scholarly journals Novel Input for Designing Patient-Tailored Pulmonary Rehabilitation: Telemonitoring Physical Activity as a Vital Sign—SMARTREAB Study

2020 ◽  
Vol 9 (8) ◽  
pp. 2450 ◽  
Author(s):  
Catarina Duarte Santos ◽  
Rui César das Neves ◽  
Ruy M. Ribeiro ◽  
Cátia Caneiras ◽  
Fátima Rodrigues ◽  
...  

Physical inactivity may be a consequence of chronic diseases but also a potential modifiable risk factor. Therefore, it should be clinically assessed as a vital sign of patients’ general physical condition prior to any exercise-based intervention. This cross-sectional study describes physical activity in the daily life of 100 chronic respiratory patients before pulmonary rehabilitation, comparing subjective and objective measures. The assessment combined the International Physical Activity Questionnaire (IPAQ) and 4-day accelerometer and oximeter telemonitoring with SMARTREAB technology, assessing heart rate, transcutaneous oxygen saturation and activity-related energy expenditure by metabolic equivalent of task (MET). According to IPAQ, 49% of patients had a moderate level of physical activity in daily life (PADL), a weekly mean level of 2844 ± 2925 MET.min/week, and a mean sedentary time of 5.8 ± 2.7 h/day. Alongside this, SMARTREAB telemonitoring assessed maximum activity ranging from 1.51 to 4.64 METs, with 99.6% daytime spent on PADL below 3 METs and 93% of patients with daily desaturation episodes. Regardless of the self-reported IPAQ, patients spend at least 70% of daytime on PADL below 2 METs. SMARTREAB was demonstrated to be an innovative methodology to measure PADL as a vital sign, combining oximetry with accelerometry, crossmatched with qualitative patient data, providing important input for designing patient-tailored pulmonary rehabilitation.

2021 ◽  
pp. bmjmilitary-2021-001865
Author(s):  
Christin Schilz ◽  
S Sammito

IntroductionActivity of daily life is an important key to maintaining and improving the health status. This is especially important for people in physically demanding jobs, such as firefighters, military and police.MethodsIn order to record the actual state of activity of daily life among soldiers, a step count measurement with a pedometer was carried out on 196 soldiers of the German Armed Forces over 7 days and supplemented by a questionnaire on lifestyle factors.ResultsThe subjects exceeded the recommended 7000–8000 steps per day, with the rank and file moving the least and the commissioned officers the most. It was also striking that the soldiers in the study moved an average of 2600 steps less per day on weekends than on weekdays.ConclusionsBased on these findings, targeted physical activity measures can be established for the identified target groups within the framework of corporate health management in order to ensure the physical fitness of soldiers on routine duty and on deployment.


2010 ◽  
Vol 7 (5) ◽  
pp. 571-576 ◽  
Author(s):  
Jessica L.J. Greenwood ◽  
Elizabeth A. Joy ◽  
Joseph B. Stanford

Background:Only 25% of US adults achieve adequate physical activity (PA). Obtaining a PA history is an appropriate first step when evaluating this behavior. The Physical Activity Vital Sign (PAVS) is a clinical tool designed to screen for PA in adults.Methods:To determine how responses to the PAVS questions associate with BMI, overweight, and obesity, we performed a cross-sectional study utilizing the PAVS, and measured height and weight. Data were collected from adults at 2 clinics within the Utah Health Research Network.Results:Adjusting for demographic factors, BMI decreased 0.91 units for every reported day of PA during a typical week (P < .001), and the odds of obesity was significantly decreased by 0.73 for every day of PA reported in a typical week, (P = .001).Conclusion:Response to the PAVS question of typical behavior is highly correlated with BMI. Although response to the PAVS question of behavior last week is not correlated, this question may prompt accurate recall to the typical week question and help guide patient counseling. Our results support the construct validity for the use of the PAVS as a clinical screening tool and suggest the need for additional research to characterize the properties of the PAVS.


2017 ◽  
Vol 55 (1) ◽  
pp. 73-78 ◽  
Author(s):  
Cristina Martins Coelho ◽  
Larissa Almeida Campos ◽  
Fabiana Oliveira Pereira ◽  
Ranieri Monteiro Cardoso ◽  
Lucas Mendes Nascimento ◽  
...  

