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

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.

2020 ◽  
Vol 12 (13) ◽  
pp. 5256
Author(s):  
Sheila Sánchez Castillo ◽  
Lee Smith ◽  
Arturo Díaz Suárez ◽  
Guillermo Felipe López Sánchez

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.


Author(s):  
Sheila Sánchez Castillo ◽  
Lee Smith ◽  
Arturo Díaz Suárez ◽  
Guillermo Felipe López Sánchez

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.


2020 ◽  
Vol 30 (6) ◽  
pp. 1201-1205 ◽  
Author(s):  
Guillermo F López-Sánchez ◽  
Sheila Sánchez-Castillo ◽  
Rubén López-Bueno ◽  
Shahina Pardhan ◽  
Roksana Zauder ◽  
...  

Abstract Background The objective was to compare levels of physical activity (PA) in a large sample of Spanish people with diabetes with and without cataracts. To our knowledge, this is the first study comparing PA levels in people with diabetes with and without cataracts in a large representative sample. Methods Cross-sectional data from the Spanish National Health Survey 2017 were analyzed (n = 1014 people with diabetes; 43.1% females; age range 15–69 years; mean age 58.4 ± 9.2 years). International Physical Activity Questionnaire (IPAQ) short form was used to measure PA. Total MET-min week−1 of PA were calculated and participants were divided into two categories according to American Diabetes Association PA guidelines: (i) <600 MET-min week−1. (ii) At least 600 MET-min week−1. Diabetes and cataracts were self-reported in response to the questions ‘Have you ever been diagnosed with diabetes/cataracts?’ Participants also reported other variables including age, gender, marital status, living as a couple, education, smoking, alcohol consumption and obesity. Statistical analysis was performed with SPSS 23.0. Results The overall prevalence of cataract was 14.0% and the overall prevalence of people doing <600 MET-min week−1 of PA was 35.4%. The prevalence of cataract was significantly lower in those doing more PA (12.1% vs. 17.5%; P = 0.016). Those without cataracts were significantly more active than those with cataracts (1846.8 vs. 1289.4 MET-min week−1; P = 0.001). The adherence to American Diabetes Association PA guidelines was significantly higher in those without cataracts (66.1% vs. 55.6%; P = 0.016). Conclusions Interventions to promote PA targeting people with both diabetes and cataracts are warranted.


2013 ◽  
Vol 9 (2) ◽  
pp. 219-228
Author(s):  
Elvira Sari Dewi ◽  
◽  
Bella Cendie Asteria ◽  
Yulian Wiji Utami

The COVID-19 pandemic has caused changes in a variety of sectors, including education. Changes in online learning methods during the COVID-19 pandemic can increase the risk of sedentary behavior in students. Sedentary behavior is one of the factors related to constipation. This study aims to determine the relationship between sedentary behavior and the incidence of constipation during the COVID-19 pandemic in students at Universitas Brawijaya. This research is correlation research with a cross-sectional approach. Sampling used total sampling with a sample of 87 students according to the inclusion and exclusion criteria. Sedentary behavior was measured using the International Physical Activity Questionnaire – Short Form (IPAQ-SF) and the incidence of constipation was measured using the Constipation Scoring System (CSS). The correlation between sedentary behavior and the incidence of constipation was statistically analyzed using the Spearman Rank test with alpha=0.05. The results show that As many as 82.8% of students at Universitas Brawijaya have sedentary behavior and 17.2% are constipated. There was a correlation between sedentary behavior and the incidence of constipation (p=0.020; r=+0,249). In conclusion, there is a relationship between sedentary behavior and the incidence of constipation during the COVID-19 pandemic in students at Universitas Brawijaya.


Nutrients ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 3258
Author(s):  
Minh H. Nguyen ◽  
Thu T. M. Pham ◽  
Dinh N. Vu ◽  
Binh N. Do ◽  
Hoang C. Nguyen ◽  
...  

Background: Healthy eating and physical activity are effective non-pharmacological approaches to boost immune function and contain the pandemic. We aimed to explore the associations and interactions between physical activity and healthy eating behavior with COVID-19-like symptoms (Slike-CV19S). Methods: A cross-sectional study was conducted on 3947 outpatients, from 14 February to 2 March 2020, at nine health facilities in Vietnam. Data collection included sociodemographic characteristics, healthy eating behavior (using the healthy eating score (HES) questionnaire), physical activity (using the short form international physical activity questionnaire), and Slike-CV19S. The associations and interactions were tested using logistic regression models. Results: Frequent intake of fruits (OR = 0.84; p = 0.016), vegetables (OR = 0.72; p = 0.036), and fish (OR = 0.43; p < 0.001) were associated with a lower Slike-CV19S likelihood, as compared with infrequent intake. Patients with higher HES levels (OR = 0.84; p = 0.033 for medium HES; OR = 0.77; p = 0.006 for high HES) or being physically active (OR = 0.69; p < 0.001) had a lower Slike-CV19S likelihood, as compared to those with low HES or physical inactivity, respectively. Patients with medium HES who were physically active (OR = 0.69; p = 0.005), or with high HES and physically active (OR = 0.58; p < 0.001), had a lower Slike-CV19S likelihood, as compared to those with low HES and physical inactivity. Conclusions: Healthy eating behavior and physical activity showed single and combinative impacts on protecting people from Slike-CV19S. Strategic approaches are encouraged to improve healthy behaviors, which may further contribute to containing the pandemic.


2014 ◽  
Vol 3 (4) ◽  
pp. 595-603
Author(s):  
Habibaturochmah Habibaturochmah ◽  
Deny Yudi Fitranti

Latar belakang : Obesitas merupakan suatu kondisi akibat akumulasi lemak tubuh yang berlebihan. Kelebihan lemak tubuh dapat terjadi akibat ketidakseimbangan energi antara yang masuk dan energi yang keluar serta kurangnya aktivitas fisik. Konsumsi air dapat dikaitkan dengan penurunan persen lemak tubuh pada remaja putri.Tujuan : Mengetahui hubungan konsumsi air, asupan zat gizi, dan aktivitas fisik dengan persen lemak tubuh pada remaja putri.Metode : Penelitian observasional dengan pendekatan cross-sectional yang dilakukan di SMP Pangudi Luhur Domenico Savio Semarang pada bulan Juni 2014. Penelitian ini melibatkan 104 siswi berusia 13-15 tahun. Data konsumsi air, asupan energi, dan zat gizi diperoleh dengan menggunakan Food Frequency Questionaire (FFQ) semi kuantitatif. Data persen lemak tubuh diukur dengan Bioelectrical Impedance Analysis (BIA). Data aktivitas fisik diperoleh dengan menggunakan International Physical Activity Questionnaire (IPAQ) short form. Analisis bivarat dianalisis dengan uji rank Spearman dan r Pearson.Hasil : Sebanyak 29,8% subjek kurang mengonsumsi air. Didapatkan hubungan bermakna antara konsumsi air dengan persen lemak tubuh (r= -0,596; p<0,05). Didapatkan pula hubungan bermakna antara asupan karbohidrat dan lemak dengan persen lemak tubuh (masing-masing nilai r= -0,254; p=0,009 dan r=0,429; p<0,05). Tidak terdapat hubungan yang bermakna antara asupan energi, protein, dan aktivitas fisik dengan persen lemak tubuh.Kesimpulan : Dalam penelitian ini terbukti bahwa konsumsi air, asupan karbohidrat, dan asupan lemak mempunyai hubungan dengan persen lemak tubuh pada remaja putri. Asupan karbohidrat dan asupan lemak menjadi prediktor dari persen lemak tubuh pada remaja putri.


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