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DETERMINATION OF PHYSICAL ACTIVITY LEVEL AND ITS AFFECTING FACTORS IN ADULT ASTHMATIC SUBJECTS

Yıl 2014, Cilt: 25 Sayı: 3, 132 - 141, 01.06.2014

Öz

There is a limited information about the physical activity level in asthmatics. The aim of this study was to determine physical activity level and the factors affecting physical activity level in asthmatic subjects. Forty five asthmatics (36 female, 9 male) aged between 18-65 years participated in study. Subjects’ physical and demographic characteristics were recorded. Physical activity level was assessed using International Physical Activity Questionnaire (IPAQ). Pulmonary function testing was performed. Exercise capacity was determined using six-minute walk test (6MWT). Heart rate, oxygen saturation, dyspnea and fatigue (modified Borg scale) were monitored during the test. Muscle strength was measured using a dynamometer. Quality of life was assessed using Nottingham Health Profile (NHP). According to the IPAQ, 17 (37.8%) subjects were inactive, 26 (57.8%) were minimally active, and two (4.4%) were health enhanced physically active. According to the results of regression analysis, age and NHP sleep score independently predicted IPAQ total score (R=0.522, R2=0.273, F(1-41)=7.315, p=0.002). Forced expiratory volume in one second and peak heart rate achieved during the test independently predicted IPAQ sitting score as an indicator of sedentary lifestyle (R=0.526, R2=0.277, F(1-44)=8.051, p=0.001). In conclusion, older asthmatic subjects with severe airway obstruction, weak muscle strength, low quality of life, and poor functional performance have a decreased physical activity level. Physical activity is an important component of asthma control and treatment because of the positive effects on asthma symptoms.

