M5 Lung function and psychological well-being: One-year outcomes in severe asthma: Abstract M5 Table 1
R Satherley, J Fellows, V Mitchell, AH Mansur
2013
Thorax
disease. A key problem for patients with severe asthma is impaired exercise capacity and often reported as a trigger for symptoms. In COPD it is recognised that reduced Physical Activity (PA) levels can be linked with poorer morbidity and increased exacerbations. In Severe Asthma (SA) there has to date been no formal evaluation of self reported PA levels in comparison to objective measurements and Quality of Life (QoL). Objectives To evaluate self reported PA in a population of patients with SA
more »
... compared to 6 Minute Walk Test (6MWT) results. To compare PA levels with others measures of disease including lung function and QoL measurements (Short Form 36 or SF36) Methods 35 patients (12 male:17 Female) with SA completed the Dukes Activity Status Index (DASI) which gives an estimated maximum metabolic equivalent (METs) as an estimation of self reported physical function. QoL was measured with the SF36 where Physical component scores (PCS) and Mental Component Scores (MCS) were collected. Objective measures of Forced Expiratory Volume in 1 second percent predicted (FEV 1 %) and 6MWT distance (metres) were also collected. Results Abstract M3. Table of demographics Median (range) Age 45 (52) FEV 1 % 68.1 (87.4) 6MWT(metres) 390 (650) SF36 PCS 33.1 (42.1) SF36 MCS 50.2 (49.4) DASI 22.3 (51) The 6MWT had medium correlations with SF36 MCS (r s = 0.372, p > 0.03) and SF36 PCS (r s = 0.480, p > 0.004) and a strong correlation with the DASI (r s = 0.604, p > 0.0001). Moreover the Physical function component of SF36 (SF36PF) also had a strong correlation with 6MWT (r s = 0.541, p > 0.001). FEV 1 showed a medium correlation with 6MWT (r s = 0.413, p > 0.19). Conclusion Patients appear to estimate PA levels accurately with the DASI, with higher scores of estimated METs correlating with increased 6MWT distance. QoL appears higher in those patients who achieve a greater distance in their 6MWT, especially in relation to their physical function. FEV 1 preservation also appears to correlate with improved 6MWT distances. Further investigation of PA in this popoulation is warranted.
doi:10.1136/thoraxjnl-2013-204457.415
fatcat:6xg5b2sxcbbjdfokacxt4bb5dq