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Titre : | Phenotypic Characteristics of Patients With Chronic Obstructive Pulmonary Disease After Stratification for the Short Physical Performance Battery Summary Score (2020) |
Auteurs : | Anouk A.F. Stoffels ; Jana De Brandt ; Roy Meys ; Hieronymus W.H. van Hees ; Anouk W. Vaes ; Peter Klijn ; Chris Burtin ; Frits M.E. Franssen ; Bram van den Borst ; Maurice J.H. Sillen ; Emiel Wouters ; Daisy J. A. Janssen ; Martijn A. Spruit |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 101, n° 11, 2020) |
Article en page(s) : | p. 1887-1897 |
Note générale : | https://doi.org/10.1016/j.apmr.2020.05.011 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Anxiété ; Aptitude physique ; Broncho-pneumopathie chronique obstructive ; Dépression ; Équilibre postural ; Performance fonctionnelle physique ; Thérapie respiratoire |
Résumé : |
Objective
To assess the phenotypic characteristics of patients with chronic obstructive pulmonary disease (COPD) after stratification for Short Physical Performance Battery (SPPB) summary scores and to determine phenotypic characteristics of the SPPB summary score at the start of pulmonary rehabilitation (PR). Design Retrospective, cross-sectional. Setting Baseline assessment for PR program. Participants Patients with COPD (n=900; age 65±8y, 52% male, forced expiratory volume in the first second of expiration, 43% [interquartile range, 31%-62%] predicted). Interventions Not applicable. Main Outcome Measures Patients were stratified according to their SPPB summary scores into low-performance (LP), moderate-performance (MP), or high-performance (HP) groups. Furthermore, lung function, arterial blood gases, body composition, physical capacity, lower limb muscle strength and endurance, and symptoms of anxiety and depression were assessed. Results Generally, physical capacity and muscle function were lower and scores for symptoms of anxiety and depression were higher in LP patients than MP and HP patients (all values, P<.01 however of hp patients with copd scored high on symptoms anxiety and depression points still had average an impaired physical capacity walk test distance predicted furthermore age were the only independent predictors in a multivariate regression model explaining variance sppb summary score.> Conclusions In COPD, LP patients have the worst physical and emotional functioning. However, HP patients can still exhibit physical and emotional impairments. Because the explained variance in SPPB summary score is low, SPPB should not be considered as a test to discriminate between patients with COPD with a low or preserved physical capacity and emotional status. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999320303117#! |