Task-Related Oxygen Uptake During Domestic Activities of Daily Life in Patients With COPD and Healthy Elderly Subjects
| Autor: | Annemie M. W. J. Schols, Frits M.E. Franssen, Koen H. P. Stakenborg, Anouk W. Vaes, Nicole H.M.K. Uszko-Lencer, Marlies Westra, Paul P. Janssen, Emiel F.M. Wouters, Martijn A. Spruit, Kenneth Meijer |
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| Přispěvatelé: | RS: CAPHRI School for Public Health and Primary Care, RS: NUTRIM - R3 - Chronic inflammatory disease and wasting, Pulmonologie, Nutrition and Movement Sciences, Cardiologie, RS: CARIM School for Cardiovascular Diseases |
| Rok vydání: | 2011 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty Activities of daily living Critical Care and Intensive Care Medicine Severity of Illness Index Pulmonary Disease Chronic Obstructive Oxygen Consumption Activities of Daily Living Task Performance and Analysis Severity of illness medicine Humans Aerobic capacity Aged COPD Exercise Tolerance business.industry Case-control study Middle Aged medicine.disease humanities Obstructive lung disease respiratory tract diseases Institutional repository Dyspnea Case-Control Studies Breathing Physical therapy Female Pulmonary Ventilation Cardiology and Cardiovascular Medicine business |
| Zdroj: | Chest, 140(4), 970-979. Elsevier |
| ISSN: | 0012-3692 |
| DOI: | 10.1378/chest.10-3005 |
| Popis: | Background Patients with COPD generally have a poor peak aerobic capacity and, therefore, may experience more inconvenience during domestic activities of daily life (ADLs). Yet, task-related oxygen uptake and symptom perception during ADLs have been studied rarely in COPD. Therefore, it remains unknown whether and to what extent differences may exist in task-related oxygen uptake and symptom perception during ADLs in patients with COPD after stratification for sex; GOLD (Global Initiative for Chronic Obstructive Lung Disease) stage; Medical Research Council (MRC) dyspnea grade; or score on the BMI, obstruction, dyspnea, exercise capacity (BODE) index. Methods Ninety-seven patients with COPD and 20 healthy elderly subjects performed the following five self-paced domestic ADLs with 4-min rest intervals: putting on socks, shoes, and vest; folding eight towels; putting away groceries; washing four dishes, cups, and saucers; and sweeping the floor for 4 min. Task-related oxygen uptake was assessed using an Oxycon Mobile device, whereas Borg scores were used to assess task-related dyspnea and fatigue. Results Patients with COPD used a significantly higher proportion of their peak aerobic capacity and ventilation to perform ADLs than did the healthy subjects, accompanied by higher task-related Borg dyspnea scores. Patients with GOLD stage IV, MRC dyspnea grade 5, or BODE score ≥ 6 points had the highest task-related oxygen uptake and dyspnea perception during the performance of domestic ADLs. Results showed no sex-related differences. Conclusion Patients with COPD experience a relatively high metabolic load and symptom perception during the performance of ADLs that is not the same as seen in their healthy peers, particularly in patients with GOLD stage IV, MRC dyspnea grade 5, or BODE score ≥ 6 points. |
| Databáze: | OpenAIRE |
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