Kaynakça

  • American Thoracic Society. (2002). ATS statement: guidelines for the six-minute walk test. American Journal of Respiratory and Critical Care Medicine, 66, 111-117.
  • Andersson M, Slinde F, Grönberg AM, Svantesson U, Janson C, Emtner M. (2013). Physical activity level and its clinical correlates in chronic obstructive pulmonary disease: a cross-sectional study. Respiratory Research, 14, 128.
  • Andrade LB, Silva DA, Salgado TL, Figueroa JN, Lucena-Silva N, Britto MC. (2014). Comparison of six-minute walk test in children with moderate/severe asthma with reference values for healthy children. Jornal de Pediatria (Rio J), 90, 250-257.
  • Basso RP, Jamami M, Labadessa IG, Regueiro EM, Pessoa BV, Oliveira AD Jr, ve diğ. (2013)Relationship between exercise capacity and quality of life in adolescents with asthma. Jornal Brasileiro de Pneumologia, 39, 121-127.
  • Borg GA. (1982). Psychophysical bases of perceived exertion. Medicine and Science in Sports and Exercise, 14, 377-381.
  • Breckon JD, Johnston LH, Hutchison A. (2008). Physical activity counseling content and competency: a systematic review. Journal of Physical Activity and Health, 5(3), 398-417.
  • Chen Y, Dales R, Krewski D. (2001). Leisure-time energy expenditure in asthmatics and non-asthmatics. Respiratory Medicine, 95, 13-18.
  • Enright PL, McBurnie MA, Bittner V, Tracy RP, McNamara R, Arnold A. (2003). The 6-min walk test: a quick measure of functional status in elderly adults. Chest, 123, 387-398.
  • Eijkemans M, Mommers M, Draaisma JM, Thijs C, Prins MH. (2012). Physical activity and asthma: a systematic review and meta-analysis. PlosOne, 7, e50775.
  • Firrincieli V, Keller A, Ehrensberger R, Platts-Mills J, Shufflebarger C, Geldmaker B, ve diğ. (2005). Decreased physical activity among head start children with a history of wheezing: use of an accelerometer to measure activity, Pediatric Pulmonology, 40, 57-63.
  • Ford ES, Heath GW, Mannino DM, Redd SC. (2003). Leisure-time physical activity patterns among US adults with asthma. Chest, 124, 432-437.
  • Fortier MS, Wiseman E, Sweet SN, O’Sullivan TL, Blanchard CM, Sigala RJ, ve diğ. (2011). A moderated mediation of motivation on physical activity in the context of the Physical Activity Counseling randomized control trial. Psychology of Sport and Exercise, 12, 71–78.
  • Gea J, Barreiro E. (2008). Update on the mechanisms of muscle dysfunction in COPD. Archivos de Bronconeumologia, 44, 328-337.
  • Gill DL, Hammond CC, Reifsteck EJ, Jehu CM, Williams RA, Adams MM, ve diğ. (2013). Physical activity and quality of life. Journal of Preventive Medicine and Public Health, 46 Suppl 1, S28-34.
  • Hamid Q, Shannon J, Martin J. (2005). Physiological Basis of Respiratory Disease, Hamilton, Ontario: Decker.
  • Haskell WL, Lee I-M, Pate RR, Powell KE, Blair SN, Franklin BA, ve diğ. (2007). Physical activity and public health. Updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation, 116, 1081–1093.
  • İnal İnce D, Savcı S. (2001). Astma ve spor. (Kalyoncu F, ed.) Bronş Astması 2001, s. 243-256, Ankara: Atlas Kitapçılık Ltd Şti.
  • Ince ML, Ebem Z. (2009). Role of exercise stages in self-reported health-promoting behaviors of a group of Turkish adolescents at transition to university. Perceptual and Motor Skills, 108, 399-404.
  • Kalyoncu F. (2001). Ülkemizde Bronş Astması Epidemiyolojisi. (Kalyoncu F, ed.) Bronş Astması 2001, s. 1-14, Ankara: Atlas Kitapçılık Ltd Şti.
  • Kolt GS, Schofield GM, Kerse N, Garrett N, Oliver M. (2007). Effect of telephone counseling on physical activity for low-active older people in primary care: a randomized, controlled trial. Journal of the American Geriatrics Society, 55, 986-992.
  • Kücükdeveci AA, McKenna SP, Kutlay S, Gürsel Y, Whalley D, Arasil T. (2000). The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. International Journal of Rehabilitation Research, 23, 31-38.
  • Lang DM, Butz AM, Duggan AK, Serwint JR. (2004). Physical activity in urban school-aged children with asthma. Pediatrics, 113, e341-346.
  • Lucas SK, Platts-Mills TAE. (2005). Physical activity and exercise in asthma: relevance to etiology and treatment, Journal of Allergy and Clinical Immunology, 115, 928-934.
  • Mancuso CA, Choi TN, Westermann H, Briggs WM, Wenderoth S, Charlson ME. (2007). Measuring physical activity in asthma patients: two-minute walk test, repeated chair rise test, and self-reported energy expenditure. Journal of Asthma, 44, 333-340.
  • Mancuso CA, Choi TN, Westermann H, Wenderoth S, Hollenberg JP, Wells MT, ve diğ. (2012). Increasing physical activity in patients with asthma through positive affect and self-affirmation: a randomized trial. Archives of Internal Medicine, 172, 337-343.
  • Marino DM, Marrara KT, Ike D, De Oliveira AD. Jr, Jamami M, Di Lorenzo VA. (2010). Study of peripheral muscle strength and severity indexes in individuals with chronic obstructive pulmonary disease. Physiotherapy Research International, 15, 135-143.
  • Miller MR, Crapo R, Hankinson J, Brusasco V, Burgos F, Casaburi R, ve diğ. (2005). General considerations for lung function testing. European Respiratory Journal, 26, 153-161.
  • Moreira A, Delgado L, Haahtela T, Fonseca J, Moreira P, Lopes C, ve diğ. (2008). Physical training does not increase allergic inflammation in asthmatic children. European Respiratory Journal, 32, 1570-1575.
  • Ram FS, Robinson SM, Black PN. (2000). Effects of physical training in asthma: a systematic review. British Journal of Sports Medicine, 34, 162-167.
  • Rantanen T, Guralnik JM, Sakari-Rantala R, Leveille S, Simonsick EM, Ling S, ve diğ. (1999). Disability, physical activity, and muscle strength in older women: the Women’s Health and Aging Study. Archives of Physical Medicine and Rehabilitation, 80, 130-135.
  • Ruppel GL. (1998). Manual of Pulmonary Function Testing. (Ruppel GL, ed.), St. Louis: Mosby.
  • Saglam M, Arikan H, Savci S, Inal-Ince D, Bosnak- Guclu M, Karabulut E, ve diğ. (2010). International physical activity questionnaire: reliability and validity of the Turkish version. Perceptual and Motor Skills, 111, 278-84.
  • Sandler RB, Burdett R, Zaleskiewicz M, Sprowls- Repcheck C, Harwell M. (1991). Muscle strength as an indicator of the habitual level of physical activity. Medicine and Science in Sports and Exercise, 23, 1375-1381.
  • T.C. Sağlık Bakanlığı. (2004). Refik Saydam Hıfzıssıhha Merkezi Başkanlığı Hıfzıssıhha Mektebi Müdürlüğü, Başkent Üniversitesi Ulusal Hastalık Yükü ve Maliyeti Etkinlik Projesi.
  • Troosters T, van der Molen T, Polkey M, Rabinovich RA, Vogiatzis I, Weisman I, ve diğ. (2013). Improving physical activity in COPD: towards a new paradigm. Respiratory Research, 14, 115.
  • Van der Ploeg RJ, Fidler V, Oosterhuis HJGH. (1991). Hand-held myometry: reference values. Journal of Neurology, Neurosurgery, and Psychiarty, 54, 244-247.
  • Verlaet A, Moreira A, Sa-Sousa A, Barros R, Santos R, Moreira P, ve diğ. (2013). Physical activity in adults with controlled and uncontrolled asthma compared to healthy adults: a cross-sectional study. Clinical and Translational Allergy, 3, 1.
  • Westos AR, Macfarlane DJ, Hopkins WG. (1989). Physical activity of asthmatic and nonasthmatic children. Journal of Asthma, 26, 279-286.

