Discriminant Validity of a Single Clinical Question for the Screening of Inactivity in Individuals Living with COPD

Chronic obstructive pulmonary disease; Outcome assessment; Physical activity

Detalhes bibliográficos
Autores: Ramon Belmonte, Maria Antonia, Esteban, Cristobal, Ortega, Francisco, Cebollero, Pilar, Carrascosa, Inés, Martinez-González, Cristina, Miravitlles Fernández, Marc
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2022
País:España
Recursos:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositório:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:11351/8707
Acesso em linha:https://hdl.handle.net/11351/8707
http://hdl.handle.net/11351/8707
Access Level:Acceso aberto
Palavra-chave:Pulmons - Malalties obstructives
Caminades (Exercici)
DISEASES::Respiratory Tract Diseases::Lung Diseases::Lung Diseases, Obstructive::Pulmonary Disease, Chronic Obstructive
PHENOMENA AND PROCESSES::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Movement::Motor Activity::Exercise
PHENOMENA AND PROCESSES::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Movement::Locomotion::Walking
ENFERMEDADES::enfermedades respiratorias::enfermedades pulmonares::enfermedades pulmonares obstructivas::enfermedad pulmonar obstructiva crónica
FENÓMENOS Y PROCESOS::fenómenos fisiológicos nerviosos y musculoesqueléticos::fenómenos fisiológicos musculoesqueléticos::movimiento::actividad motora::ejercicio físico
FENÓMENOS Y PROCESOS::fenómenos fisiológicos nerviosos y musculoesqueléticos::fenómenos fisiológicos musculoesqueléticos::movimiento::locomoción::caminata
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oai_identifier_str oai:recercat.cat:11351/8707
network_acronym_str ES
network_name_str España
repository_id_str
dc.title.none.fl_str_mv Discriminant Validity of a Single Clinical Question for the Screening of Inactivity in Individuals Living with COPD
title Discriminant Validity of a Single Clinical Question for the Screening of Inactivity in Individuals Living with COPD
spellingShingle Discriminant Validity of a Single Clinical Question for the Screening of Inactivity in Individuals Living with COPD
Ramon Belmonte, Maria Antonia
Pulmons - Malalties obstructives
Caminades (Exercici)
DISEASES::Respiratory Tract Diseases::Lung Diseases::Lung Diseases, Obstructive::Pulmonary Disease, Chronic Obstructive
PHENOMENA AND PROCESSES::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Movement::Motor Activity::Exercise
PHENOMENA AND PROCESSES::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Movement::Locomotion::Walking
ENFERMEDADES::enfermedades respiratorias::enfermedades pulmonares::enfermedades pulmonares obstructivas::enfermedad pulmonar obstructiva crónica
FENÓMENOS Y PROCESOS::fenómenos fisiológicos nerviosos y musculoesqueléticos::fenómenos fisiológicos musculoesqueléticos::movimiento::actividad motora::ejercicio físico
FENÓMENOS Y PROCESOS::fenómenos fisiológicos nerviosos y musculoesqueléticos::fenómenos fisiológicos musculoesqueléticos::movimiento::locomoción::caminata
title_short Discriminant Validity of a Single Clinical Question for the Screening of Inactivity in Individuals Living with COPD
title_full Discriminant Validity of a Single Clinical Question for the Screening of Inactivity in Individuals Living with COPD
title_fullStr Discriminant Validity of a Single Clinical Question for the Screening of Inactivity in Individuals Living with COPD
title_full_unstemmed Discriminant Validity of a Single Clinical Question for the Screening of Inactivity in Individuals Living with COPD
title_sort Discriminant Validity of a Single Clinical Question for the Screening of Inactivity in Individuals Living with COPD
dc.creator.none.fl_str_mv Ramon Belmonte, Maria Antonia
Esteban, Cristobal
Ortega, Francisco
Cebollero, Pilar
Carrascosa, Inés
Martinez-González, Cristina
Miravitlles Fernández, Marc
author Ramon Belmonte, Maria Antonia
author_facet Ramon Belmonte, Maria Antonia
Esteban, Cristobal
Ortega, Francisco
Cebollero, Pilar
Carrascosa, Inés
Martinez-González, Cristina
Miravitlles Fernández, Marc
author_role author
author2 Esteban, Cristobal
Ortega, Francisco
Cebollero, Pilar
Carrascosa, Inés
Martinez-González, Cristina
Miravitlles Fernández, Marc
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Institut Català de la Salut
