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Early Post-Discharge Predictors of Sedentary Behavior Following COPD Exacerbation: An Observational Study

2026-01-08Artigo científico Acesso aberto
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datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorColuccia, Maria Gabriela
dc.contributor.authorCruz, Joana Patrícia Dos Santos
dc.contributor.authorBrusaca, Luiz Augusto
dc.contributor.authorKawakami, Débora Mayumi de Oliveira
dc.contributor.authorAraujo, Gustavo Henrique Guimarães
dc.contributor.authorKarloh, Manuela
dc.contributor.authorMendes, Renata Gonçalves
dc.contributor.authorLorenzo, Valéria Amorim Pires Di
dc.date.accessioned2026-04-01T13:48:06Z
dc.date.available2026-04-01T13:48:06Z
dc.date.issued2026-01-08
dc.descriptionArticle nr. 2600130
dc.descriptionThe authors would like to thank the Universidade Federal de São Carlos (UFSCar), University Hospital of Federal University of São Carlos - SP-Brazil (HU-UFSCar) Brazilian Company of Hospital Services (EBSERH). Joana Cruz acknowledges the support by FCT - Fundação para a Ciência e Tecnologia, I.P. by project reference “UID/05704/2025” and DOI identifier https://doi.org/10.54499/UID/05704/2025.
dc.description.abstractPatients hospitalized due to an exacerbation of chronic obstructive pulmonary disease (ECOPD) often exhibit increased sedentary behavior (SB), which may persist after discharge and negatively affect recovery. However, early determinants of SB during this period remain unclear. To identify the factors at hospital discharge that predict SB 30 days later in patients with ECOPD. This observational longitudinal study included patients hospitalized for ECOPD, assessed during the first week after discharge and reassessed 30 days later. Data collected included sociodemographic information (age, sex, name, telephone number, and address), anthropometric measurements (weight, height, and body mass index [BMI]), clinical history (previous hospitalizations, exacerbations, and smoking status), dyspnea (Medical Research Council scale, mMRC), health status (COPD Assessment Test, CAT), co-morbidities (Charlson Comorbidity Index), and exercise capacity (6-minute walk test, 6MWT). Physical activity and sedentary behavior—including SB, light (LPA), moderate (MPA), and vigorous (VPA) physical activity, step count, and sleep—were measured using a triaxial accelerometer worn for seven consecutive days. Accelerometer data were processed with ActiPASS software, and statistical analyses were performed in RStudio. Stepwise regression analysis was used to identify the discharge variables that could predict SB at 30 days. Forty-four patients (61% female; age 66 ± 8 years; FEV1 53 ± 13%; Charlson 1 [1–2]; hospital stay 5 [3–6] days) were included. At discharge, median mMRC was 3 (2–3), CAT 21 ± 8, 6MWT 274 ± 102 m, steps/day 3,148, SB 619 ± 226 min/day, and LPA 216 min/day. At 30 days, SB was 615 ± 166 min/day. Dyspnea (mMRC) and LPA at discharge explained SB at 30 days (R2 = 0.31, p < 0.001). Higher levels of dyspnea and lower levels of LPA during the first week after discharge are the significant predictors of SB 30 days after hospitalization for ECOPD.eng
dc.description.sponsorshipThis study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior – Brasil (CAPES) – Finance Code 001. JC acknowledges the support of the Center for Innovative Care and Health Technology (ciTechCare), funded by Portuguese national funds provided by Fundação para a Ciência e Tecnologia (FCT) (UIDB/05704/2023).
dc.identifier.citationColucci, M. G., Cruz, J. P. dos S., Brusaca, L. A., de Oliveira Kawakami, D. M., Guimarães Araujo, G. H., Karloh, M., … Pires Di Lorenzo, V. A. (2026). Early Post-Discharge Predictors of Sedentary Behavior Following COPD Exacerbation: An Observational Study. COPD: Journal of Chronic Obstructive Pulmonary Disease, 23(1). https://doi.org/10.1080/15412555.2025.2600130
dc.identifier.doi10.1080/15412555.2025.2600130
dc.identifier.eissn1541-2563
dc.identifier.issn1541-2555
dc.identifier.urihttp://hdl.handle.net/10400.8/16064
dc.language.isoeng
dc.peerreviewedyes
dc.publisherTaylor and Francis
dc.relation.hasversionhttps://www.tandfonline.com/doi/full/10.1080/15412555.2025.2600130
dc.relation.ispartofCOPD: Journal of Chronic Obstructive Pulmonary Disease
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectCOPD
dc.subjectdisease exacerbation
dc.subjectphysical activity
dc.subjectphysiotherapy
dc.subjectsedentary behavior
dc.titleEarly Post-Discharge Predictors of Sedentary Behavior Following COPD Exacerbation: An Observational Studyeng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage10
oaire.citation.issue1
oaire.citation.startPage1
oaire.citation.titleCOPD: Journal of Chronic Obstructive Pulmonary Disease
oaire.citation.volume23
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameCruz
person.givenNameJoana
person.identifier.ciencia-idE213-7D20-5C3C
person.identifier.orcid0000-0002-4911-4469
person.identifier.ridK-7030-2013
person.identifier.scopus-author-id36715922000
relation.isAuthorOfPublication33428074-748a-4751-b2f7-9f24247715fd
relation.isAuthorOfPublication.latestForDiscovery33428074-748a-4751-b2f7-9f24247715fd

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