Physical Activity Estimated by the Wearable Device in Lung Disease Patients: Exploratory Analyses of Prospective Observational Study
<b>Background.</b> Physical activity is a potential parameter to assess the severity or prognosis of lung disease. However, the differences in physical activity between healthy individuals and patients with lung disease remain unclear. <b>Methods.</b> The analyses in this rep...
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MDPI AG
2023-06-01
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author | Kentaro Ito Maki Esumi Seiya Esumi Yuta Suzuki Tadashi Sakaguchi Kentaro Fujiwara Yoichi Nishii Hiroki Yasui Osamu Taguchi Osamu Hataji |
author_facet | Kentaro Ito Maki Esumi Seiya Esumi Yuta Suzuki Tadashi Sakaguchi Kentaro Fujiwara Yoichi Nishii Hiroki Yasui Osamu Taguchi Osamu Hataji |
author_sort | Kentaro Ito |
collection | DOAJ |
description | <b>Background.</b> Physical activity is a potential parameter to assess the severity or prognosis of lung disease. However, the differences in physical activity between healthy individuals and patients with lung disease remain unclear. <b>Methods.</b> The analyses in this report are a combined analysis of four cohorts, including a healthy control cohort, in a prospective study designed to evaluate wearable device-estimated physical activity in three cohorts: the lung cancer cohort, the interstitial pneumonia cohort, and the COPD cohort (UMIN000047834). In this report, physical activity in the lung disease cohort was compared with that in the healthy cohort. Subgroup analyses were performed based on age, sex, duration of wearable device use, and lung disease subtype. <b>Results.</b> A total of 238 cases were analyzed, including 216 patients with lung disease and 22 healthy cases. Distance walked and number of steps were significantly lower in the patient group compared to the healthy control group. ROC analysis for the diagnostic value of lung disease by mean distance walked and mean number of steps showed AUC of 0.764 (95%CI, 0.673 to 0.856) and 0.822 (95%CI, 0.740 to 0.905), respectively. There was a significant difference in physical activity by age, but not by gender nor by duration based on the threshold of 7 days of wearing the device. <b>Conclusions.</b> Lung disease decreases physical activity compared to healthy subjects, and aging may bias the estimation of physical activity. The distance walked or number of steps is recommended as a measure of physical activity, with a period of approximately one week and adjusted for age for future investigation. |
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language | English |
last_indexed | 2024-03-11T01:36:58Z |
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spelling | doaj.art-45c8ebacb2b64c568914f2ff2e6360002023-11-18T16:53:44ZengMDPI AGJournal of Clinical Medicine2077-03832023-06-011213442410.3390/jcm12134424Physical Activity Estimated by the Wearable Device in Lung Disease Patients: Exploratory Analyses of Prospective Observational StudyKentaro Ito0Maki Esumi1Seiya Esumi2Yuta Suzuki3Tadashi Sakaguchi4Kentaro Fujiwara5Yoichi Nishii6Hiroki Yasui7Osamu Taguchi8Osamu Hataji9Respiratory Center, Matsusaka Municipal Hospital, Matsusaka 515-0073, JapanRespiratory Center, Matsusaka Municipal Hospital, Matsusaka 515-0073, JapanRespiratory Center, Matsusaka Municipal Hospital, Matsusaka 515-0073, JapanRespiratory Center, Matsusaka Municipal Hospital, Matsusaka 515-0073, JapanRespiratory Center, Matsusaka Municipal Hospital, Matsusaka 515-0073, JapanRespiratory Center, Matsusaka Municipal Hospital, Matsusaka 515-0073, JapanRespiratory Center, Matsusaka Municipal Hospital, Matsusaka 515-0073, JapanRespiratory Center, Matsusaka Municipal Hospital, Matsusaka 515-0073, JapanRespiratory Center, Matsusaka Municipal Hospital, Matsusaka 515-0073, JapanRespiratory Center, Matsusaka Municipal Hospital, Matsusaka 515-0073, Japan<b>Background.</b> Physical activity is a potential parameter to assess the severity or prognosis of lung disease. However, the differences in physical activity between healthy individuals and patients with lung disease remain unclear. <b>Methods.</b> The analyses in this report are a combined analysis of four cohorts, including a healthy control cohort, in a prospective study designed to evaluate wearable device-estimated physical activity in three cohorts: the lung cancer cohort, the interstitial pneumonia cohort, and the COPD cohort (UMIN000047834). In this report, physical activity in the lung disease cohort was compared with that in the healthy cohort. Subgroup analyses were performed based on age, sex, duration of wearable device use, and lung disease subtype. <b>Results.</b> A total of 238 cases were analyzed, including 216 patients with lung disease and 22 healthy cases. Distance walked and number of steps were significantly lower in the patient group compared to the healthy control group. ROC analysis for the diagnostic value of lung disease by mean distance walked and mean number of steps showed AUC of 0.764 (95%CI, 0.673 to 0.856) and 0.822 (95%CI, 0.740 to 0.905), respectively. There was a significant difference in physical activity by age, but not by gender nor by duration based on the threshold of 7 days of wearing the device. <b>Conclusions.</b> Lung disease decreases physical activity compared to healthy subjects, and aging may bias the estimation of physical activity. The distance walked or number of steps is recommended as a measure of physical activity, with a period of approximately one week and adjusted for age for future investigation.https://www.mdpi.com/2077-0383/12/13/4424physical activitylung disease/pulmonary diseasehealthy casewearable fitness tracker device |
spellingShingle | Kentaro Ito Maki Esumi Seiya Esumi Yuta Suzuki Tadashi Sakaguchi Kentaro Fujiwara Yoichi Nishii Hiroki Yasui Osamu Taguchi Osamu Hataji Physical Activity Estimated by the Wearable Device in Lung Disease Patients: Exploratory Analyses of Prospective Observational Study Journal of Clinical Medicine physical activity lung disease/pulmonary disease healthy case wearable fitness tracker device |
title | Physical Activity Estimated by the Wearable Device in Lung Disease Patients: Exploratory Analyses of Prospective Observational Study |
title_full | Physical Activity Estimated by the Wearable Device in Lung Disease Patients: Exploratory Analyses of Prospective Observational Study |
title_fullStr | Physical Activity Estimated by the Wearable Device in Lung Disease Patients: Exploratory Analyses of Prospective Observational Study |
title_full_unstemmed | Physical Activity Estimated by the Wearable Device in Lung Disease Patients: Exploratory Analyses of Prospective Observational Study |
title_short | Physical Activity Estimated by the Wearable Device in Lung Disease Patients: Exploratory Analyses of Prospective Observational Study |
title_sort | physical activity estimated by the wearable device in lung disease patients exploratory analyses of prospective observational study |
topic | physical activity lung disease/pulmonary disease healthy case wearable fitness tracker device |
url | https://www.mdpi.com/2077-0383/12/13/4424 |
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