Activities Forgone because of Chronic Breathlessness: A Cross-Sectional Population Prevalence Study
Background: Chronic breathlessness is a prevalent disabling syndrome affecting many people for years. Identifying the impact of chronic breathlessness on people's activities in the general population is pivotal for designing symptom management strategies. Objective: This study aimed to evaluate...
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Format: | Article |
Language: | English |
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Mary Ann Liebert
2020-08-01
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Series: | Palliative Medicine Reports |
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Online Access: | https://www.liebertpub.com/doi/full/10.1089/PMR.2020.0083 |
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author | Slavica Kochovska Sungwon Chang Deidre D. Morgan Diana Ferreira Manraaj Sidhu Rayan Saleh Moussa Miriam J. Johnson Magnus Ekstr?m David C. Currow |
author_facet | Slavica Kochovska Sungwon Chang Deidre D. Morgan Diana Ferreira Manraaj Sidhu Rayan Saleh Moussa Miriam J. Johnson Magnus Ekstr?m David C. Currow |
author_sort | Slavica Kochovska |
collection | DOAJ |
description | Background: Chronic breathlessness is a prevalent disabling syndrome affecting many people for years. Identifying the impact of chronic breathlessness on people's activities in the general population is pivotal for designing symptom management strategies.
Objective: This study aimed to evaluate the association between chronic breathlessness and activities respondents identify can no longer be undertaken (?activities forgone?).
Design: This population-based cross-sectional online survey used a market research company's database of 30,000 registrants for each sex, generating the planned sample size?3000 adults reflecting Australia's 2016 Census by sex, age group, state of residence, and rurality.
Setting/Subjects: The population of focus (n?=?583) reported a modified Medical Research Council (mMRC) breathlessness scale ?1 and experienced this breathlessness for ?3 months.
Measurements: Activities forgone were categorized by mMRC using coding derived from the Dyspnea Management Questionnaire domains. Activities were classified as ?higher/lower intensity? using Human Energy Expenditure scale.
Results: Respondents were male 50.3%; median age 50.0 (IQR 29.0); with 66% living in metropolitan areas; reporting 1749 activities forgone. For people with mMRC 1 (n?=?533), 35% had not given up any activity, decreasing to 9% for mMRC 2 (n?=?38) and 3% for mMRC 3?4 (n?=?12). Intense sport (e.g., jogging and bike riding) was the top activity forgone: 42% (mMRC 1), 32% (mMRC 2), and 36% (mMRC 3?4). For respondents with mMRC 3?4, the next most prevalent activities forgone were ?sexual activities? (14%), ?lower intensity sports? (11%), and ?other activities? (11%).
Conclusions: People progressively reduce a wide range of activities because of their chronic breathlessness. |
first_indexed | 2024-03-08T11:28:07Z |
format | Article |
id | doaj.art-9d7a44eadd6240699549968f7cf3128e |
institution | Directory Open Access Journal |
issn | 2689-2820 |
language | English |
last_indexed | 2024-03-08T11:28:07Z |
publishDate | 2020-08-01 |
publisher | Mary Ann Liebert |
record_format | Article |
series | Palliative Medicine Reports |
spelling | doaj.art-9d7a44eadd6240699549968f7cf3128e2024-01-26T04:49:32ZengMary Ann LiebertPalliative Medicine Reports2689-28202020-08-011116617010.1089/PMR.2020.0083Activities Forgone because of Chronic Breathlessness: A Cross-Sectional Population Prevalence StudySlavica KochovskaSungwon ChangDeidre D. MorganDiana FerreiraManraaj SidhuRayan Saleh MoussaMiriam J. JohnsonMagnus Ekstr?mDavid C. CurrowBackground: Chronic breathlessness is a prevalent disabling syndrome affecting many people for years. Identifying the impact of chronic breathlessness on people's activities in the general population is pivotal for designing symptom management strategies. Objective: This study aimed to evaluate the association between chronic breathlessness and activities respondents identify can no longer be undertaken (?activities forgone?). Design: This population-based cross-sectional online survey used a market research company's database of 30,000 registrants for each sex, generating the planned sample size?3000 adults reflecting Australia's 2016 Census by sex, age group, state of residence, and rurality. Setting/Subjects: The population of focus (n?=?583) reported a modified Medical Research Council (mMRC) breathlessness scale ?1 and experienced this breathlessness for ?3 months. Measurements: Activities forgone were categorized by mMRC using coding derived from the Dyspnea Management Questionnaire domains. Activities were classified as ?higher/lower intensity? using Human Energy Expenditure scale. Results: Respondents were male 50.3%; median age 50.0 (IQR 29.0); with 66% living in metropolitan areas; reporting 1749 activities forgone. For people with mMRC 1 (n?=?533), 35% had not given up any activity, decreasing to 9% for mMRC 2 (n?=?38) and 3% for mMRC 3?4 (n?=?12). Intense sport (e.g., jogging and bike riding) was the top activity forgone: 42% (mMRC 1), 32% (mMRC 2), and 36% (mMRC 3?4). For respondents with mMRC 3?4, the next most prevalent activities forgone were ?sexual activities? (14%), ?lower intensity sports? (11%), and ?other activities? (11%). Conclusions: People progressively reduce a wide range of activities because of their chronic breathlessness.https://www.liebertpub.com/doi/full/10.1089/PMR.2020.0083breathlessnessdyspneasymptomsymptom assessment |
spellingShingle | Slavica Kochovska Sungwon Chang Deidre D. Morgan Diana Ferreira Manraaj Sidhu Rayan Saleh Moussa Miriam J. Johnson Magnus Ekstr?m David C. Currow Activities Forgone because of Chronic Breathlessness: A Cross-Sectional Population Prevalence Study Palliative Medicine Reports breathlessness dyspnea symptom symptom assessment |
title | Activities Forgone because of Chronic Breathlessness: A Cross-Sectional Population Prevalence Study |
title_full | Activities Forgone because of Chronic Breathlessness: A Cross-Sectional Population Prevalence Study |
title_fullStr | Activities Forgone because of Chronic Breathlessness: A Cross-Sectional Population Prevalence Study |
title_full_unstemmed | Activities Forgone because of Chronic Breathlessness: A Cross-Sectional Population Prevalence Study |
title_short | Activities Forgone because of Chronic Breathlessness: A Cross-Sectional Population Prevalence Study |
title_sort | activities forgone because of chronic breathlessness a cross sectional population prevalence study |
topic | breathlessness dyspnea symptom symptom assessment |
url | https://www.liebertpub.com/doi/full/10.1089/PMR.2020.0083 |
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