Zusammenfassung
Die körperliche Aktivität ist ein bedeutsamer Parameter der Morbidität und Mortalität für kardiovaskuläre Erkrankungen, das metabolische Syndrom/Diabetes, mentale Erkrankungen, maligne Erkrankungen sowie die chronisch-obstruktive Bronchitis und das Lungenemphysem („chronic obstructive pulmonary disease“ [COPD]). Eine geringere körperliche Aktivität der Patienten mit COPD ist mit einem schnelleren jährlichen Verlust der Lungenfunktion, häufigeren Hospitalisierungen und einem höheren Mortalitätsrisiko assoziiert. Die selbstberichtete körperliche Aktivität von Patienten mit COPD ist nur ungenügend mit deren objektiv gemessener körperlicher Aktivität korreliert. Neuere Untersuchungen zeigen, dass die körperliche Aktivität von Patienten mit COPD verlässlich gemessen werden kann. Extrapulmonale Auswirkungen der COPD sind mit einer geringeren körperlichen Aktivität assoziiert. Klinische Charakteristika zur Schweregradeinteilung der COPD wie das forcierte exspiratorische Volumen in 1 s und der 6-min-Gehtest geben die körperliche Aktivität der Patienten nur unvollständig wieder.
Abstract
Physical activity is an important parameter related to morbidity and mortality in cardiovascular disease, metabolic syndrome/diabetes, mental disorders, cancer, and chronic obstructive pulmonary disease (COPD). In COPD, lower levels of physical activity as reported by the patients are associated with a faster annual lung function decline, increased number of hospitalizations, and higher risk of mortality. Self-reported physical activity, however, correlates only poorly with objectively quantified physical activity in patients with COPD. Recent data show that physical activity can reliably be measured in a substantial number of patients with COPD. Extrapulmonary effects of COPD are associated with reduced physical activity. Clinical characteristics commonly used to assess disease severity like the forced expiratory volume in 1 s or the 6-min walk distance only incompletely reflect the physical activity of patients with COPD.
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Magnussen, H., Waschki, B. & Watz, H. Die Messung der körperlichen Aktivität von Patienten mit chronisch-obstruktiver Bronchitis und Lungenemphysem. Med Klin 104, 303–308 (2009). https://doi.org/10.1007/s00063-009-1052-4
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DOI: https://doi.org/10.1007/s00063-009-1052-4