scholarly journals Analysis of Physical Activity and Comorbidities in Spanish Asthmatics

2020 ◽  
Vol 12 (13) ◽  
pp. 5256
Author(s):  
Sheila Sánchez Castillo ◽  
Lee Smith ◽  
Arturo Díaz Suárez ◽  
Guillermo Felipe López Sánchez
Keyword(s):  
Physical Activity ◽  
Short Form ◽  
National Health Survey ◽  
Lumbar Pain ◽  
Chronic Obstructive ◽  
Cross Sectional ◽  
Obstructive Pulmonary Disease ◽  
Metabolic Equivalent Of Task ◽  
Cross Sectional Design ◽  
Chronic Anxiety

The prevalence of comorbidities in asthmatics is high. Comorbidities may complicate the clinical management of asthma, increasing the risk for exacerbation and even death. The objective of the present research was to establish the prevalence of 31 asthma comorbidities and to assess the association of these comorbidities with physical activity (PA) in Spanish asthmatics. Data of the Spanish National Health Survey 2017 (cross-sectional design) were used in this study. A total of 1014 people (42.1% males) with asthma participated in this study (age range 15–69 years). The IPAQ (International Physical Activity Questionnaire) short form was the instrument administered to evaluate PA (exposure), and the self-reported answer to the question “Have you ever been diagnosed with…?” determined the presence of comorbidities (outcomes). This association was assessed by multivariable logistic regression. Results demonstrated a huge presence of comorbidities (89.3%). The most prevalent were chronic allergy (61.1%), chronic lumbar pain (28.7%), chronic cervical pain (24.2%), high cholesterol (20.9%), Chronic Obstructive Pulmonary Disease (COPD) (19.4%), migraine (19.2%) and hypertension (19.3%). PA level under 600 metabolic equivalent of task (MET)·min/week showed a significant association with urinary incontinence (3.10 [1.62–5.94]), osteoporosis (1.90 [1.00–3.61]) and chronic anxiety (1.69 [1.13–2.53]). Therefore, comorbidities and PA levels should be considered in the prevention and treatment of asthmatics, in order to improve their quality of life.

scholarly journals Association between Physical Activity and Comorbidities in Spanish People with Asthma-COPD Overlap

2021 ◽  
Vol 13 (14) ◽  
pp. 7580
Author(s):  
Sheila Sánchez Castillo ◽  
Lee Smith ◽  
Arturo Díaz Suárez ◽  
Guillermo Felipe López Sánchez
Keyword(s):  
Physical Activity ◽  
Short Form ◽  
National Health Survey ◽  
Lumbar Pain ◽  
Chronic Obstructive ◽  
Cross Sectional ◽  
Obstructive Pulmonary Disease ◽  
Logistic Regression Models ◽  
Adjusted Model ◽  
Activity Questionnaire

Asthma and chronic obstructive pulmonary disease (COPD) are important conditions which often coexist. Higher rates of comorbidities among people with asthma-COPD overlap (ACO) may complicate clinical management. The aim of this study was to determine the prevalence of 30 different comorbidities and to analyze associations between these comorbidities and physical activity (PA) in Spanish people with ACO. Cross-sectional data from the Spanish National Health Survey 2017 were analyzed. A total of 198 Spanish people with ACO aged 15–69 years (60.6% women) were included in this study. PA was measured with the International Physical Activity Questionnaire (IPAQ) short form. Diagnosis of chronic conditions were self-reported. Associations between PA and comorbidities were analyzed using multivariable logistic regression models. The most prevalent comorbidities were chronic allergy (58.1%), chronic lumbar pain (42.4%), chronic cervical pain (38.4%), hypertension (33.3%) and arthrosis (31.8%). A PA level lower than 600 MET·min/week was significantly associated with urinary incontinence (OR = 3.499, 95% CI = 1.369–8.944) and osteoporosis (OR = 3.056, 95% CI = 1.094–8.538) in the final adjusted model. Therefore, the potential influence of PA on reducing the risk of these conditions among people with ACO should be considered, not only because of the health benefits, but also because PA can contribute to a more sustainable world.

scholarly journals Associations between Physical Activity and Comorbidities in People with COPD Residing in Spain: A Cross-Sectional Analysis

