TY - JOUR
T1 - Physical activity measurements in individuals with interstitial lung disease
T2 - a systematic review and meta-analysis
AU - Iwakura, Masahiro
AU - Kawagoshi, Atsuyoshi
AU - Tamaki, Akira
AU - Oki, Yutaro
AU - Oshima, Yohei
AU - Spruit, Martijn A.
PY - 2023/9/30
Y1 - 2023/9/30
N2 - Background Physical activity (PA) measurements are becoming common in interstitial lung disease (ILD); however, standardisation has not been achieved. We aimed to systematically review PA measurement methods, present PA levels and provide practical recommendations on PA measurement in ILD.Methods We searched four databases up to November 2022 for studies assessing PA in ILD. We collected information about the studies and participants, the methods used to measure PA, and the PA metrics. Studies were scored using 12 items regarding PA measurements to evaluate the reporting quality of activity monitor use.Results In 40 of the included studies, PA was measured using various devices or questionnaires with numerous metrics. Of the 33 studies that utilised activity monitors, a median of five out of 12 items were not reported, with the definition of nonwear time being the most frequently omitted. The meta-analyses showed that the pooled means (95% CI) of steps, time spent in moderate to vigorous PA, total energy expenditure and sedentary time were 5215 (4640-5791) steps & BULL;day-1, 82 (58-106) min & BULL;day-1, 2130 (1847- 2412) kcal & BULL;day-1 and 605 (323-887) min & BULL;day-1, respectively, with considerable heterogeneity.Conclusion The use of activity monitors and questionnaires in ILD lacks consistency. Improvement is required in the reporting quality of PA measurement methods using activity monitors.
AB - Background Physical activity (PA) measurements are becoming common in interstitial lung disease (ILD); however, standardisation has not been achieved. We aimed to systematically review PA measurement methods, present PA levels and provide practical recommendations on PA measurement in ILD.Methods We searched four databases up to November 2022 for studies assessing PA in ILD. We collected information about the studies and participants, the methods used to measure PA, and the PA metrics. Studies were scored using 12 items regarding PA measurements to evaluate the reporting quality of activity monitor use.Results In 40 of the included studies, PA was measured using various devices or questionnaires with numerous metrics. Of the 33 studies that utilised activity monitors, a median of five out of 12 items were not reported, with the definition of nonwear time being the most frequently omitted. The meta-analyses showed that the pooled means (95% CI) of steps, time spent in moderate to vigorous PA, total energy expenditure and sedentary time were 5215 (4640-5791) steps & BULL;day-1, 82 (58-106) min & BULL;day-1, 2130 (1847- 2412) kcal & BULL;day-1 and 605 (323-887) min & BULL;day-1, respectively, with considerable heterogeneity.Conclusion The use of activity monitors and questionnaires in ILD lacks consistency. Improvement is required in the reporting quality of PA measurement methods using activity monitors.
KW - 6-MINUTE WALK DISTANCE
KW - PULMONARY REHABILITATION
KW - DAILY-LIFE
KW - ENERGY-EXPENDITURE
KW - GAIT SPEED
KW - GUIDELINES
KW - EXERCISE
KW - QUALITY
KW - VALIDITY
KW - QUESTIONNAIRE
U2 - 10.1183/16000617.0165-2022
DO - 10.1183/16000617.0165-2022
M3 - (Systematic) Review article
C2 - 37437911
SN - 0905-9180
VL - 32
JO - European Respiratory Review
JF - European Respiratory Review
IS - 169
M1 - 220165
ER -