ERİŞKİN ASTIMLI BİREYLERDE FİZİKSEL AKTİVİTE DÜZEYİ VE ETKİLEYEN FAKTÖRLERİN BELİRLENMESİ.

Yıl 2014, Cilt: 25 Sayı: 3, 132 - 141, 01.06.2014

Öz

Astımda fiziksel aktivite düzeyi konusundaki bilgiler sınırlıdır. Bu çalışmanın amacı, erişkin astımlı bireylerde fiziksel aktivite düzeyinin belirlenmesi ve fiziksel aktivite seviyesini etkileyen faktörlerin incelenmedir. Çalışmaya yaşları 18-65 yıl arasında olan 45 astımlı birey (36 kadın, 9 erkek) alınmıştır. Olguların fiziksel ve demografik özellikleri kaydedilmiştir. Fiziksel aktivite düzeyi, Uluslararası Fiziksel Aktivite Anketi (IPAQ) ile değerlendirilmiştir. Solunum fonksiyon testi yapılmıştır. Egzersiz kapasitesi, altı dakika yürüme testi (6DYT) ile değerlendirilmiştir. Test sırasında, kalp hızı, oksijen satürasyonu, nefes darlığı ve yorgunluk algılaması (modifiye Borg skalası) izlenmiştir. Kas kuvveti dinamometre ile belirlenmiştir. Bireylerin yaşam kalitesi Nottingham Sağlık Profili (NHP) ile ölçülmüştür. IPAQ’a göre astımlı bireylerin 17’si (% 37.8) fiziksel olarak hareketsiz, 26’sı (% 57.8) yetersiz düzeyde aktif ve ikisi (% 4.4) sağlığın geliştirilmesini artıracak düzeyde aktiftir. Regresyon analizi sonuçlarına göre, yaşın ve NHP uyku puanının, IPAQ toplam fiziksel aktivite puanını bağımsız olarak tahmin ettiği belirlenmiştir (R=0.522, R2=0.273, F(1-41)=7.315, p=0.002). Birinci saniyedeki zorlu ekspiratuar volümün ve test sırasında ulaşılan zirve kalp hızı değerinin sedanter yaşamın göstergesi olan IPAQ oturma puanını bağımsız olarak tahmin ettiği bulunmuştur (R=0.526, R2=0.277, F(1-44)=8.051, p=0.001). Sonuç olarak, hava akımı kısıtlanması şiddetli olan, kas kuvveti zayıf olan, yaşam kalitesi düşük ve fonksiyonel performansı az olan ileri yaştaki astımlı bireylerin fiziksel aktivite düzeyleri azalmaktadır. Fiziksel aktivite, astım semptomları üzerindeki olumlu etkileri nedeni ile astım kontrolü ve tedavisinin önemli bir komponentini oluşturur.