2020 ◽  
Vol 17 (2) ◽  
pp. 594 ◽  
Author(s):  
Sheila Sánchez Castillo ◽  
Lee Smith ◽  
Arturo Díaz Suárez ◽  
Guillermo Felipe López Sánchez
Keyword(s):  
Physical Activity ◽  
Back Pain ◽  
Short Form ◽  
National Health Survey ◽  
Chronic Obstructive ◽  
Cross Sectional ◽  
Obstructive Pulmonary Disease ◽  
Lumbar Back Pain ◽  
High Prevalence ◽  
Chronic Anxiety

There is a high prevalence of comorbidities among patients with chronic obstructive pulmonary disease (COPD). Comorbidities are likely common in patients with any COPD degree and are associated with increased mortality. The aim of this study was to determine the prevalence of thirty-one different COPD comorbidities and to evaluate the association between physical activity (PA) levels in people with COPD residing in Spain. Cross-sectional data from the Spanish National Health Survey 2017 were analysed. A total of 601 adults (52.2% females) with COPD aged 15 to 69 participated in this study. PA (exposure) was measured with the International Physical Activity Questionnaire (IPAQ) short form and comorbidities (outcomes) were self-reported in response to the question “Have you ever been diagnosed with…?” Multivariable logistic regression, in three different models, was used to assess this association. Results showed a high prevalence of comorbidities (94%), these being chronic lumbar back pain (38.9%), chronic allergy (34.8%), arthrosis (34.1%), chronic cervical back pain (33.3%), asthma (32.9%) and hypertension (32.8%) the most prevalent. Low PA level was significantly associated with urinary incontinence (2.115[1.213–3.689]), chronic constipation (1.970[1.119–3.459]), cataracts (1.840[1.074–3.153]), chronic anxiety (1.508[1.002–2.269]) and chronic lumbar back pain (1.489[1.044–2.125]). Therefore, people with COPD should increase their PA levels in order to reduce their risk of comorbidities and increase their quality of life.

scholarly journals Clinical Characteristics and Risk Factors for Myocardial Injury and Arrhythmia in COVID-19 patients

2020 ◽  
Author(s):  
Hong Gang Ren ◽  
Xingyi Guo ◽  
Lei Tu ◽  
Qinyong Hu ◽  
Kevin Blighe ◽  
...  
Keyword(s):  
Risk Factors ◽  
Clinical Characteristics ◽  
Myocardial Injury ◽  
Heart Diseases ◽  
Chronic Obstructive ◽  
Cross Sectional ◽  
Obstructive Pulmonary Disease ◽  
Increased Risk ◽  
History Of ◽  
Cross Sectional Design

ABSTRACTBackgroundPatients with COVID-19 can develop myocardial injury and arrhythmia during the course of their illness. However, the underlying risk factors for the development of cardiovascular related manifestations are unclear.MethodsUsing a register-based multi-center cross-sectional design, we analyzed 80 patients with myocardial injury and 401 controls, as well as 71 patients with arrhythmia and 409 controls, all admitted with COVID-19. Putative risk factors for myocardial injury and arrhythmia were evaluated with logistic regression with adjustment for potential confounders.ResultsCOVID-19 patients with myocardial injury had fatigue (66.2%) and dyspnea (63.7%), while those with arrhythmia had dyspnea (71.8%). Patients with myocardial injury and arrhythmia had a significant mortality of 92.5% and 94.4%, respectively. A history of chronic obstructive pulmonary disease (COPD) or heart diseases was associated with an increased risk of myocardial injury (odds ratio [OR] = 1.94, 95% confidence interval [CI]: 1.01-3.71; OR = 7.43, 95% CI: 3.99-13.83) and arrhythmia (OR = 1.94, 95% CI: 1.00-3.75; OR = 13.16, 95% CI: 6.75-25.68). In addition, we found that gamma glutamyltranspeptidase (GGT) >50U/L (OR = 2.14, 95% CI: 1.37-3.32; OR = 1.85, 95% CI: 1.19-2.85), serum creatinine >111μmol/L (OR = 8.96, 95% CI: 4.4-18.23; OR = 3.71, 95% CI: 2.01-6.85), serum sodium <136 mmol/L (OR = 4.68, 95% CI: 2.46-8.91; OR = 2.06; 95% CI: 1.06-4.00) were all associated with increased risk of myocardial injury and arrhythmia, respectively.ConclusionOur reported clinical characteristics and identified risk factors are important for clinical study of COVID-19 patients developing myocardial injury and arrhythmia.

