Physical and psychosocial factors associated with physical activity in patients with chronic obstructive pulmonary disease

J.E. Hartman, H.M. Boezen, Mathieu de Greef, N.H. ten Hacken

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

OBJECTIVES: To assess physical activity and sitting time in patients with chronic obstructive pulmonary disease (COPD) and to investigate which physical and psychosocial factors are associated with physical activity and sitting time.
DESIGN: Cross-sectional study.
SETTING: Patients were recruited at outpatient clinics of general hospitals and from general practitioners.
PARTICIPANTS: Patients (N=113) with mild to very severe COPD.
INTERVENTIONS: Not applicable.
MAIN OUTCOME MEASURES: Physical activity and sitting time were measured with a triaxial accelerometer (24h/d).
RESULTS: Mean locomotion time per 24 hours was 6.8% (range, 0.7%-20.4%). Elevated physical activity was independently associated with higher self-efficacy, higher functional exercise capacity, and lower lung hyperinflation. Decreased physical activity was strongest in more severe stages of COPD, in which the patients were mainly limited by physical disease-specific factors (higher lung hyperinflation, worse dyspnea severity, worse leg muscle function, and oxygen use). In less severe patients, physical activity was independently associated with more generic factors (higher self-efficacy and the spring/summer season). Sitting time did not differ between severity stages, and longer sitting time in the total group was independently associated with more positive perception of treatment control, less autonomous motivation to exercise, not using sleep medication, and oxygen use.
CONCLUSIONS: Both physical and psychosocial factors were associated with physical activity in patients with COPD. The factors associated with physical activity differed between disease severity stages, raising the question of whether physical activity enhancement programs should differ as well. Sitting time should be investigated further
Original languageEnglish
Pages (from-to)2396-2402
JournalArchives of physical medicine and rehabilitation
Volume94
Issue number12
Publication statusPublished - 2013
Externally publishedYes

Keywords

  • copd

Cite this

@article{1b24a3205a3b4f8c888856fd5b350b6c,
title = "Physical and psychosocial factors associated with physical activity in patients with chronic obstructive pulmonary disease",
abstract = "OBJECTIVES: To assess physical activity and sitting time in patients with chronic obstructive pulmonary disease (COPD) and to investigate which physical and psychosocial factors are associated with physical activity and sitting time.DESIGN: Cross-sectional study.SETTING: Patients were recruited at outpatient clinics of general hospitals and from general practitioners.PARTICIPANTS: Patients (N=113) with mild to very severe COPD.INTERVENTIONS: Not applicable.MAIN OUTCOME MEASURES: Physical activity and sitting time were measured with a triaxial accelerometer (24h/d).RESULTS: Mean locomotion time per 24 hours was 6.8{\%} (range, 0.7{\%}-20.4{\%}). Elevated physical activity was independently associated with higher self-efficacy, higher functional exercise capacity, and lower lung hyperinflation. Decreased physical activity was strongest in more severe stages of COPD, in which the patients were mainly limited by physical disease-specific factors (higher lung hyperinflation, worse dyspnea severity, worse leg muscle function, and oxygen use). In less severe patients, physical activity was independently associated with more generic factors (higher self-efficacy and the spring/summer season). Sitting time did not differ between severity stages, and longer sitting time in the total group was independently associated with more positive perception of treatment control, less autonomous motivation to exercise, not using sleep medication, and oxygen use.CONCLUSIONS: Both physical and psychosocial factors were associated with physical activity in patients with COPD. The factors associated with physical activity differed between disease severity stages, raising the question of whether physical activity enhancement programs should differ as well. Sitting time should be investigated further",
keywords = "copd",
author = "J.E. Hartman and H.M. Boezen and {de Greef}, Mathieu and {ten Hacken}, N.H.",
year = "2013",
language = "English",
volume = "94",
pages = "2396--2402",
journal = "Archives of physical medicine and rehabilitation",
issn = "0003-9993",
publisher = "W.B. Saunders Ltd",
number = "12",

}

Physical and psychosocial factors associated with physical activity in patients with chronic obstructive pulmonary disease. / Hartman, J.E.; Boezen, H.M.; de Greef, Mathieu; ten Hacken, N.H.