Kaynakça

  • American Thoracic Society. (2002). ATS statement: guidelines for the six-minute walk test. American Journal of Respiratory and Critical Care Medicine, 66, 111-117.
  • Andersson M, Slinde F, Grönberg AM, Svantesson U, Janson C, Emtner M. (2013). Physical activity level and its clinical correlates in chronic obstructive pulmonary disease: a cross-sectional study. Respiratory Research, 14, 128.
  • Andrade LB, Silva DA, Salgado TL, Figueroa JN, Lucena-Silva N, Britto MC. (2014). Comparison of six-minute walk test in children with moderate/severe asthma with reference values for healthy children. Jornal de Pediatria (Rio J), 90, 250-257.
  • Basso RP, Jamami M, Labadessa IG, Regueiro EM, Pessoa BV, Oliveira AD Jr, ve diğ. (2013)Relationship between exercise capacity and quality of life in adolescents with asthma. Jornal Brasileiro de Pneumologia, 39, 121-127.
  • Borg GA. (1982). Psychophysical bases of perceived exertion. Medicine and Science in Sports and Exercise, 14, 377-381.
  • Breckon JD, Johnston LH, Hutchison A. (2008). Physical activity counseling content and competency: a systematic review. Journal of Physical Activity and Health, 5(3), 398-417.
  • Chen Y, Dales R, Krewski D. (2001). Leisure-time energy expenditure in asthmatics and non-asthmatics. Respiratory Medicine, 95, 13-18.
  • Enright PL, McBurnie MA, Bittner V, Tracy RP, McNamara R, Arnold A. (2003). The 6-min walk test: a quick measure of functional status in elderly adults. Chest, 123, 387-398.
  • Eijkemans M, Mommers M, Draaisma JM, Thijs C, Prins MH. (2012). Physical activity and asthma: a systematic review and meta-analysis. PlosOne, 7, e50775.
  • Firrincieli V, Keller A, Ehrensberger R, Platts-Mills J, Shufflebarger C, Geldmaker B, ve diğ. (2005). Decreased physical activity among head start children with a history of wheezing: use of an accelerometer to measure activity, Pediatric Pulmonology, 40, 57-63.
  • Ford ES, Heath GW, Mannino DM, Redd SC. (2003). Leisure-time physical activity patterns among US adults with asthma. Chest, 124, 432-437.
  • Fortier MS, Wiseman E, Sweet SN, O’Sullivan TL, Blanchard CM, Sigala RJ, ve diğ. (2011). A moderated mediation of motivation on physical activity in the context of the Physical Activity Counseling randomized control trial. Psychology of Sport and Exercise, 12, 71–78.
  • Gea J, Barreiro E. (2008). Update on the mechanisms of muscle dysfunction in COPD. Archivos de Bronconeumologia, 44, 328-337.
  • Gill DL, Hammond CC, Reifsteck EJ, Jehu CM, Williams RA, Adams MM, ve diğ. (2013). Physical activity and quality of life. Journal of Preventive Medicine and Public Health, 46 Suppl 1, S28-34.
  • Hamid Q, Shannon J, Martin J. (2005). Physiological Basis of Respiratory Disease, Hamilton, Ontario: Decker.
  • Haskell WL, Lee I-M, Pate RR, Powell KE, Blair SN, Franklin BA, ve diğ. (2007). Physical activity and public health. Updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation, 116, 1081–1093.
  • İnal İnce D, Savcı S. (2001). Astma ve spor. (Kalyoncu F, ed.) Bronş Astması 2001, s. 243-256, Ankara: Atlas Kitapçılık Ltd Şti.
  • Ince ML, Ebem Z. (2009). Role of exercise stages in self-reported health-promoting behaviors of a group of Turkish adolescents at transition to university. Perceptual and Motor Skills, 108, 399-404.
  • Kalyoncu F. (2001). Ülkemizde Bronş Astması Epidemiyolojisi. (Kalyoncu F, ed.) Bronş Astması 2001, s. 1-14, Ankara: Atlas Kitapçılık Ltd Şti.
  • Kolt GS, Schofield GM, Kerse N, Garrett N, Oliver M. (2007). Effect of telephone counseling on physical activity for low-active older people in primary care: a randomized, controlled trial. Journal of the American Geriatrics Society, 55, 986-992.
  • Kücükdeveci AA, McKenna SP, Kutlay S, Gürsel Y, Whalley D, Arasil T. (2000). The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. International Journal of Rehabilitation Research, 23, 31-38.