scholarly journals Hubungan derajat penyakit paru obstruktif kronik dengan malnutrisi pada pasien penyakit paru obstruktif kronik di poli Rumah Sakit Umum Meuraxa

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Husnah Husnah
Keyword(s):  
Public Health Problem ◽  
Chronic Obstructive ◽  
Cross Sectional ◽  
Obstructive Pulmonary Disease ◽  
Relationship Strength ◽  
Copd Patients ◽  
Cross Sectional Design ◽  
Relationship Of ◽  
Spearman Test ◽  
The Relationship

Abstrak. Latar Belakang: Penyakit paru obstruksi kronik (PPOK) merupakan masalah kesehatan masyarakat yang menjadi peringkat keempat kematian di dunia. Pasien PPOK sering mengalami kehilangan berat badan sekitar 15-50% pada PPOK ringan sampai parah. Tujuan penelitian ini untuk mengetahui hubungan derajat PPOK dengan resiko malnutrisi pada pasien PPOK di poli paru RSU Meuraxa. Metode: Jenis penelitian analitik observasional dengan desain cross-sectional, teknik sampel secara accidental sampling. Penilaian derajat PPOK dengan spirometri dan resiko malnutrisi menggunakan Mini Nutrition Assesment (MNA), dengan waktu penelitian tanggal 1 maret sampai 7 april 2014 didapatkan sejumlah 60 responden. Hasil: Jenis kelamin laki-laki 40 orang (66.7%), usia terbanyak antara 51-60 tahun 25 orang (41.7%), malnutrisi sebanyak 45 orang (75%), PPOK dengan derajat sedang 28 (47.7%), dan pola makan salah 43 orang (71.7%). Analisis secara uji spearman terdapat hubungan antara derajat PPOK dengan malnutrisi nilai p = 00,1 (α0,05). r = -0,665 dengan kekuatan hubungan sedang dimana semakin berat derajat PPOK maka risiko malnutrisi semakin besar.Kata kunci: Derajat PPOK, Malnutrisi, MNA                                             Abstract. Background: Chronic Obstructive Pulmonary Disease (COPD) is a public health problem being ranked 4th death in the world. COPD patients often experience weight loss of approximately 15-50% in mild to severe COPD. The purpose of this study was to determine the relationship of the degree of COPD at risk of malnutrition in patients with COPD. Methods: observational analytic study with cross-sectional design, engineering samples of accidental sampling. Assessment of the degree of COPD with spirometry and risk of malnutrition using Mini Nutrition Assesment (MNA), the research time on 1 March to 7 April 2014 there were 60 respondents. Results: Male gender is 40 people (66.7%), most of them are between 51-60 years of age, 25 people (41.7%), 45 people with malnutrition (75%), 28 people with moderate COPD (47.7%), and 43 people with wrong diet (71.7%). Analysis by means of the spearman test, there was a relationship between the degree of COPD and malnutrition, the value of p = 00.1 (α 0.05). r = -0.665 with moderate relationship strength where the heavier the degree of COPD, the greater the risk of malnutrition.Keywords: Degree of COPD, Malnutrition, MNA

GAMBARAN EFIKASI DIRI DAN PEAK EXPIRATORY FLOW RATE PASIEN PENYAKIT PARU OBSTRUKSI KRONIS (PPOK)

2017 ◽  
Vol 6 (1) ◽  
pp. 38-45
Author(s):  
Emdat Suprayitno ◽  
Azizah Khoiriyati ◽  
Titiek Hidayati
Keyword(s):  
Peak Expiratory Flow ◽  
Flow Rate ◽  
Self Efficacy ◽  
Peak Expiratory Flow Rate ◽  
Public Health Problem ◽  
Chronic Obstructive ◽  
Cross Sectional ◽  
Obstructive Pulmonary Disease ◽  
Expiratory Flow ◽  
Cross Sectional Design

