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Article Dans Une Revue (Article De Synthèse) Annals of Physical and Rehabilitation Medicine Année : 2022

Measuring intensity during free-living physical activities in people with chronic obstructive pulmonary disease: A systematic literature review

Résumé

Background: Measuring intensity of physical activity (PA) is important to ensure safety and the effectiveness of PA interventions in chronic obstructive pulmonary disease (COPD). Objective: This systematic review identified which outcomes, outcome measures and instruments have been used to assess single free-living PA-related intensity in people with COPD and compared the intensity level (light, moderate, vigorous) obtained by different outcome measures. Methods: PubMed, Scopus, Web of Science, Cochrane Library and EBSCO were searched for original studies of COPD and assessing single free-living PA-related intensity were included. Agreement was calculated as the number of agreements between 2 measures [same intensity level]/ number of comparisons using both measures*100. Results: We included 43 studies (1282 people with COPD, mean age 66 years, 65% men, 49% FEV1%pred) and identified 13 outcomes, 46 outcome measures and 22 instruments. The most-reported outcomes, outcome measures and instruments were dyspnoea with the Borg scale 0-10; cardiac function, via heart rate (HR) using HR monitors; and pulmonary gas exchange, namely oxygen consumption (VO2), using portable gas analysers, respectively. The most frequently assessed PAs were walking and lifting, changing or moving weights/objects. Agreement between the outcome measures ranged from 0 (%VO2peak vs metabolic equivalent of task [MET];%HRpeak vs Fatigue Borg; MET vs walking speed) to 100% (%HRreserve vs dyspnoea Borg; fatigue and exertion Borg vs walking speed).%VO2(peak/reserve) elicited the highest intensity. Hence, Borg scores,%HRreserve and MET may underestimate PA-related intensity. Conclusions: Various methodologies are used to assess single free-living PA-related intensity and yield different intensity levels for the same PA. Future studies, further exploring the agreement between the different outcome measures of PA-related intensity and discussing their advantages, disadvantages and applicability in real-world settings, are urgent. These would guide future worldwide recommendations on how to assess single free-living PA-related intensity in COPD, which is essential to optimise PA interventions and ensure patient safety. (C) 2021 Elsevier Masson SAS. All rights reserved.

Dates et versions

hal-04060783 , version 1 (06-04-2023)

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Patrícia Rebelo, Dina Brooks, Alda Marques. Measuring intensity during free-living physical activities in people with chronic obstructive pulmonary disease: A systematic literature review. Annals of Physical and Rehabilitation Medicine, 2022, 65 (2), pp.101607. ⟨10.1016/j.rehab.2021.101607⟩. ⟨hal-04060783⟩
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