Associations of Upper-Extremity Exercise Capacity and Grip Strength With Cognitive Domains in Patients With COPD.
BACKGROUND: Cognitive impairment (CI), which has been reported in COPD, has been related to physical performance. However, the association between CI and upper-extremity functions is unknown. We aimed to compare upper-extremity exercise capacity and grip strength between subjects with COPD with and...
| Publicado en: | Respiratory Care Vol. 69; no. 5; pp. 595 - 603 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
May2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=177673053&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 177673053 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00201324 4GG jtl: Respiratory Care issn: 00201324 maglogo: N pubinfo: dt: May2024 vid: 69 iid: 5 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 177673053 177673053 177673053 10.4187/respcare.11610 177673053 ppf: 595 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Associations of Upper-Extremity Exercise Capacity and Grip Strength With Cognitive Domains in Patients With COPD. aug: au: Dag, Bedriye Naz, İlknur Felekoglu, Elvan Emuk, Yusuf Kopruluoglu, Melissa Sahin, Hulya affil: Izmir Kâtip Celebi University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Izmir, Turkey sug: subj: Pulmonary Disease, Chronic Obstructive Complications Pulmonary Disease, Chronic Obstructive Rehabilitation Mild Cognitive Impairment Diagnosis Upper Extremity Exercises Physiology Exercise Tolerance Evaluation Grip Strength Physiology Muscle Strength Evaluation Human Male Female Middle Age Aged Cross Sectional Studies Quality of Life Physical Performance Evaluation Cognition Neuropsychological Tests Mental Status Evaluation Multivariate Analysis Regression Hospitalization Oxygen Consumption Activities of Daily Living Executive Function Attention Self Administration Dyspnea Respiratory Therapy Methods Exercise Test Sociodemographic Factors Scales Questionnaires Clinical Assessment Tools Comparative Studies Descriptive Statistics Data Analysis Software Mann-Whitney U Test T-Tests Middle Aged: 45-64 years Aged: 65+ years Male Female ab: BACKGROUND: Cognitive impairment (CI), which has been reported in COPD, has been related to physical performance. However, the association between CI and upper-extremity functions is unknown. We aimed to compare upper-extremity exercise capacity and grip strength between subjects with COPD with and without CI and to determine the relationship of upper-extremity functions with specific cognitive domains. METHODS: In this cross-sectional study, 76 subjects with COPD (mean age 66.8 ± 7.5 y, FEV1% 47.12 ± 14.10) were classified as with and without CI according to the Montreal Cognitive Assessment. Clinical characteristics, upper-extremity exercise capacity (6-min pegboard ring test [6PBRT]), grip strength (hand dynamometer), dyspnea severity (modified Medical Research Council dyspnea scale), disease-specific health status (COPD Assessment Test), and disease-specific quality of life (St George Respiratory Questionnaire) were compared between groups, and the relationship of upper-extremity functions with cognitive subdomains was analyzed by multivariate regression analysis. RESULTS: The number of 6PBRT rings (P = .01) and the grip strength (P = .033) were lower in subjects with CI. Subjects with CI had lower FEV1% (P = .038), arterial oxygenation (P = .002), exercise habits (P = .033), health status (P = .01), quality of life (P = .042); and higher dyspnea (P < .001), smoking consumption (P = .032), emergency admission (P = .02), and hospitalization (P = .042). The adjusted model showed that executive functions and attention were related to upper-extremity capacity (β = 14.4 and β = 10.2, respectively) and hand-grip strength (β = 1.85 and β = 1.49, respectively). CONCLUSIONS: These findings suggest that upper-extremity functions might be decreased especially concerning executive functions and attention in subjects with COPD with CI. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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