Physical activity and risk of comorbidities in patients with chronic obstructive pulmonary disease: a cohort study

NPJ Primary Care Respiratory Medicine
Tsung YuAnja Frei

Abstract

Multi-morbidity is common in patients with chronic obstructive pulmonary disease and low levels of physical activity are hypothesized to be an important risk factor. The current study aimed to assess the longitudinal association between physical activity and risk of seven categories of comorbidity in chronic obstructive pulmonary disease patients. The study included 409 patients from primary care practice in the Netherlands and Switzerland. We assessed physical activity using the Longitudinal Ageing Study Amsterdam Physical Activity Questionnaire at baseline and followed patients for up to 5 years. During follow-up, patients reported their comorbidities (cardiovascular, neurological, endocrine, musculoskeletal, malignant, and infectious diseases) and completed the Hospital Anxiety and Depression Scale questionnaire for mental health assessment. We implemented multinomial logistic regression (an approximation to discrete time survival model using death as a competing risk) for our analysis. Study results did not suggest a statistically significant association of baseline physical activity with the development of seven categories of comorbidity. However, when we focused on depression and anxiety symptoms, we found that higher lev...Continue Reading

References

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Citations

Jun 19, 2019·Depression and Anxiety·Felipe B SchuchSarah A Hiles
Jan 23, 2020·International Journal of Environmental Research and Public Health·Sheila Sánchez CastilloGuillermo Felipe López Sánchez
Jul 17, 2019·Journal of Comorbidity·Irini Gergianaki, Ioanna Tsiligianni
Jun 10, 2020·European Journal of Cancer Prevention : the Official Journal of the European Cancer Prevention Organisation (ECP)·Anastasia A PonomaryovaNadezhda V Cherdyntseva

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