Resumen
Purpose: Physical activity (PA) predicts important health outcomes in chronic obstructive pulmonary disease (COPD). In the general population, environmental factors have the potential to influence PA; however, data are limited in this clinical population. Therefore, we sought to investigate associations between the environment and PA, sedentary behavior, and self-rated health in COPD. Methods: Sociodemographic, PA, sedentary behavior, and self-rated health data were collected from a prospective cohort of 418 individuals with COPD (65% female; 58 ± 8 yr), while environmental data were drawn from a national environmental data repository and individually matched to participant postal code. Environmental variables included social and material deprivation, urban form index, surrounding greenness, and air quality (concentrations of air pollution for fine particles, nitrogen dioxide, ozone, and sulphur dioxide). Logistic and multivariate linear regression models were used to investigate the strongest environmental predictors. Results: The models showed a statistically significant negative correlation between PA level and ozone pollution (P =.023; adjusted OR = 0.85: 95% CI, 0.74-0.98). Urban form index was also significantly associated with sedentary behavior (β = 0.113; t value = 1.71; P =.011). Self-rated health was significantly positively correlated with PA level (P =.006; adjusted OR = 2.22: 95% CI, 1.25-3.94), and significantly inversely correlated with sedentary behavior (β = -0.159; t value =-2.42; P =.016). Conclusion: These new data may identify barriers to PA and assist clinicians in the prescription of exercise for individuals living with COPD.
Idioma original | English |
---|---|
Páginas (desde-hasta) | 190-195 |
Número de páginas | 6 |
Publicación | Journal of Cardiopulmonary Rehabilitation and Prevention |
Volumen | 42 |
N.º | 3 |
DOI | |
Estado | Published - may. 1 2022 |
Nota bibliográfica
Funding Information:The data used in this research were made available by the Atlantic Partnership for Tomorrow's Health (Atlantic PATH) study, which is the Atlantic Canada regional component of the Canadian Partnership for Tomorrow Project funded by the Canadian Partnership Against Cancer and Health Canada. This research has been conducted using Atlantic PATH data, under application 2018-101. The views expressed herein represent the views of the authors and do not necessarily represent the view of Health Canada. We would like to thank the Atlantic PATH participants who donated their time, personal health history, and biological samples to this project. We would also like to thank the Atlantic PATH team members for data collection and management. In addition, we thank and acknowledge the Canadian Urban Environmental Health Research Consortium (CANUE) for providing access to the environmental data.
Publisher Copyright:
© 2022 Lippincott Williams and Wilkins. All rights reserved.
ASJC Scopus Subject Areas
- Rehabilitation
- Pulmonary and Respiratory Medicine
- Cardiology and Cardiovascular Medicine
PubMed: MeSH publication types
- Journal Article
- Research Support, Non-U.S. Gov't