Physical activity pattern of patients with interstitial lung disease compared to patients with COPD: A propensity-matched study

<h4>Introduction</h4> Physical activity (PA) is reduced in patients with interstitial lung disease (ILD) and chronic obstructive pulmonary disease (COPD). Evidence about the PA pattern of patients with ILD is scarce. If PA of patients with ILD would be comparable to COPD, it is tempting...

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Main Authors: Sofie Breuls, Cintia Pereira de Araujo, Astrid Blondeel, Jonas Yserbyt, Wim Janssens, Wim Wuyts, Thierry Troosters, Heleen Demeyer
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9678311/?tool=EBI
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author Sofie Breuls
Cintia Pereira de Araujo
Astrid Blondeel
Jonas Yserbyt
Wim Janssens
Wim Wuyts
Thierry Troosters
Heleen Demeyer
author_facet Sofie Breuls
Cintia Pereira de Araujo
Astrid Blondeel
Jonas Yserbyt
Wim Janssens
Wim Wuyts
Thierry Troosters
Heleen Demeyer
author_sort Sofie Breuls
collection DOAJ
description <h4>Introduction</h4> Physical activity (PA) is reduced in patients with interstitial lung disease (ILD) and chronic obstructive pulmonary disease (COPD). Evidence about the PA pattern of patients with ILD is scarce. If PA of patients with ILD would be comparable to COPD, it is tempting to speculate that existing interventions focusing on enhancing PA could be as effective in ILD as already shown in COPD. Therefore, we aimed to compare PA and the correlates with PA in matched patients with ILD, COPD, and healthy subjects. <h4>Materials and methods</h4> Patients with ILD (n = 45), COPD (n = 45) and healthy subjects (n = 30) were propensity matched. PA level, pattern, and PA correlations with lung function and physical performance (6-minute walking distance and quadriceps force) were compared between groups. <h4>Results</h4> Daily number of steps was similar in both patient groups (mean±SE: 5631±459 for ILD, 5544±547 for COPD, p = 0.900), but significantly lower compared to healthy subjects (10031±536, p<0.001 for both). Mean intensity of PA tended to be lower in the ILD group (mean±SE metabolic equivalents of task per day: 1.41±0.04) compared to COPD (1.52±0.05, p = 0.074) and healthy individuals (1.67±0.04, p<0.001). The pattern of PA over one day was found to be similar between the three groups. Lastly, the correlation between PA and 6-minute walking distance was significantly weaker in patients with ILD compared to patients with COPD (respectively r = 0.348 and r = 0.739; p<0.05 for both). <h4>Conclusions</h4> For a given functional reserve, patients with ILD perform an equal amount of steps but perform PA at lower intensity compared to patients with COPD. Both groups are less active compared to healthy control subjects. Functional exercise capacity was shown to be only moderately related to PA. This can potentially influence the effectiveness of PA interventions that can be expected.
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spelling doaj.art-d992758333f64b95bf44f49fa48489262022-12-22T02:45:01ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-011711Physical activity pattern of patients with interstitial lung disease compared to patients with COPD: A propensity-matched studySofie BreulsCintia Pereira de AraujoAstrid BlondeelJonas YserbytWim JanssensWim WuytsThierry TroostersHeleen Demeyer<h4>Introduction</h4> Physical activity (PA) is reduced in patients with interstitial lung disease (ILD) and chronic obstructive pulmonary disease (COPD). Evidence about the PA pattern of patients with ILD is scarce. If PA of patients with ILD would be comparable to COPD, it is tempting to speculate that existing interventions focusing on enhancing PA could be as effective in ILD as already shown in COPD. Therefore, we aimed to compare PA and the correlates with PA in matched patients with ILD, COPD, and healthy subjects. <h4>Materials and methods</h4> Patients with ILD (n = 45), COPD (n = 45) and healthy subjects (n = 30) were propensity matched. PA level, pattern, and PA correlations with lung function and physical performance (6-minute walking distance and quadriceps force) were compared between groups. <h4>Results</h4> Daily number of steps was similar in both patient groups (mean±SE: 5631±459 for ILD, 5544±547 for COPD, p = 0.900), but significantly lower compared to healthy subjects (10031±536, p<0.001 for both). Mean intensity of PA tended to be lower in the ILD group (mean±SE metabolic equivalents of task per day: 1.41±0.04) compared to COPD (1.52±0.05, p = 0.074) and healthy individuals (1.67±0.04, p<0.001). The pattern of PA over one day was found to be similar between the three groups. Lastly, the correlation between PA and 6-minute walking distance was significantly weaker in patients with ILD compared to patients with COPD (respectively r = 0.348 and r = 0.739; p<0.05 for both). <h4>Conclusions</h4> For a given functional reserve, patients with ILD perform an equal amount of steps but perform PA at lower intensity compared to patients with COPD. Both groups are less active compared to healthy control subjects. Functional exercise capacity was shown to be only moderately related to PA. This can potentially influence the effectiveness of PA interventions that can be expected.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9678311/?tool=EBI
spellingShingle Sofie Breuls
Cintia Pereira de Araujo
Astrid Blondeel
Jonas Yserbyt
Wim Janssens
Wim Wuyts
Thierry Troosters
Heleen Demeyer
Physical activity pattern of patients with interstitial lung disease compared to patients with COPD: A propensity-matched study
PLoS ONE
title Physical activity pattern of patients with interstitial lung disease compared to patients with COPD: A propensity-matched study
title_full Physical activity pattern of patients with interstitial lung disease compared to patients with COPD: A propensity-matched study
title_fullStr Physical activity pattern of patients with interstitial lung disease compared to patients with COPD: A propensity-matched study
title_full_unstemmed Physical activity pattern of patients with interstitial lung disease compared to patients with COPD: A propensity-matched study
title_short Physical activity pattern of patients with interstitial lung disease compared to patients with COPD: A propensity-matched study
title_sort physical activity pattern of patients with interstitial lung disease compared to patients with copd a propensity matched study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9678311/?tool=EBI
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