Evolution of automatic and controlled motivation toward physical activity and sedentary behaviors during pulmonary rehabilitation

Autor: Couillard, Annabelle, Tremey, Emilie, Préfaut, Christian, Guillaume, Chevance, Héraud, Nelly, Varray, Alain, Boiché, Julie
Přispěvatelé: Dynamique des capacités humaines et des conduites de santé (EPSYLON), Université Montpellier 1 (UM1)-Université Paul-Valéry - Montpellier 3 (UPVM)-Université de Montpellier (UM), Laboratoire de Chimie et Biologie des Métaux (LCBM - UMR 5249), Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS)-Université Grenoble Alpes [2016-2019] (UGA [2016-2019])-Institut de Recherche Interdisciplinaire de Grenoble (IRIG), Direction de Recherche Fondamentale (CEA) (DRF (CEA)), Commissariat à l'énergie atomique et aux énergies alternatives (CEA)-Commissariat à l'énergie atomique et aux énergies alternatives (CEA)-Direction de Recherche Fondamentale (CEA) (DRF (CEA)), Commissariat à l'énergie atomique et aux énergies alternatives (CEA)-Commissariat à l'énergie atomique et aux énergies alternatives (CEA), Muscle et pathologies, Université Montpellier 1 (UM1)-IFR3, Université Montpellier 1 (UM1)-Université Montpellier 1 (UM1)-Institut National de la Santé et de la Recherche Médicale (INSERM), Groupe 5 Santé [Lodève, France] (Les Cliniques du Souffle), Les Cliniques du Souffle [Lodève, France], Euromov (EuroMov), Université de Montpellier (UM), Centre Universitaire de Recherche en Activités Physiques et Sportives (CURAPS), Université de La Réunion (UR)
Jazyk: angličtina
Rok vydání: 2016
Předmět:
medicine.medical_specialty
medicine.medical_treatment
Context (language use)
MESH: Pulmonary Disease
Chronic Obstructive
MESH: Forced Expiratory Volume
[SDV.MHEP.PSR]Life Sciences [q-bio]/Human health and pathology/Pulmonology and respiratory tract
medicine
[SDV.MHEP.PHY]Life Sciences [q-bio]/Human health and pathology/Tissues and Organs [q-bio.TO]
Pulmonary rehabilitation
MESH: Heart Rate
Rehabilitation
MESH: Humans
MESH: Middle Aged
business.industry
[SCCO.NEUR]Cognitive science/Neuroscience
Behavior change
Theory of planned behavior
Implicit-association test
MESH: Male
Test (assessment)
MESH: Diagnostic Self Evaluation
MESH: Reproducibility of Results
MESH: Walk Test
MESH: Dyspnea
Physical therapy
Implicit attitude
business
MESH: Feasibility Studies
MESH: Female
MESH: Respiratory Insufficiency
Clinical psychology
Zdroj: ERS International Congress 2016 abstracts
ERS International Congress 2016 abstracts, Sep 2016, Londres, United Kingdom. pp.PA2059, ⟨10.1183/13993003.congress-2016.PA2059⟩
DOI: 10.1183/13993003.congress-2016.PA2059⟩
Popis: International audience; To determine and/or adjust exercise training intensity for patients when the cardiopulmonary exercise test is not accessible, the determination of dyspnoea threshold (defined as the onset of self-perceived breathing discomfort) during the 6-min walk test (6MWT) could be a good alternative. The aim of this study was to evaluate the feasibility and reproducibility of self-perceived dyspnoea threshold and to determine whether a useful equation to estimate ventilatory threshold from self-perceived dyspnoea threshold could be derived. A total of 82 patients were included and performed two 6MWTs, during which they raised a hand to signal self-perceived dyspnoea threshold. The reproducibility in terms of heart rate (HR) was analysed. On a subsample of patients (n=27), a stepwise regression analysis was carried out to obtain a predictive equation of HR at ventilatory threshold measured during a cardiopulmonary exercise test estimated from HR at self-perceived dyspnoea threshold, age and forced expiratory volume in 1 s. Overall, 80% of patients could identify self-perceived dyspnoea threshold during the 6MWT. Self-perceived dyspnoea threshold was reproducibly expressed in HR (coefficient of variation=2.8%). A stepwise regression analysis enabled estimation of HR at ventilatory threshold from HR at self-perceived dyspnoea threshold, age and forced expiratory volume in 1 s (adjusted r=0.79, r=0.63, and relative standard deviation=9.8 bpm). This study shows that a majority of patients with chronic obstructive pulmonary disease can identify a self-perceived dyspnoea threshold during the 6MWT. This HR at the dyspnoea threshold is highly reproducible and enable estimation of the HR at the ventilatory threshold.
Databáze: OpenAIRE
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