[Ramon MA] Servei de Pneumologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Physical Therapy Department, Universitat Internacional de Catalunya and CIBER de Enfermedades Respiratorias (CIBERES), Barcelona, Spain. [Esteban C] Respiratory Department, Hospital Galdakao, Health Services Research on Chronic Patients Network (REDISSEC) and BioCrues-Bizkaia Health Research Institute, Baracaldo, Spain. [Ortega F] Pneumology Department, Hospital Universitario Virgen del Rocío, Instituto de Biomedicina de Sevilla (IBiS), and CIBER de Enfermedades Respiratorias (CIBERES), Sevilla, Spain. [Cebollero P] Pneumology Department, Hospital CH de Navarra, Pamplona, Spain. [Carrascosa I] Pneumology Department, Hospital Urduliz, Urduliz, Bizkaia, Spain. [Martinez-González C] Pneumology Department, Hospital Universitario Central de Asturias, Oviedo, Spain. [Miravitlles M] Servei de Pneumologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. CIBER de Enfermedades Respiratorias (CIBERES), Barcelona, Spain
Vall d'Hebron Barcelona Hospital Campus
dc.subject.none.fl_str_mv Pulmons - Malalties obstructives
Caminades (Exercici)
DISEASES::Respiratory Tract Diseases::Lung Diseases::Lung Diseases, Obstructive::Pulmonary Disease, Chronic Obstructive
PHENOMENA AND PROCESSES::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Movement::Motor Activity::Exercise
PHENOMENA AND PROCESSES::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Movement::Locomotion::Walking
ENFERMEDADES::enfermedades respiratorias::enfermedades pulmonares::enfermedades pulmonares obstructivas::enfermedad pulmonar obstructiva crónica
FENÓMENOS Y PROCESOS::fenómenos fisiológicos nerviosos y musculoesqueléticos::fenómenos fisiológicos musculoesqueléticos::movimiento::actividad motora::ejercicio físico
FENÓMENOS Y PROCESOS::fenómenos fisiológicos nerviosos y musculoesqueléticos::fenómenos fisiológicos musculoesqueléticos::movimiento::locomoción::caminata
topic Pulmons - Malalties obstructives
Caminades (Exercici)
DISEASES::Respiratory Tract Diseases::Lung Diseases::Lung Diseases, Obstructive::Pulmonary Disease, Chronic Obstructive
PHENOMENA AND PROCESSES::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Movement::Motor Activity::Exercise
PHENOMENA AND PROCESSES::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Movement::Locomotion::Walking
ENFERMEDADES::enfermedades respiratorias::enfermedades pulmonares::enfermedades pulmonares obstructivas::enfermedad pulmonar obstructiva crónica
FENÓMENOS Y PROCESOS::fenómenos fisiológicos nerviosos y musculoesqueléticos::fenómenos fisiológicos musculoesqueléticos::movimiento::actividad motora::ejercicio físico
FENÓMENOS Y PROCESOS::fenómenos fisiológicos nerviosos y musculoesqueléticos::fenómenos fisiológicos musculoesqueléticos::movimiento::locomoción::caminata
description Chronic obstructive pulmonary disease; Outcome assessment; Physical activity
publishDate 2022
dc.date.none.fl_str_mv 2022
2022
2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11351/8707
http://hdl.handle.net/11351/8707
url https://hdl.handle.net/11351/8707
http://hdl.handle.net/11351/8707
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv International Journal of Chronic Obstructive Pulmonary Disease;17
https://doi.org/10.2147/COPD.S378758
dc.rights.none.fl_str_mv Attribution-NonCommercial 4.0 International
http://creativecommons.org/licenses/by-nc/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution-NonCommercial 4.0 International
http://creativecommons.org/licenses/by-nc/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Dove Medical Press
publisher.none.fl_str_mv Dove Medical Press
dc.source.none.fl_str_mv Scientia
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869412164969693184
