Short-term effects of air pollution and weather on physical activity in patients with chronic obstructive pulmonary disease (COPD)
Visualitza/Obre
Autor/a
Josa-Culleré, Alícia
Basagaña, Xavier
Koch, Sarah
Arbillaga-Etxarri, Ane
Balcells, Eva
Bosch de Basea, Magda
Celorrio, Nuria
Foraster, Maria
Rodriguez-Roisin, Robert
Marin, Alicia
Peralta, Gabriela P.
Rodríguez-Chiaradia, Diego A.
Simonet, Pere
Torán-Monserrat, Pere
Garcia-Aymerich, Judith
Data de publicació
2024ISSN
0013-9351
Resum
Introduction: Patients with chronic obstructive pulmonary disease (COPD) accumulate low levels of physical activity. How environmental factors affect their physical activity in the short-term is uncertain. Aim: to assess the short-term effects of air pollution and weather on physical activity levels in COPD patients. Methods: This multi-center panel study assessed 408 COPD patients from Catalonia (Spain). Daily physical activity (i.e., steps, time in moderate-to-vigorous physical activity (MVPA), locomotion intensity, and sedentary time) was recorded in two 7-day periods, one year apart, using the Dynaport MoveMonitor. Air pollution (nitrogen dioxide (NO2), particulate matter below 10 μm (PM10) and a marker of black carbon (absorbance of PM2.5: PM2.5ABS), and weather (average and maximum temperature, and rainfall) were estimated the same day (lag zero) and up to 5 days prior to each assessment (lags 1–5). Mixed-effect distributed lag linear regression models were adjusted for age, sex, weekday, public holidays, greenness, season, and social class, with patient and city as random effects. Results: Patients (85% male) were on average (mean ± SD) 68 ± 9 years old with a post-bronchodilator forced expiratory volume in 1 s (FEV1) of 57 ± 18% predicted. Higher NO2, PM10 and PM2.5ABS levels at lag four were associated with fewer steps, less time in MVPA, reduced locomotion intensity, and longer sedentary time (e.g., coefficient (95% CI) of −60 (−105, −15) steps per 10 μg/m3 increase in NO2). Higher average and maximum temperatures at lag zero were related to more steps and time in MVPA, and less sedentary time (e.g., +85 (15, 154) steps per degree Celsius). Higher rainfall at lag zero was related to fewer steps and more sedentary time. Conclusion: Air pollution affects the amount and intensity of physical activity performed on the following days in COPD patients, whereas weather affects the amount of physical activity performed on the same day.
Tipus de document
Article
Versió del document
Versió publicada
Llengua
English
Matèries (CDU)
72 - Arquitectura
Paraules clau
Contaminació de l'aire
Clima
Exposició
MPOC
Nivells d'activitat física
Curt termini
Contaminación del aire
Clima
Exposición
EPOC
Niveles de actividad física
Corto plazo
Air pollution
Weather
Exposure
COPD
Physical activity levels
Short-term
Pàgines
10
Publicat per
Elsevier
Col·lecció
247
Publicat a
Environmental Research
Citació
Josa-Culleré, Alícia; Basagaña, Xavier; Koch, Sarah [et al.]. Short-term effects of air pollution and weather on physical activity in patients with chronic obstructive pulmonary disease (COPD). Environmental Research, 2024, 247, 118195. Disponible en: <https://www.sciencedirect.com/science/article/pii/S0013935124000999>. Fecha de acceso: 16 feb. 2024. DOI: 10.1016/j.envres.2024.118195
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Drets
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