Impacts of regular physical activity on hospitalisation in chronic obstructive pulmonary disease: a nationwide population-based study

Autor: Tai Sun Park, Hyun Lee, Tae-Hyung Kim, Jiin Ryu, Dong Won Park, Jee-Eun Chung, Jang Won Sohn, Eung-Gook Kim, Kang Hyeon Choe, Ho Joo Yoon, Ji-Yong Moon
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: BMJ Open Respiratory Research, Vol 11, Iss 1 (2024)
Druh dokumentu: article
ISSN: 2052-4439
DOI: 10.1136/bmjresp-2023-001789
Popis: Introduction Studies that comprehensively evaluate the association between physical activity (PA) levels, particularly by quantifying PA intensity, and healthcare use requiring emergency department (ED) visit or hospitalisation in patients with chronic obstructive pulmonary disease (COPD) are limited in Korea.Methods The risk of all-cause and respiratory ED visit or hospitalisation according to the presence or absence of COPD and the level of PA was evaluated in a retrospective nationwide cohort comprising 3308 subjects with COPD (COPD cohort) and 293 358 subjects without COPD (non-COPD cohort) from 2009 to 2017.Results The COPD group exhibited a higher relative risk of all-cause and respiratory ED visit or hospitalisation across all levels of PA compared with the highly active control group (≥1500 metabolic equivalents (METs)-min/week). Specifically, the highest risk was observed in the sedentary group (adjusted HR (aHR) (95% CI) = 1.70 (1.59 to 1.81) for all-cause ED visit or hospitalisation, 5.45 (4.86 to 6.12) for respiratory ED visit or hospitalisation). A 500 MET-min/week increase in PA was associated with reductions in all-cause and respiratory ED visit or hospitalisation in the COPD cohort (aHR (95% CI) = 0.92 (0.88 to 0.96) for all-cause, 0.87 (0.82 to 0.93) for respiratory cause).Conclusions Compared with the presumed healthiest cohort, the control group with PA>1500 METs-min/week, the COPD group with reduced PA has a higher risk of ED visit or hospitalisation.
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