spelling Discriminant Validity of a Single Clinical Question for the Screening of Inactivity in Individuals Living with COPDRamon Belmonte, Maria AntoniaEsteban, CristobalOrtega, FranciscoCebollero, PilarCarrascosa, InésMartinez-González, CristinaMiravitlles Fernández, MarcPulmons - Malalties obstructivesCaminades (Exercici)DISEASES::Respiratory Tract Diseases::Lung Diseases::Lung Diseases, Obstructive::Pulmonary Disease, Chronic ObstructivePHENOMENA AND PROCESSES::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Movement::Motor Activity::ExercisePHENOMENA AND PROCESSES::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Movement::Locomotion::WalkingENFERMEDADES::enfermedades respiratorias::enfermedades pulmonares::enfermedades pulmonares obstructivas::enfermedad pulmonar obstructiva crónicaFENÓMENOS Y PROCESOS::fenómenos fisiológicos nerviosos y musculoesqueléticos::fenómenos fisiológicos musculoesqueléticos::movimiento::actividad motora::ejercicio físicoFENÓMENOS Y PROCESOS::fenómenos fisiológicos nerviosos y musculoesqueléticos::fenómenos fisiológicos musculoesqueléticos::movimiento::locomoción::caminataChronic obstructive pulmonary disease; Outcome assessment; Physical activityMalaltia pulmonar obstructiva crònica; Avaluació de resultats; Activitat físicaEnfermedad pulmonar obstructiva crónica; Evaluación de resultados; Actividad físicaIntroduction: Quantifying physical activity in chronic obstructive pulmonary disease (COPD) with questionnaires and activity monitors in clinical practice is challenging. The aim of the present study was to analyse the discriminant validity of a single clinical question for the screening of inactive individuals living with COPD. Methods: A multicentre study was carried out in stable COPD individuals both in primary and tertiary care. Patients wore the Dynaport accelerometer for 8 days and then answered 5 physical activity questions developed for the study, referring to the week in which their physical activity was monitored. Receiver operating characteristic (ROC) curve analysis with physical activity level (PAL) as the gold standard reference was used to determine the best cut-off point for each of the 5 clinical physical activity questions tested. Results: A total of 86 COPD participants were analysed (males 68.6%; mean (SD) age 66.6 (8.5) years; FEV1 50.9 (17.3)% predicted; mean of 7305 (3906) steps/day). Forty-two (48.8%) participants were considered physically inactive (PAL ≤ 1.69). Answers to 4 out of 5 questions significantly differed in active vs inactive patients. The Kappa index and ROC curves showed that the answer to the question “On average, how many minutes per day do you walk briskly?” had the best discriminative capacity for inactivity, with an area under the curve (AUC) (95% Confidence interval (CI)) of 0.73 (0.63– 0.84) and 30 min/day was identified as the best cut-off value (sensitivity (95% CI): 0.75 (0.60– 0.87); specificity: 0.76 (0.61– 0.88)). Conclusion: The present results indicate that self-reported brisk walk time lower than 30 min/day may be a valid tool for the screening of inactivity in individuals living with COPD in routine care, if more detailed physical activity measures are not feasible.This study was funded by an unrestricted grant from Laboratorios Esteve (Barcelona, Spain).Dove Medical PressInstitut Català de la Salut[Ramon MA] Servei de Pneumologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Physical Therapy Department, Universitat Internacional de Catalunya and CIBER de Enfermedades Respiratorias (CIBERES), Barcelona, Spain. [Esteban C] Respiratory Department, Hospital Galdakao, Health Services Research on Chronic Patients Network (REDISSEC) and BioCrues-Bizkaia Health Research Institute, Baracaldo, Spain. [Ortega F] Pneumology Department, Hospital Universitario Virgen del Rocío, Instituto de Biomedicina de Sevilla (IBiS), and CIBER de Enfermedades Respiratorias (CIBERES), Sevilla, Spain. [Cebollero P] Pneumology Department, Hospital CH de Navarra, Pamplona, Spain. [Carrascosa I] Pneumology Department, Hospital Urduliz, Urduliz, Bizkaia, Spain. [Martinez-González C] Pneumology Department, Hospital Universitario Central de Asturias, Oviedo, Spain. [Miravitlles M] Servei de Pneumologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. CIBER de Enfermedades Respiratorias (CIBERES), Barcelona, SpainVall d'Hebron Barcelona Hospital Campus202220222022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/11351/8707http://hdl.handle.net/11351/8707Scientiareponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésInternational Journal of Chronic Obstructive Pulmonary Disease;17https://doi.org/10.2147/COPD.S378758Attribution-NonCommercial 4.0 Internationalhttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:11351/87072026-05-29T05:05:01Z
score 15.81155

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