Publication:
Physical frailty characteristics have a differential impact on symptoms as measured by the CAT score: an observational study

dc.contributor.authorMedina Mirapeix, Francesc
dc.contributor.authorBernabeu Mora, Roberto
dc.contributor.authorGiménez Giménez, Luz María
dc.contributor.authorEscolar Reina, Pilar
dc.contributor.authorGacto Sánchez, Mariano
dc.contributor.authorOliveira-Sousa, Silvana Loana de
dc.contributor.departmentFisioterapia
dc.date.accessioned2024-02-07T07:53:49Z
dc.date.available2024-02-07T07:53:49Z
dc.date.issued2018-07-16
dc.description©2018. This manuscript version is made available under the CC-BY 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ This document is the Published, version of a Published Work that appeared in final form in Health and Quality of Life Outcomes. To access the final edited and published work see https://doi.org/10.1186/s12955-018-0969-9
dc.description.abstractBACKGROUND: The physical frailty status affects the health status of patients with chronic obstructive pulmonary disease (COPD). The objective was to determine if the individual physical frailty characteristics have a differential impact on the CAT score. METHODS: This observational study included 137 patients with stable COPD. Physical frailty was measured with unintentional weight loss, low physical activity, exhaustion, slow walking speed and low grip strength and health status assessed with the COPD Assessment test (CAT). The following variables were evaluated as potential determinants of CAT: sex, age, body mass index, smoking, dyspnea, exacerbations, comorbidities, %FEV1, %FVC, anxiety and depression. RESULTS: The prevalence of characteristics for individual frailty was as follows: low grip strength, 60.6%; low physical activity, 27.0%; exhaustion, 19.7%; slow walking speed, 9.5%; and unintentional weight loss, 7.3%. A total of 17.5% of the patients were non-frail, 73.7% were pre-frail and only 8.7% were frail. One of the five frailty characteristics, exhaustion (adjusted β coefficient 5.12 [standard error = 1.27], p = 0.001) was an independent determinant of CAT score in the final regression model which was adjusted by other independent determinants of CAT (dyspnea, exacerbations and anxiety). CONCLUSIONS: Due to the fact that exhaustion is a frequent and relevant psychological symptom on CAT score of patients with COPD, interventions should reduce that stress. Future research should explore how exhaustion persists or remits over time.es
dc.formatapplication/pdfes
dc.format.extent8es
dc.identifier.citationHealth Qual Life Outcomes. 2018 Jul 16 16(1):140
dc.identifier.doi10.1186/s12955-018-0969-9
dc.identifier.urihttp://hdl.handle.net/10201/138801
dc.languageenges
dc.relationSin financiación externa a la Universidades
dc.rightsinfo:eu-repo/semantics/openAccesses
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectPhysical frailtyes
dc.subjectCOPDes
dc.subjectCOPD Assessment testes
dc.titlePhysical frailty characteristics have a differential impact on symptoms as measured by the CAT score: an observational studyes
dc.typeinfo:eu-repo/semantics/articlees
dspace.entity.typePublicationes
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