Physical activity and its clinical correlates in chronic thromboembolic pulmonary hypertension
Abstract Limited data are available on physical activity (PhA) levels in chronic thromboembolic pulmonary hypertension (CTEPH) patients, as well as on the clinical utility of PhA measurements using questionnaires and accelerometers. We aimed to study PhA levels of CTEPH patients and their clinical c...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-04-01
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| Series: | Pulmonary Circulation |
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| Online Access: | https://doi.org/10.1002/pul2.12048 |
| _version_ | 1797748938471636992 |
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| author | Cristine Schmidt Miguel Monteiro Inês Furtado Luísa Carvalho Fabienne Gonçalves Abílio Reis Mário Santos |
| author_facet | Cristine Schmidt Miguel Monteiro Inês Furtado Luísa Carvalho Fabienne Gonçalves Abílio Reis Mário Santos |
| author_sort | Cristine Schmidt |
| collection | DOAJ |
| description | Abstract Limited data are available on physical activity (PhA) levels in chronic thromboembolic pulmonary hypertension (CTEPH) patients, as well as on the clinical utility of PhA measurements using questionnaires and accelerometers. We aimed to study PhA levels of CTEPH patients and their clinical correlates, and to compare PhA levels measured by the International Physical Activity Questionnaire (IPAQ) with measures from accelerometers. This is a cross‐sectional study (n = 50). PhA levels were measured using accelerometers and questionnaires (IPAQ). Clinical parameters evaluated were walked distance on the 6‐min‐walking test (6MWT), pulmonary vascular resistance, N‐terminal brain natriuretic peptide and quality of life (HRQoL) (Cambridge Pulmonary Hypertension Outcome Review questionnaire). Time spent in sedentary behavior was lower in self‐reported measurement (279 ± 165 min/day) compared with accelerometry (446 ± 117 min/day, p < 0.000). Accelerometer‐derived data showed that CTEPH patients spent 60% of the recorded time in sedentary behaviors and 2% in moderate‐to‐vigorous PhA (MVPA). Correlation analysis showed that MVPA was significantly correlated with 6MWT (p = 0.023) and symptom domain of HRQoL (p = 0.044). Self‐reported MVPA was significantly higher than the one registered by the accelerometer (411 ± 569 vs. 131 ± 108 min/week, p = 0.027). Bland−Altman analysis indicated poor agreement between the two methods. Our results showed that CTEPH patients spend most of their days in sedentary behaviors and only a small amount of time in MVPA. Only MVPA was associated with HRQoL and CTEPH severity. In addition, we showed a poor agreement between self‐reported and accelerometer‐derived PhA in CTEPH patients, with the former overestimating the overall PhA. |
| first_indexed | 2024-03-12T16:13:06Z |
| format | Article |
| id | doaj.art-0d51c8f41e164d889691b6d853a6bbed |
| institution | Directory Open Access Journal |
| issn | 2045-8940 |
| language | English |
| last_indexed | 2024-03-12T16:13:06Z |
| publishDate | 2022-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pulmonary Circulation |
| spelling | doaj.art-0d51c8f41e164d889691b6d853a6bbed2023-08-09T10:21:08ZengWileyPulmonary Circulation2045-89402022-04-01122n/an/a10.1002/pul2.12048Physical activity and its clinical correlates in chronic thromboembolic pulmonary hypertensionCristine Schmidt0Miguel Monteiro1Inês Furtado2Luísa Carvalho3Fabienne Gonçalves4Abílio Reis5Mário Santos6UniC, Surgery and Physiology Department University of Porto Porto PortugalCentro Hospitalar Universitário do Porto Porto PortugalPulmonary Vascular Disease Unit, Medicine Department Centro Hospitalar do Porto Porto PortugalPulmonary Vascular Disease Unit, Medicine Department Centro Hospitalar do Porto Porto PortugalPulmonary Vascular Disease Unit, Medicine Department Centro Hospitalar do Porto Porto PortugalPulmonary Vascular Disease Unit, Medicine Department Centro Hospitalar do Porto Porto PortugalCardiology Service Centro Hospitalar Universitário do Porto Porto PortugalAbstract Limited data are available on physical activity (PhA) levels in chronic thromboembolic pulmonary hypertension (CTEPH) patients, as well as on the clinical utility of PhA measurements using questionnaires and accelerometers. We aimed to study PhA levels of CTEPH patients and their clinical correlates, and to compare PhA levels measured by the International Physical Activity Questionnaire (IPAQ) with measures from accelerometers. This is a cross‐sectional study (n = 50). PhA levels were measured using accelerometers and questionnaires (IPAQ). Clinical parameters evaluated were walked distance on the 6‐min‐walking test (6MWT), pulmonary vascular resistance, N‐terminal brain natriuretic peptide and quality of life (HRQoL) (Cambridge Pulmonary Hypertension Outcome Review questionnaire). Time spent in sedentary behavior was lower in self‐reported measurement (279 ± 165 min/day) compared with accelerometry (446 ± 117 min/day, p < 0.000). Accelerometer‐derived data showed that CTEPH patients spent 60% of the recorded time in sedentary behaviors and 2% in moderate‐to‐vigorous PhA (MVPA). Correlation analysis showed that MVPA was significantly correlated with 6MWT (p = 0.023) and symptom domain of HRQoL (p = 0.044). Self‐reported MVPA was significantly higher than the one registered by the accelerometer (411 ± 569 vs. 131 ± 108 min/week, p = 0.027). Bland−Altman analysis indicated poor agreement between the two methods. Our results showed that CTEPH patients spend most of their days in sedentary behaviors and only a small amount of time in MVPA. Only MVPA was associated with HRQoL and CTEPH severity. In addition, we showed a poor agreement between self‐reported and accelerometer‐derived PhA in CTEPH patients, with the former overestimating the overall PhA.https://doi.org/10.1002/pul2.12048accelerometrychronic thromboembolic pulmonary hypertensionphysical activityquestionnaire |
| spellingShingle | Cristine Schmidt Miguel Monteiro Inês Furtado Luísa Carvalho Fabienne Gonçalves Abílio Reis Mário Santos Physical activity and its clinical correlates in chronic thromboembolic pulmonary hypertension Pulmonary Circulation accelerometry chronic thromboembolic pulmonary hypertension physical activity questionnaire |
| title | Physical activity and its clinical correlates in chronic thromboembolic pulmonary hypertension |
| title_full | Physical activity and its clinical correlates in chronic thromboembolic pulmonary hypertension |
| title_fullStr | Physical activity and its clinical correlates in chronic thromboembolic pulmonary hypertension |
| title_full_unstemmed | Physical activity and its clinical correlates in chronic thromboembolic pulmonary hypertension |
| title_short | Physical activity and its clinical correlates in chronic thromboembolic pulmonary hypertension |
| title_sort | physical activity and its clinical correlates in chronic thromboembolic pulmonary hypertension |
| topic | accelerometry chronic thromboembolic pulmonary hypertension physical activity questionnaire |
| url | https://doi.org/10.1002/pul2.12048 |
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