ABSTRACT   Background: Chronic Obstructive Pulmonary Disease (COPD) has become a huge public health problem in the world. In Asy-Syaafi Hospital, COPD is the most commonly found disease after bcronchitis among the patients in out patient unit of lung desease. Self efficacy showed patients’ confidence in independently managing chronic desease Wheter they want or not to start the treatment is determined by their self efficacy. Peak expiratory flow rate showed the condition and problems of lung function and the narrowing or blockage of the airway. Objective: To identify the conditions and problems of self efficacy and Peak expiratory flow rate in COPD patients in Asy-Syaafi Hospital Pamekasan, East Java. Method: This research was descriptive study used non analytic cross sectional design, with total sampling, involving 30 respondents. Data were collected with a questionnaire of the COPD self efficacy (CSES) and peak flow meter. Results: Self  efficacy was in low category with score less than 99 (86.7%) and Peak expiratory flow rate was less than <50% of the PEF (90%). Conclusion: Most of  COPD Self efficacy in Asy-Syaafi Hospital Pamekasan were not good category and Peak expiratory flow rate contained in red zone or the occurrence of major constriction of the airways.   Keywords: COPD, Self Eficacy, Peak Expiratory Flow Rate

scholarly journals AB0508 PHYSICAL ACTIVITY IN TUNISIAN ADULTS WITH ANKYLOSING SPONDYLITIS

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1281.2-1281
Author(s):  
A. Feki ◽  
I. Sellami ◽  
R. Akrout ◽  
S. Ben Jemaa ◽  
Z. Gassara ◽  
...  
Keyword(s):  
Physical Activity ◽  
Disease Activity ◽  
Activity Index ◽  
Short Form ◽  
Laboratory Data ◽  
Disease Activity Index ◽  
P Value ◽  
Cross Sectional ◽  
Metabolic Equivalent Of Task ◽  
High Level

Background:Physical activity (PA) is associated with multiple health-related benefits among the general population and adults with chronic diseases like Ankylosing spondylitis (AS) [1]. As known, AS affects primarily enthesis and can lead to loss of function and decreased mobility.Objectives:The aim of this study was to explore the PA levels of adults with AS and to examine associations between PA, sociodemographic characteristics, immunological features, disease activity and treatment type.Methods:Cross-sectional clinical and laboratory data were collected on 68 AS patients. BASDAI (Bath ankylosing spondylarthritis disease activity index) and BASFI (Bath ankylosing spondylarthritis functional index) were calculated. Physical activity was measured using IPAQ-SF (International Physical Activity Questionnaire-Short Form). Its items record the time spent on physical activity of three intensity levels (vigorous, moderate and walking) as well as the time spent on sitting (referred to as sedentary in this study) in the past week. Both continuous (expressed as metabolic equivalent of task (MET)-min /week) and categorical (3 levels proposed: low, moderate and high level of PA) scores of IPAQ-SF were determined. Sedentary time (median) was reported in minutes/week. A p value < 0.05 was considered significant.Results:Cross-sectional clinical and laboratory data were collected on 68 AS patients. BASDAI (Bath ankylosing spondylarthritis disease activity index) and BASFI (Bath ankylosing spondylarthritis functional index) were calculated. Physical activity was measured using IPAQ-SF (International Physical Activity Questionnaire-Short Form). Its items record the time spent on physical activity of three intensity levels (vigorous, moderate and walking) as well as the time spent on sitting (referred to as sedentary in this study) in the past week. Both continuous (expressed as metabolic equivalent of task (MET)-min /week) and categorical (3 levels proposed: low, moderate and high level of PA) scores of IPAQ-SF were determined. Sedentary time (median) was reported in minutes/week. A p value < 0.05 was considered significant.Conclusion:Our study proved that physical activity in people with AS decreased with age and activity disease with a concomitant increase in sedentary activity. Given the risks of developing secondary chronic disease as a result of low levels of physical activity, physical exercise should be recommended as part of comprehensive AS care.References:[1]Conigliaro P, Triggianese P, Ippolito F, Lucchetti R, Chimenti MS, Perricone R. Insights on the Role of Physical Activity in Patients with Rheumatoid Arthritis. Drug Dev Res. 2014;75:S54–6.Disclosure of Interests:None declared.

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