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Barriers to Physical Activity in Patients with Chronic Respiratory Diseases

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A2174 - Barriers to Physical Activity in Patients with Chronic Respiratory Diseases
Author Block: M. D. M. Reboredo1, L. M. Lucinda2, G. D. Yecker1, D. R. Brega1, J. S. Pires1, L. A. Oliveira1, R. B. Bem1, G. Coquito1, B. V. Pinheiro1; 1Pulmonology Division - School of Medicine, Federal University of Juiz de Fora, Juiz de Fora, Brazil, 2Department of Morphology, Federal University of Juiz de Fora, Juiz de Fora, Brazil.
RATIONALE: A sedentary lifestyle is a prevalent worldwide problem, especially in patients with chronic diseases. Despite the well known benefits of physical activity, most patients with chronic respiratory diseases remain sedentary. We evaluated the perceived barriers to physical activity by patients with chronic respiratory diseases. METHODS: We evaluated 107 chronic obstructive pulmonary disease (COPD) patients (65.6 ± 11.7 years, 65 males), 136 patients with asthma (55.4 ± 13.7 years, 32 males), and 69 patients with interstitial lung diseases (ILD) (56.1 ± 12.1 years, 25 males). All patients were evaluated during their routine outpatient visits to the University Hospital of the Federal University of Juiz de Fora, Brazil. Patients with cognitive, psychiatric, hearing and speech disorders were excluded. Initially, the patients were submitted to International Physical Activity Questionnaire to assess levels of physical activity. When the patients were classified as inactive or insufficiently active, they answered a 18-item (yes/no) questionnaire about barriers to physical activity. RESULTS: A total of 83 (77.6%) COPD patients, 92 (67.6%) asthmatic patients and 38 (55.1%) ILD patients were classified as inactive or insufficiently active, and answered the questionnaire. The mean number of barriers presented by the patients was 7.2 ± 3.1. The most commonly reported barriers in chronic respiratory diseases were: leg pain or fatigue (COPD: 65.1%, asthma: 71.3%, ILD: 63.2%), pulmonary disease prevents or makes physical activity difficult (COPD: 57.8%, asthma: 69.1%, ILD: 73.7%), and the presence of dyspnea (COPD: 48.2%, asthma: 55.3%, ILD: 81.6%). The COPD patients also reported that drugs and an adequate diet are sufficient for the treatment and physical activity is not necessary (60.2%). CONCLUSIONS: We observed some barriers to physical activity reported by patients with chronic respiratory diseases. The barriers to physical activity should be considered in the exercise prescription for these patients. Financial Support: FAPEMIG, CNPq.
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