Working Paper Article Version 1 This version is not peer-reviewed

Physical Activity and Sedentary Behaviour Patterns in 326 Persons With COPD Before Starting a Pulmonary Rehabilitation: A Cluster Analysis

Version 1 : Received: 20 August 2019 / Approved: 21 August 2019 / Online: 21 August 2019 (09:59:39 CEST)

A peer-reviewed article of this Preprint also exists.

Geidl, W.; Carl, J.; Cassar, S.; Lehbert, N.; Mino, E.; Wittmann, M.; Wagner, R.; Schultz, K.; Pfeifer, K. Physical Activity and Sedentary Behaviour Patterns in 326 Persons with COPD before Starting a Pulmonary Rehabilitation: A Cluster Analysis. J. Clin. Med. 2019, 8, 1346. Geidl, W.; Carl, J.; Cassar, S.; Lehbert, N.; Mino, E.; Wittmann, M.; Wagner, R.; Schultz, K.; Pfeifer, K. Physical Activity and Sedentary Behaviour Patterns in 326 Persons with COPD before Starting a Pulmonary Rehabilitation: A Cluster Analysis. J. Clin. Med. 2019, 8, 1346.

Journal reference: J. Clin. Med. 2019, 8, 1346
DOI: 10.3390/jcm8091346

Abstract

This study applies a cluster analysis to identify typical physical activity (PA) and sedentary behaviour (SB) patterns in people with chronic obstructive pulmonary disease (COPD) before starting pulmonary rehabilitation (PR). We implemented an observational design which assessed baseline data on objectively measured PA and SB from the STAR (Stay Active after Rehabilitation) study. 355 persons wore a accelerometer (Actigraph wGT3X) for seven days before the start of their PR. Sociodemographic and disease-related parameters were assessed at the start of PR. We applied cluster analysis and compared groups applying univariate variance analyses. Data was available for 326 persons (31.6% women; age ø = 58 yr.). Cluster analysis revealed four movement clusters with distinct PA and SB patterns: sedentary non-movers (28.5%), sedentary occasional movers (41.7%), sedentary movers (19.6%), and sedentary exercisers (10.1%). The four clusters showed very different levels of moderate PA before rehabilitation (Ø daily minutes: 9; 28; 38; 70). Notably, all four clusters displayed considerably long average sitting time per day (Ø daily minutes: 644; 561; 490; 446). The groups differed significantly in disease-related parameters of GOLD severity, FEV1, CAT, and 6-Min-Walk-Test. In addition to PA promotion, PR programs should consider the reduction of sitting time as a valuable goal.

Subject Areas

chronic obstructive pulmonary disease; exercise; motor activity; lung diseases; classificatory approach; sitting

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