Physical Activity as a Predictor of Absence of Frailty in Subjects With Stable COPD and COPD Exacerbation.

BACKGROUND: Frailty is a key issue in the care of elderly patients. Patients with COPD are more likely to be frail, with a prevalence of 57.8%. Frailty is associated with a low level of physical activity. The aim of this study was to analyze the predictive power and identify the cutoffs of physical...

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Published in:Respiratory Care Vol. 61; no. 2; pp. 212 - 220
Main Authors: Valenza, Marie Carmen, Torres-Sánchez, Irene, Cabrera-Martos, Irene, Rodríguez-Torres, Jeanette, González-Jiménez, Emilio, Muñoz-Casaubon, Tomás
Format: research tables/charts Journal Article
Published: Mary Ann Liebert, Inc. Feb2016
Online Access:View this record in EBSCOhost
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      dt: Feb2016
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      pub: Mary Ann Liebert, Inc.
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        atl: Physical Activity as a Predictor of Absence of Frailty in Subjects With Stable COPD and COPD Exacerbation.
      aug:
        au:
          Valenza, Marie Carmen
          Torres-Sánchez, Irene
          Cabrera-Martos, Irene
          Rodríguez-Torres, Jeanette
          González-Jiménez, Emilio
          Muñoz-Casaubon, Tomás
        affil: Physical Therapy Department, Faculty of Health Sciences, University of Granada, Spain
      sug:
        subj:
          Physical Activity
          Pulmonary Disease, Chronic Obstructive Complications
          Recurrence
          Frail Elderly
          Human
          Cross Sectional Studies
          Interviews
          Questionnaires
          Case Control Studies
          Sensitivity and Specificity
          Prospective Studies
          Community Living
          Data Analysis Software
          Chi Square Test
          Analysis of Variance
          Post Hoc Analysis
          ROC Curve
          Aged, 80 and Over
          Middle Age
          Male
          Female
          Funding Source
          Aged, 80 & over
          Middle Aged: 45-64 years
          Male
          Female
      ab: BACKGROUND: Frailty is a key issue in the care of elderly patients. Patients with COPD are more likely to be frail, with a prevalence of 57.8%. Frailty is associated with a low level of physical activity. The aim of this study was to analyze the predictive power and identify the cutoffs of physical activity in their different domains (household, leisure time, and sport) for the absence of frailty in subjects with COPD exacerbation and stable COPD. METHODS: A cross-sectional study was conducted. The participants underwent an individual interview, including sociodemographic and clinical aspects. The total physical activity and its domains were assessed by the modified Baecke questionnaire, and frailty was measured according to the modified version of Fried. A total of 212 subjects with COPD (104 stable and 108 with COPD exacerbation) were enrolled, along with 100 healthy subjects. RESULTS: The prevalence of frailty was higher in subjects with COPD compared with the control group. An activity level of 3.54 for COPD exacerbation, 3.88 for stable COPD, and 3.50 for healthy subjects assessed using the Baecke questionnaire were recommended as the cutoff points for frailty. Sensitivity and specificity values were 0.95 and 0.807; 0.95 and 0.815; and 0.95 and 0.947, respectively. CONCLUSIONS: Physical activity level can predict the absence or presence of frailty in subjects with stable and exacerbated COPD.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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