"Can Do" Versus "Do Do" in Patients with Asthma at First Referral to a Pulmonologist

S.M.J. Janssen; M.A. Spruit; J.C. Antons; R.S. Djamin; J.J. Abbink; H.A.C. van Helvoort; A.J. van 't Hul

doi:10.1016/j.jaip.2020.09.049

"Can Do" Versus "Do Do" in Patients with Asthma at First Referral to a Pulmonologist

S.M.J. Janssen, M.A. Spruit, J.C. Antons, R.S. Djamin, J.J. Abbink, H.A.C. van Helvoort, A.J. van 't Hul^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

BACKGROUND: Pharmacotherapy is key in asthma control, including preventing lung function decline, in primary care. However, patients' physical functioning (eg, physical capacity [PC] [=can do] and physical activity [PA] [=do do]) correlates poorly with lung function. Therefore, a better insight into the physical function of patients with asthma is needed, using the "can do, do do" concept.

OBJECTIVE: To explore the "can do, do do" concept in adult patients with asthma at referral for the first time to an outpatient consultation of a pulmonologist.

METHODS: PC was measured using the six-minute walk test and PA by using an accelerometer. Patients were classified into quadrants: low PC (6-minute walking distance

RESULTS: A total of 479 patients with asthma had a median (interquartile range) 6-minute walking distance of 74% (66%82%) predicted, and walked 6829 (4593-9075) steps/d. Only 29% were classified as "can do, do do," whereas 30% were classified as "can't do, don't do." The Asthma Control Questionnaire and the Asthma Quality of Life Questionnaire scores were worst in the "can't do" groups.

CONCLUSIONS: Low PC and/or PA was found in most patients with asthma at the index referral to a pulmonologist. An impaired PC is accompanied by a significantly reduced asthma control and disease-specific quality of life. This justifies further studies on safety and efficacy of nonpharmacological interventions, such as physiotherapy. (C) 2020 American Academy of Allergy, Asthma & Immunology

Original language	English
Pages (from-to)	1278-1284
Number of pages	7
Journal	Journal of Allergy and Clinical Immunology: In Practice
Volume	9
Issue number	3
DOIs	https://doi.org/10.1016/j.jaip.2020.09.049
Publication status	Published - 1 Mar 2021

Keywords

Asthma
Asthma control
Physical activity
Physical capacity
Quality of life
DISTANCE
GUIDELINES
PHYSICAL-ACTIVITY
QUALITY-OF-LIFE
QUESTIONNAIRE
ACTIVITY LIMITATION
VALIDITY
COPD

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Cite this

@article{068e72818c6343cc9e87051a11f68083,

title = "{"}Can Do{"} Versus {"}Do Do{"} in Patients with Asthma at First Referral to a Pulmonologist",

abstract = "BACKGROUND: Pharmacotherapy is key in asthma control, including preventing lung function decline, in primary care. However, patients' physical functioning (eg, physical capacity [PC] [=can do] and physical activity [PA] [=do do]) correlates poorly with lung function. Therefore, a better insight into the physical function of patients with asthma is needed, using the {"}can do, do do{"} concept.OBJECTIVE: To explore the {"}can do, do do{"} concept in adult patients with asthma at referral for the first time to an outpatient consultation of a pulmonologist.METHODS: PC was measured using the six-minute walk test and PA by using an accelerometer. Patients were classified into quadrants: low PC (6-minute walking distanceRESULTS: A total of 479 patients with asthma had a median (interquartile range) 6-minute walking distance of 74% (66%82%) predicted, and walked 6829 (4593-9075) steps/d. Only 29% were classified as {"}can do, do do,{"} whereas 30% were classified as {"}can't do, don't do.{"} The Asthma Control Questionnaire and the Asthma Quality of Life Questionnaire scores were worst in the {"}can't do{"} groups.CONCLUSIONS: Low PC and/or PA was found in most patients with asthma at the index referral to a pulmonologist. An impaired PC is accompanied by a significantly reduced asthma control and disease-specific quality of life. This justifies further studies on safety and efficacy of nonpharmacological interventions, such as physiotherapy. (C) 2020 American Academy of Allergy, Asthma & Immunology",

keywords = "Asthma, Asthma control, Physical activity, Physical capacity, Quality of life, DISTANCE, GUIDELINES, PHYSICAL-ACTIVITY, QUALITY-OF-LIFE, QUESTIONNAIRE, ACTIVITY LIMITATION, VALIDITY, COPD",

author = "S.M.J. Janssen and M.A. Spruit and J.C. Antons and R.S. Djamin and J.J. Abbink and {van Helvoort}, H.A.C. and {van 't Hul}, A.J.",

year = "2021",

month = mar,

day = "1",

doi = "10.1016/j.jaip.2020.09.049",

language = "English",

volume = "9",

pages = "1278--1284",

journal = "Journal of Allergy and Clinical Immunology: In Practice",

issn = "2213-2198",

publisher = "Elsevier",

number = "3",

}

TY - JOUR

T1 - "Can Do" Versus "Do Do" in Patients with Asthma at First Referral to a Pulmonologist

