The impact of pulmonary rehabilitation on 24-hour movement behavior in people with chronic obstructive pulmonary disease: new insights from a compositional perspective

Angela T. Burge, Javier Palarea-Albaladejo, Anne E. Holland, Michael J. Abramson, Christine F. McDonald, Ajay Mahal, Catherine J. Hill, Annemarie L. Lee, Narelle S. Cox, Aroub Lahham, Rosemary Moore, Caroline Nicolson, Paul O'Halloran, Rebecca Gillies, Sebastien F.M. Chastin

Research output: Contribution to journalArticlepeer-review

Abstract

BACKGROUND: Physical activity levels are low in people with chronic obstructive pulmonary disease, and there is limited knowledge about how pulmonary rehabilitation transforms movement behaviors. This study analyzed data from a pulmonary rehabilitation trial and identified determinants of movement behaviors.

METHODS: Objectively assessed time in daily movement behaviors (sleep, sedentary, light-intensity physical activity, and moderate- to vigorous-intensity physical activity) from a randomized controlled trial (n = 73 participants) comparing home- and center-based pulmonary rehabilitation was analyzed using conventional and compositional analytical approaches. Regression analysis was used to assess relationships between movement behaviors, participant features, and response to the interventions.

RESULTS: Compositional analysis revealed no significant differences in movement profiles between the home- and center-based groups. At end rehabilitation, conventional analyses identified positive relationships between exercise capacity (6-min walk distance), light-intensity physical activity, and moderate- to vigorous-intensity physical activity time. Compositional analyses identified positive relationships between a 6-minute walk distance and moderate- to vigorous-intensity physical activity time, accompanied by negative relationships with sleep and sedentary time (relative to other time components) and novel relationships between body mass index and light-intensity physical activity/sedentary time.

CONCLUSION: Compositional analyses following pulmonary rehabilitation identified unique associations between movement behaviors that were not evident in conventional analyses.

Original languageEnglish
Pages (from-to)13-20
Number of pages8
JournalJournal of Physical Activity and Health
Volume18
Issue number1
Early online date11 Dec 2020
DOIs
Publication statusPublished - Jan 2021

Keywords

  • body mass index
  • Exercise/physiology
  • female
  • humans
  • lung
  • male
  • movement
  • pulmonary disease, chronic obstructive/rehabilitation
  • sedentary behavior
  • sleep/physiology
  • respiratory health
  • physical activity assessment
  • clinical research

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