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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Main Authors: Kentaro Ito, Maki Esumi, Seiya Esumi, Yuta Suzuki, Tadashi Sakaguchi, Kentaro Fujiwara, Yoichi Nishii, Hiroki Yasui, Osamu Taguchi, Osamu Hataji
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/13/4424
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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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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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