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Gunnel Peterson ◽  
Nicklas Pihlström

Abstract Background Neck and shoulder pain is common in the general population, but studies on factors related to the risk of neck and shoulder pain have produced inconclusive results. Known factors related to pain include general physical activity, exercise, sleep disorders, and lifestyle, but further research is needed to improve our ability to prevent neck and shoulder pain. The aim was to investigate whether neck and shoulder pain are associated with physical domains (i.e., aerobic physical activities, general physical activities, and sitting time), sleep disturbances, general health, job satisfaction, and/or working time. Methods This population-based, cross-sectional study was conducted in Sweden in 2017 and included 16,167 individuals, aged 18 to 63 years. We administered a questionnaire to determine neck and shoulder pain, the time spent in general physical activity or aerobic physical activity, the time spent sitting, sleep disturbances, general health, job satisfaction, and the time spent working. Factors associated with neck and shoulder pain were explored using logistic regression. Results Significant factors associated with neck and shoulder pain were: overall health, sleep quality, and aerobic exercise. The odds of sustaining neck and shoulder pain increased with moderate or poor health (odds ratios [ORs]: 2.3 and 2.8, respectively) and sleep disorders (OR: 1.7). Conversely, aerobic physical activity performed more than 60 min/week at a level that enhanced respiratory and heart rate was associated with a reduced risk of experiencing neck and shoulder pain (OR: 0.8). Conclusions Although no causal relationships could be determined in the present study, the results highlight important associations between aerobic exercise, undisturbed sleep, good health, and the absence of upper body pain. Exercises that enhance breathing and heart rate were associated with a reduced risk of experiencing neck or shoulder pain, but there was no association between general physical activity and upper body pain. Therefore, clinicians may not recommend low-intensity activities, such as walking, for preventing or improving neck and shoulder pain.


Author(s):  
Catarina Duarte Santos ◽  
Fátima Rodrigues ◽  
Rui César Das Neves ◽  
Cristina Bárbara

2019 ◽  
Vol 12 (1) ◽  
pp. 23-28 ◽  
Author(s):  
Vicki R. Nelson ◽  
Robert V. Masocol ◽  
Irfan M. Asif

Background: The physical activity vital sign (PAVS) is a simple, validated tool for assessing physical activity in adults that has not been previously studied in pediatrics. Hypothesis: Reported physical activity utilizing the PAVS in pediatric patients should vary according to known associations with physical activity, such as age, sex, blood pressure, and body mass index (BMI). Study Design: Cross-sectional study. Level of Evidence: Level 3. Methods: All patients within a family medicine residency clinic were assessed via the PAVS from October 1, 2015, to October 31, 2016, including 255 consecutive pediatric patients aged 5 to 18 years. Associations were examined between PAVS, age, sex, blood pressure, and BMI using 1-way analysis of variance. Results: The average PAVS reported for youth (5-11 years) was 384.9 ± 218.1 minutes per week, with 69.5% reporting sufficient physical activity (≥300 minutes per week). Adolescents (12-18 years) reported a mean PAVS of 278.3 ± 199.6 minutes per week, with 51.1% reporting sufficient physical activity. Physical activity was lower in older participants ( P < 0.0001) and was higher in male patients ( P < 0.03). Higher BMI was associated with lower PAVS ( P < 0.005), while lower systolic blood pressure was associated with a greater number of days per week of physical activity ( P < 0.005). Conclusion: The PAVS successfully identifies accepted associations between age, sex, and BMI in a pediatric population. Clinical Relevance: The correlation of the PAVS with age, sex, BMI, and blood pressure may inform future strategies to address and prevent cardiometabolic disease in pediatric patients.


2018 ◽  
Vol 52 ◽  
pp. 9s
Author(s):  
Rafaela Costa Martins ◽  
Inácio Crochemore Mohnsam da Silva ◽  
Pedro Curi Hallal

OBJECTIVE: To evaluate the level of physical activity in general and by domains of practice in the rural area of Pelotas, State of Rio Grande do Sul, Brazil, as well as their associated factors. METHODS: This is a population-based, cross-sectional study with adults living in the rural area of Pelotas. The questionnaire used to measure the prevalence of physical activity was the Global Physical Activity Questionnaire. Individuals who reported at least 150 minutes of weekly physical activity were considered as active. The demographic, economic, labor, and crime safety aspects were evaluated as independent variables. Poisson regression was used for the crude and adjusted analyses. RESULTS: Final sample consisted of 1,447 individuals. Overall prevalence of physical activity was 83.7% (95%CI 81.3–86.2). Regarding the different domains, 74.9% (95%CI 71.3–78.6) of the participants reached the recommendations of physical activity specifically with work, 25.2% (95%CI 22.4–28.0) with transport, and 15.1% (95%CI 12.2–18.1) with leisure. Men were more active than women in all domains. Individuals with rural work were more active in work and transport. Crime variables were not associated with outcomes. CONCLUSIONS: The prevalence of general physical activity was high, and was mostly practiced at work. On the other hand, leisure activities were not very prevalent and the associated factors varied in direction and magnitude according to the domains of physical activity evaluated.


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