In: Archives of physical medicine and rehabilitation, Vol. 94, No. 12, 2013, p. 2396-2402.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Physical and psychosocial factors associated with physical activity in patients with chronic obstructive pulmonary disease

AU - Hartman, J.E.

AU - Boezen, H.M.

AU - de Greef, Mathieu

AU - ten Hacken, N.H.

PY - 2013

Y1 - 2013

N2 - OBJECTIVES: To assess physical activity and sitting time in patients with chronic obstructive pulmonary disease (COPD) and to investigate which physical and psychosocial factors are associated with physical activity and sitting time.DESIGN: Cross-sectional study.SETTING: Patients were recruited at outpatient clinics of general hospitals and from general practitioners.PARTICIPANTS: Patients (N=113) with mild to very severe COPD.INTERVENTIONS: Not applicable.MAIN OUTCOME MEASURES: Physical activity and sitting time were measured with a triaxial accelerometer (24h/d).RESULTS: Mean locomotion time per 24 hours was 6.8% (range, 0.7%-20.4%). Elevated physical activity was independently associated with higher self-efficacy, higher functional exercise capacity, and lower lung hyperinflation. Decreased physical activity was strongest in more severe stages of COPD, in which the patients were mainly limited by physical disease-specific factors (higher lung hyperinflation, worse dyspnea severity, worse leg muscle function, and oxygen use). In less severe patients, physical activity was independently associated with more generic factors (higher self-efficacy and the spring/summer season). Sitting time did not differ between severity stages, and longer sitting time in the total group was independently associated with more positive perception of treatment control, less autonomous motivation to exercise, not using sleep medication, and oxygen use.CONCLUSIONS: Both physical and psychosocial factors were associated with physical activity in patients with COPD. The factors associated with physical activity differed between disease severity stages, raising the question of whether physical activity enhancement programs should differ as well. Sitting time should be investigated further

AB - OBJECTIVES: To assess physical activity and sitting time in patients with chronic obstructive pulmonary disease (COPD) and to investigate which physical and psychosocial factors are associated with physical activity and sitting time.DESIGN: Cross-sectional study.SETTING: Patients were recruited at outpatient clinics of general hospitals and from general practitioners.PARTICIPANTS: Patients (N=113) with mild to very severe COPD.INTERVENTIONS: Not applicable.MAIN OUTCOME MEASURES: Physical activity and sitting time were measured with a triaxial accelerometer (24h/d).RESULTS: Mean locomotion time per 24 hours was 6.8% (range, 0.7%-20.4%). Elevated physical activity was independently associated with higher self-efficacy, higher functional exercise capacity, and lower lung hyperinflation. Decreased physical activity was strongest in more severe stages of COPD, in which the patients were mainly limited by physical disease-specific factors (higher lung hyperinflation, worse dyspnea severity, worse leg muscle function, and oxygen use). In less severe patients, physical activity was independently associated with more generic factors (higher self-efficacy and the spring/summer season). Sitting time did not differ between severity stages, and longer sitting time in the total group was independently associated with more positive perception of treatment control, less autonomous motivation to exercise, not using sleep medication, and oxygen use.CONCLUSIONS: Both physical and psychosocial factors were associated with physical activity in patients with COPD. The factors associated with physical activity differed between disease severity stages, raising the question of whether physical activity enhancement programs should differ as well. Sitting time should be investigated further

KW - copd

M3 - Article

VL - 94

SP - 2396

EP - 2402

JO - Archives of physical medicine and rehabilitation

JF - Archives of physical medicine and rehabilitation

SN - 0003-9993

IS - 12

ER -