oai:recercat.cat:11351/8707 |
| Online Access: | https://hdl.handle.net/11351/8707 http://hdl.handle.net/11351/8707 |
| Access Level: | Open access |
| Keyword: | Pulmons - Malalties obstructives Caminades (Exercici) DISEASES::Respiratory Tract Diseases::Lung Diseases::Lung Diseases, Obstructive::Pulmonary Disease, Chronic Obstructive PHENOMENA AND PROCESSES::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Movement::Motor Activity::Exercise PHENOMENA AND PROCESSES::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Movement::Locomotion::Walking ENFERMEDADES::enfermedades respiratorias::enfermedades pulmonares::enfermedades pulmonares obstructivas::enfermedad pulmonar obstructiva crónica FENÓMENOS Y PROCESOS::fenómenos fisiológicos nerviosos y musculoesqueléticos::fenómenos fisiológicos musculoesqueléticos::movimiento::actividad motora::ejercicio físico FENÓMENOS Y PROCESOS::fenómenos fisiológicos nerviosos y musculoesqueléticos::fenómenos fisiológicos musculoesqueléticos::movimiento::locomoción::caminata |
| _version_ | 1878735813366251520 |
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| author | Ramon Belmonte, Maria Antonia |
| author2 | Esteban, Cristobal Ortega, Francisco Cebollero, Pilar Carrascosa, Inés Martinez-González, Cristina Miravitlles Fernández, Marc |
| author2_role | author author author author author author |
| author_browse | Carrascosa, Inés Cebollero, Pilar Esteban, Cristobal Martinez-González, Cristina Miravitlles Fernández, Marc Ortega, Francisco Ramon Belmonte, Maria Antonia |
| author_facet | Ramon Belmonte, Maria Antonia Esteban, Cristobal Ortega, Francisco Cebollero, Pilar Carrascosa, Inés Martinez-González, Cristina Miravitlles Fernández, Marc |
| author_role | author |
| collection | Recercat. Dipósit de la Recerca de Catalunya |
| description | Chronic obstructive pulmonary disease; Outcome assessment; Physical activity |
| eu_rights_str_mv | openAccess |
| format | article |
| id | ES_83d5ea9c110283dd4e31a9040991cdcd |
| institution | Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| instname_str | Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| network_acronym_str | ES |
| network_name_str | España |
| oai_identifier_str | oai:recercat.cat:11351/8707 |
| publishDate | 2022 |
| publishDateSort | 2022 |
| publisher | Dove Medical Press |
| publisherStr | Dove Medical Press |
| reponame_str | Recercat. Dipósit de la Recerca de Catalunya |
| spelling | Discriminant Validity of a Single Clinical Question for the Screening of Inactivity in Individuals Living with COPD Ramon Belmonte, Maria Antonia Esteban, Cristobal Ortega, Francisco Cebollero, Pilar Carrascosa, Inés Martinez-González, Cristina Miravitlles Fernández, Marc Pulmons - Malalties obstructives Caminades (Exercici) DISEASES::Respiratory Tract Diseases::Lung Diseases::Lung Diseases, Obstructive::Pulmonary Disease, Chronic Obstructive PHENOMENA AND PROCESSES::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Movement::Motor Activity::Exercise PHENOMENA AND PROCESSES::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Movement::Locomotion::Walking ENFERMEDADES::enfermedades respiratorias::enfermedades pulmonares::enfermedades pulmonares obstructivas::enfermedad pulmonar obstructiva crónica FENÓMENOS Y PROCESOS::fenómenos fisiológicos nerviosos y musculoesqueléticos::fenómenos fisiológicos musculoesqueléticos::movimiento::actividad motora::ejercicio físico FENÓMENOS Y PROCESOS::fenómenos fisiológicos nerviosos y musculoesqueléticos::fenómenos fisiológicos musculoesqueléticos::movimiento::locomoción::caminata Chronic obstructive pulmonary disease; Outcome assessment; Physical activity Malaltia pulmonar obstructiva crònica; Avaluació de resultats; Activitat física Enfermedad pulmonar obstructiva crónica; Evaluación de resultados; Actividad física Introduction: Quantifying physical activity in chronic obstructive pulmonary disease (COPD) with questionnaires and activity monitors in clinical practice is challenging. The aim of the present study was to analyse the discriminant validity of a single clinical question for the screening of inactive individuals living with COPD. Methods: A multicentre study was carried out in stable COPD individuals both in primary and tertiary care. Patients wore the Dynaport accelerometer for 8 days and then answered 5 physical activity questions developed for the study, referring to the week in which their physical activity was monitored. Receiver operating characteristic (ROC) curve analysis with physical activity level (PAL) as the gold standard reference was used to determine the best cut-off point for each of the 5 clinical physical activity questions tested. Results: A total of 86 COPD participants were analysed (males 68.6%; mean (SD) age 66.6 (8.5) years; FEV1 50.9 (17.3)% predicted; mean of 7305 (3906) steps/day). Forty-two (48.8%) participants were considered physically inactive (PAL ≤ 1.69). Answers to 4 out of 5 questions significantly differed in active vs inactive patients. The Kappa index and ROC curves showed that the answer to the question “On average, how many minutes per day do you walk briskly?” had the best discriminative capacity for inactivity, with an area under the curve (AUC) (95% Confidence interval (CI)) of 0.73 (0.63– 0.84) and 30 min/day was identified as the best cut-off value (sensitivity (95% CI): 0.75 (0.60– 0.87); specificity: 0.76 (0.61– 0.88)). Conclusion: The present results indicate that self-reported brisk walk time lower than 30 min/day may be a valid tool for the screening of inactivity in individuals living with COPD in routine care, if more detailed physical activity measures are not feasible. This study was funded by an unrestricted grant from Laboratorios Esteve (Barcelona, Spain). Dove Medical Press https://hdl.handle.net/11351/8707 http://hdl.handle.net/11351/8707 |
| spellingShingle | Discriminant Validity of a Single Clinical Question for the Screening of Inactivity in Individuals Living with COPD Ramon Belmonte, Maria Antonia Pulmons - Malalties obstructives Caminades (Exercici) DISEASES::Respiratory Tract Diseases::Lung Diseases::Lung Diseases, Obstructive::Pulmonary Disease, Chronic Obstructive PHENOMENA AND PROCESSES::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Movement::Motor Activity::Exercise PHENOMENA AND PROCESSES::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Movement::Locomotion::Walking ENFERMEDADES::enfermedades respiratorias::enfermedades pulmonares::enfermedades pulmonares obstructivas::enfermedad pulmonar obstructiva crónica FENÓMENOS Y PROCESOS::fenómenos fisiológicos nerviosos y musculoesqueléticos::fenómenos fisiológicos musculoesqueléticos::movimiento::actividad motora::ejercicio físico FENÓMENOS Y PROCESOS::fenómenos fisiológicos nerviosos y musculoesqueléticos::fenómenos fisiológicos musculoesqueléticos::movimiento::locomoción::caminata |
| status_str | publishedVersion |
| title | Discriminant Validity of a Single Clinical Question for the Screening of Inactivity in Individuals Living with COPD |
| title_full | Discriminant Validity of a Single Clinical Question for the Screening of Inactivity in Individuals Living with COPD |
| title_fullStr | Discriminant Validity of a Single Clinical Question for the Screening of Inactivity in Individuals Living with COPD |
| title_full_unstemmed | Discriminant Validity of a Single Clinical Question for the Screening of Inactivity in Individuals Living with COPD |
| title_short | Discriminant Validity of a Single Clinical Question for the Screening of Inactivity in Individuals Living with COPD |
| title_sort | Discriminant Validity of a Single Clinical Question for the Screening of Inactivity in Individuals Living with COPD |
| topic | Pulmons - Malalties obstructives Caminades (Exercici) DISEASES::Respiratory Tract Diseases::Lung Diseases::Lung Diseases, Obstructive::Pulmonary Disease, Chronic Obstructive PHENOMENA AND PROCESSES::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Movement::Motor Activity::Exercise PHENOMENA AND PROCESSES::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Movement::Locomotion::Walking ENFERMEDADES::enfermedades respiratorias::enfermedades pulmonares::enfermedades pulmonares obstructivas::enfermedad pulmonar obstructiva crónica FENÓMENOS Y PROCESOS::fenómenos fisiológicos nerviosos y musculoesqueléticos::fenómenos fisiológicos musculoesqueléticos::movimiento::actividad motora::ejercicio físico FENÓMENOS Y PROCESOS::fenómenos fisiológicos nerviosos y musculoesqueléticos::fenómenos fisiológicos musculoesqueléticos::movimiento::locomoción::caminata |
| topic_facet | Pulmons - Malalties obstructives Caminades (Exercici) DISEASES::Respiratory Tract Diseases::Lung Diseases::Lung Diseases, Obstructive::Pulmonary Disease, Chronic Obstructive PHENOMENA AND PROCESSES::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Movement::Motor Activity::Exercise PHENOMENA AND PROCESSES::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Movement::Locomotion::Walking ENFERMEDADES::enfermedades respiratorias::enfermedades pulmonares::enfermedades pulmonares obstructivas::enfermedad pulmonar obstructiva crónica FENÓMENOS Y PROCESOS::fenómenos fisiológicos nerviosos y musculoesqueléticos::fenómenos fisiológicos musculoesqueléticos::movimiento::actividad motora::ejercicio físico FENÓMENOS Y PROCESOS::fenómenos fisiológicos nerviosos y musculoesqueléticos::fenómenos fisiológicos musculoesqueléticos::movimiento::locomoción::caminata |
| url | https://hdl.handle.net/11351/8707 http://hdl.handle.net/11351/8707 |