3
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Physical and affective components of dyspnoea are improved by pulmonary rehabilitation in COPD

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Background

          Dyspnoea is a multidimensional experience of breathing discomfort, but its affective dimension is unfrequently assessed in people with chronic obstructive pulmonary disease (COPD). We evaluated the effectiveness of a home-based pulmonary rehabilitation (PR) programme on the physical and affective components of dyspnoea assessed by the Dyspnoea-12 (D-12) questionnaire. We also determined the baseline characteristics that contributed to the change in D-12 scores.

          Methods

          In this retrospective study, 225 people with COPD (age, 65±11 years; forced expiratory volume in 1 s (FEV 1), 35±15% of predicted value) were enrolled into a person-centric home-based PR, consisting of a weekly supervised 90 min home session during 8 weeks. D-12 questionnaire, health status, anxiety and depressive symptoms, exercise tolerance and general fatigue were assessed at baseline (M0), at the end of PR programme (M2), and 8 (M8) and 14 months (M14) after M0. Multivariable analysis of covariance (ANCOVA) models were performed to identify the baseline characteristics that contributed to the change in D-12 scores.

          Results

          Both physical and affective components of dyspnoea and all the other outcome measures were improved at M2, M8 and M14 compared with baseline (p<0.05). Baseline body mass index was the only significant independent predictor of the changes in physical dyspnoea score, while the change in the affective dimension of dyspnoea after PR was associated with FEV 1, anxiety symptoms and exercise tolerance (6 min stepper test). However, since these variables had only a small impact on the changes in D-12 questionnaire scores, results from the ANCOVA analysis should be taken cautiously.

          Conclusion

          Both physical and affective components of dyspnoea were improved, at short term and long term, by 8 weeks of individualised home-based PR. The present results support the importance of assessing dyspnoea as a multidimensional experience during PR, warranting replication by robustly designed randomised and controlled studies.

          Related collections

          Most cited references43

          • Record: found
          • Abstract: not found
          • Article: not found

          mice: Multivariate Imputation by Chained Equations inR

            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            Psychophysical bases of perceived exertion

              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Pulmonary rehabilitation for chronic obstructive pulmonary disease.

              Widespread application of pulmonary rehabilitation (also known as respiratory rehabilitation) in chronic obstructive pulmonary disease (COPD) should be preceded by demonstrable improvements in function (health-related quality of life, functional and maximal exercise capacity) attributable to the programmes. This review updates the review reported in 2006.
                Bookmark

                Author and article information

                Journal
                BMJ Open Respir Res
                BMJ Open Respir Res
                bmjresp
                bmjopenrespres
                BMJ Open Respiratory Research
                BMJ Publishing Group (BMA House, Tavistock Square, London, WC1H 9JR )
                2052-4439
                2022
                25 January 2022
                : 9
                : 1
                Affiliations
                [1 ]FormAction Santé , Pérenchies, France
                [2 ]Univ. Lille, Univ. Artois, Univ. Littoral Côte D’opale, ULR 7369-Urepsss , Lille, France
                [3 ]Institut universitaire de cardiologie et de pneumologie de Quebec , Quebec, Quebec, Canada
                [4 ]departmentDepartment of Biostatistics , CHU Lille, Univ. Lille, EA 2694 - Santé Publique: Épidémiologie et Qualité des Soins , Lille, France
                [5 ]CHU Lille, Service de Pneumologie et Immuno-Allergologie, Centre de Référence Constitutif des Maladies Pulmonaires Rares , Lille, UK
                [6 ]Inserm, CNRS, Institut Pasteur de Lille, U1019 - UMR 8204 - CIIL - Center for Infection and Immunity of Lille , Lille, France
                Author notes
                [Correspondence to ] Dr Jean-Marie Grosbois; jmgrosbois@ 123456formactionsante.com
                Article
                bmjresp-2021-001160
                10.1136/bmjresp-2021-001160
                8796257
                35078826
                780e5fc4-6d9b-430e-abbc-933e025521d7
                © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

                This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See:  http://creativecommons.org/licenses/by-nc/4.0/.

                Product
                Funding
                Funded by: Adair, Aeris Santé, Bastide, France Oxygène, Homeperf, LVL, Medopale, NorOx, Santélys, SOS Oxygène, Sysmed, VentilHome, VitalAire, and ARS Hauts-de-France;
                Categories
                Chronic Obstructive Pulmonary Disease
                1506
                2215
                Custom metadata
                unlocked

                pulmonary rehabilitation,exercise,perception of asthma/breathlessness,copd pathology

                Comments

                Comment on this article