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Title: | Novel Input for Designing Patient-Tailored Pulmonary Rehabilitation: Telemonitoring Physical Activity as a Vital Sign—SMARTREAB Study | Authors: | Santos, Catarina Duarte das Neves, Rui Cesar Ribeiro, Ruy M. Caneiras, Catia Rodrigues, Fatima SPRUIT, Martijn A. Barbara, Cristina |
Issue Date: | 2020 | Publisher: | MDPI | Source: | Journal of Clinical Medicine, 9 (8) (Art N° 2450) | Abstract: | 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. | Notes: | Santos, CD (corresponding author), Univ Lisbon, Inst Saude Ambiental ISAMB, Fac Med, P-1649028 Lisbon, Portugal.; Santos, CD (corresponding author), Ctr Hosp Univ Lisboa Norte, Hosp Pulido Valente, Unidade Reabilitacao Resp, P-1769001 Lisbon, Portugal. fisiocsantos@gmail.com; rcneves@cast.pt; ruyribeiro@medicina.ulisboa.pt; ccaneiras@gmail.com; fatima.pneumo@gmail.com; martijnspruit@ciro-horn.nl; cristina.barbara@chln.min-saude.pt |
Other: | Santos, CD (corresponding author), Univ Lisbon, Inst Saude Ambiental ISAMB, Fac Med, P-1649028 Lisbon, Portugal ; Ctr Hosp Univ Lisboa Norte, Hosp Pulido Valente, Unidade Reabilitacao Resp, P-1769001 Lisbon, Portugal. fisiocsantos@gmail.com; rcneves@cast.pt; ruyribeiro@medicina.ulisboa.pt; ccaneiras@gmail.com; fatima.pneumo@gmail.com; martijnspruit@ciro-horn.nl; cristina.barbara@chln.min-saude.pt | Keywords: | physical activity;telemonitoring;vital sign;respiratory diseases;IPAQ | Document URI: | http://hdl.handle.net/1942/32890 | e-ISSN: | 2077-0383 | DOI: | 10.3390/jcm9082450 | ISI #: | WOS:000568169700001 | Rights: | © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2021 |
Appears in Collections: | Research publications |
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File | Description | Size | Format | |
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jcm-09-02450.pdf | Published version | 2.62 MB | Adobe PDF | View/Open |
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