Socio-environmental correlates of physical activity in patients with chronic obstructive pulmonary disease (COPD)

Ane Arbillaga-Etxarri, Elena Gimeno-Santos, Anael Barberan-Garcia, Marta Benet, Eulàlia Borrell, Payam Dadvand, Maria Foraster, Alicia Marín, Mònica Monteagudo, Robert Rodriguez-Roisin, Pere Vall-Casas, Jordi Vilaró, Judith Garcia-Aymerich

Research output: Indexed journal article Articlepeer-review

47 Citations (Scopus)

Abstract

Background Study of the causes of the reduced levels of physical activity in patients with COPD has been scarce and limited to biological factors. Aim To assess the relationship between novel socio-environmental factors, namely dog walking, grandparenting, neighbourhood deprivation, residential surrounding greenness and residential proximity to green or blue spaces, and amount and intensity of physical activity in COPD patients. Methods This cross-sectional study recruited 410 COPD patients from five Catalan municipalities. Dog walking and grandparenting were assessed by questionnaire. Neighbourhood deprivation was assessed using the census Urban Vulnerability Index, residential surrounding greenness by the satellite-derived Normalized Difference Vegetation Index, and residential proximity to green or blue spaces as living within 300â €..m of such a space. Physical activity was measured during 1â €..week by accelerometer to assess time spent on moderate-To-vigorous physical activity (MVPA) and vector magnitude units (VMU) per minute. Findings Patients were 85% male, had a mean (SD) age of 69 (9) years, and post-bronchodilator FEV 1 of 56 (17) %pred. After adjusting for age, sex, socio-economic status, dyspnoea, exercise capacity and anxiety in a linear regression model, both dog walking and grandparenting were significantly associated with an increase both in time in MVPA (18â €..min/day (p<0.01) and 9â €..min/day (p<0.05), respectively) and in physical activity intensity (76â €..VMU/min (p=0.05) and 59â €..VMUs/min (p<0.05), respectively). Neighbourhood deprivation, surrounding greenness and proximity to green or blue spaces were not associated with physical activity. Conclusions Dog walking and grandparenting are associated with a higher amount and intensity of physical activity in COPD patients. Trial registration number Pre-results, NCT01897298.

Original languageEnglish
Pages (from-to)796-802
Number of pages7
JournalThorax
Volume72
Issue number9
DOIs
Publication statusPublished - 1 Sept 2017

Keywords

  • COPD epidemiology
  • Exercise

Fingerprint

Dive into the research topics of 'Socio-environmental correlates of physical activity in patients with chronic obstructive pulmonary disease (COPD)'. Together they form a unique fingerprint.

Cite this