  • Lang DM, Butz AM, Duggan AK, Serwint JR. (2004). Physical activity in urban school-aged children with asthma. Pediatrics, 113, e341-346.
  • Lucas SK, Platts-Mills TAE. (2005). Physical activity and exercise in asthma: relevance to etiology and treatment, Journal of Allergy and Clinical Immunology, 115, 928-934.
  • Mancuso CA, Choi TN, Westermann H, Briggs WM, Wenderoth S, Charlson ME. (2007). Measuring physical activity in asthma patients: two-minute walk test, repeated chair rise test, and self-reported energy expenditure. Journal of Asthma, 44, 333-340.
  • Mancuso CA, Choi TN, Westermann H, Wenderoth S, Hollenberg JP, Wells MT, ve diğ. (2012). Increasing physical activity in patients with asthma through positive affect and self-affirmation: a randomized trial. Archives of Internal Medicine, 172, 337-343.
  • Marino DM, Marrara KT, Ike D, De Oliveira AD. Jr, Jamami M, Di Lorenzo VA. (2010). Study of peripheral muscle strength and severity indexes in individuals with chronic obstructive pulmonary disease. Physiotherapy Research International, 15, 135-143.
  • Miller MR, Crapo R, Hankinson J, Brusasco V, Burgos F, Casaburi R, ve diğ. (2005). General considerations for lung function testing. European Respiratory Journal, 26, 153-161.
  • Moreira A, Delgado L, Haahtela T, Fonseca J, Moreira P, Lopes C, ve diğ. (2008). Physical training does not increase allergic inflammation in asthmatic children. European Respiratory Journal, 32, 1570-1575.
  • Ram FS, Robinson SM, Black PN. (2000). Effects of physical training in asthma: a systematic review. British Journal of Sports Medicine, 34, 162-167.
  • Rantanen T, Guralnik JM, Sakari-Rantala R, Leveille S, Simonsick EM, Ling S, ve diğ. (1999). Disability, physical activity, and muscle strength in older women: the Women’s Health and Aging Study. Archives of Physical Medicine and Rehabilitation, 80, 130-135.
  • Ruppel GL. (1998). Manual of Pulmonary Function Testing. (Ruppel GL, ed.), St. Louis: Mosby.
  • Saglam M, Arikan H, Savci S, Inal-Ince D, Bosnak- Guclu M, Karabulut E, ve diğ. (2010). International physical activity questionnaire: reliability and validity of the Turkish version. Perceptual and Motor Skills, 111, 278-84.
  • Sandler RB, Burdett R, Zaleskiewicz M, Sprowls- Repcheck C, Harwell M. (1991). Muscle strength as an indicator of the habitual level of physical activity. Medicine and Science in Sports and Exercise, 23, 1375-1381.
  • T.C. Sağlık Bakanlığı. (2004). Refik Saydam Hıfzıssıhha Merkezi Başkanlığı Hıfzıssıhha Mektebi Müdürlüğü, Başkent Üniversitesi Ulusal Hastalık Yükü ve Maliyeti Etkinlik Projesi.
  • Troosters T, van der Molen T, Polkey M, Rabinovich RA, Vogiatzis I, Weisman I, ve diğ. (2013). Improving physical activity in COPD: towards a new paradigm. Respiratory Research, 14, 115.
  • Van der Ploeg RJ, Fidler V, Oosterhuis HJGH. (1991). Hand-held myometry: reference values. Journal of Neurology, Neurosurgery, and Psychiarty, 54, 244-247.
  • Verlaet A, Moreira A, Sa-Sousa A, Barros R, Santos R, Moreira P, ve diğ. (2013). Physical activity in adults with controlled and uncontrolled asthma compared to healthy adults: a cross-sectional study. Clinical and Translational Allergy, 3, 1.
  • Westos AR, Macfarlane DJ, Hopkins WG. (1989). Physical activity of asthmatic and nonasthmatic children. Journal of Asthma, 26, 279-286.
Toplam 38 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Makaleler
Yazarlar

Melda Sağlam

Deniz İNAL İnce Bu kişi benim

Naciye VARDAR Yağlı Bu kişi benim

Hülya Arıkan Bu kişi benim

Ebru ÇALIK Kütükcü Bu kişi benim

Gül Karakaya Bu kişi benim

Fuat Kalyoncu Bu kişi benim

Yayımlanma Tarihi 1 Haziran 2014
Gönderilme Tarihi 31 Ocak 2015
Yayımlandığı Sayı Yıl 2014 Cilt: 25 Sayı: 3

Kaynak Göster

APA Sağlam, M., İnce, D. İ., Yağlı, N. V., Arıkan, H., vd. (2014). ERİŞKİN ASTIMLI BİREYLERDE FİZİKSEL AKTİVİTE DÜZEYİ VE ETKİLEYEN FAKTÖRLERİN BELİRLENMESİ. Spor Bilimleri Dergisi, 25(3), 132-141. https://doi.org/10.17644/sbd.171317

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