AU - Janssen, S.M.J.

AU - Spruit, M.A.

AU - Antons, J.C.

AU - Djamin, R.S.

AU - Abbink, J.J.

AU - van Helvoort, H.A.C.

AU - van 't Hul, A.J.

PY - 2021/3/1

Y1 - 2021/3/1

N2 - BACKGROUND: Pharmacotherapy is key in asthma control, including preventing lung function decline, in primary care. However, patients' physical functioning (eg, physical capacity [PC] [=can do] and physical activity [PA] [=do do]) correlates poorly with lung function. Therefore, a better insight into the physical function of patients with asthma is needed, using the "can do, do do" concept.OBJECTIVE: To explore the "can do, do do" concept in adult patients with asthma at referral for the first time to an outpatient consultation of a pulmonologist.METHODS: PC was measured using the six-minute walk test and PA by using an accelerometer. Patients were classified into quadrants: low PC (6-minute walking distanceRESULTS: A total of 479 patients with asthma had a median (interquartile range) 6-minute walking distance of 74% (66%82%) predicted, and walked 6829 (4593-9075) steps/d. Only 29% were classified as "can do, do do," whereas 30% were classified as "can't do, don't do." The Asthma Control Questionnaire and the Asthma Quality of Life Questionnaire scores were worst in the "can't do" groups.CONCLUSIONS: Low PC and/or PA was found in most patients with asthma at the index referral to a pulmonologist. An impaired PC is accompanied by a significantly reduced asthma control and disease-specific quality of life. This justifies further studies on safety and efficacy of nonpharmacological interventions, such as physiotherapy. (C) 2020 American Academy of Allergy, Asthma & Immunology

AB - BACKGROUND: Pharmacotherapy is key in asthma control, including preventing lung function decline, in primary care. However, patients' physical functioning (eg, physical capacity [PC] [=can do] and physical activity [PA] [=do do]) correlates poorly with lung function. Therefore, a better insight into the physical function of patients with asthma is needed, using the "can do, do do" concept.OBJECTIVE: To explore the "can do, do do" concept in adult patients with asthma at referral for the first time to an outpatient consultation of a pulmonologist.METHODS: PC was measured using the six-minute walk test and PA by using an accelerometer. Patients were classified into quadrants: low PC (6-minute walking distanceRESULTS: A total of 479 patients with asthma had a median (interquartile range) 6-minute walking distance of 74% (66%82%) predicted, and walked 6829 (4593-9075) steps/d. Only 29% were classified as "can do, do do," whereas 30% were classified as "can't do, don't do." The Asthma Control Questionnaire and the Asthma Quality of Life Questionnaire scores were worst in the "can't do" groups.CONCLUSIONS: Low PC and/or PA was found in most patients with asthma at the index referral to a pulmonologist. An impaired PC is accompanied by a significantly reduced asthma control and disease-specific quality of life. This justifies further studies on safety and efficacy of nonpharmacological interventions, such as physiotherapy. (C) 2020 American Academy of Allergy, Asthma & Immunology

KW - Asthma

KW - Asthma control

KW - Physical activity

KW - Physical capacity

KW - Quality of life

KW - DISTANCE

KW - GUIDELINES

KW - PHYSICAL-ACTIVITY

KW - QUALITY-OF-LIFE

KW - QUESTIONNAIRE

KW - ACTIVITY LIMITATION

KW - VALIDITY

KW - COPD

U2 - 10.1016/j.jaip.2020.09.049

DO - 10.1016/j.jaip.2020.09.049

M3 - Article

C2 - 33097458

SN - 2213-2198

VL - 9

SP - 1278

EP - 1284

JO - Journal of Allergy and Clinical Immunology: In Practice

JF - Journal of Allergy and Clinical Immunology: In Practice

IS - 3

ER -