Depression and Physical Activity Impairment in COPD Subjects
Published: July 1, 2019 | DOI: https://doi.org/10.7860/JCDR/2019/41581.13008
Kapil Sharma, Avinash Jain, Vipin Goyal, Nikhil Goel, Rajendra Takhar, Vikram Singh, Avinash Aujayeb, JK Samaria
1. Assistant Professor, Department of Chest and Tuberculosis, SHKM Government Medical College, Mewat, Haryana, India.
2. Assistant Professor, Department of Pulmonary Medicine, SGT Medical College, Gurugram, Haryana, India.
3. Associate Professor, Department of Chest and Tuberculosis, SHKM Government Medical College, Mewat, Haryana, India.
4. Assistant Professor, Department of Psychiatry, SHKM Government Medical College, Mewat, Haryana, India.
5. Assistant Professor, Department of Respiratory Medicine, Government Medical College, Kota, Rajasthan, India.
6. Assistant Professor, Department of Medicine, SHKM Government Medical College, Mewat, Haryana, India.
7. Consultant, Department of Respiratory Medicine, Northumbria Healthcare NHS Foundation Trust North Shields, United Kingdom.
8. Ex-Professor and Head, Department of Chest Diseases, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
Correspondence
Dr. Kapil Sharma,
House No-296, Sector-55, PO-Ballabgarh, Faridabad-121004, Haryana, India.
E-mail: kapshaims@gmail.com
Introduction: Obstructive airway disease and psychological comorbidities share some common clinical outcomes, such as impaired physical activity and quality of life.
Aim: To evaluate levels of depression and the determinants of impaired physical activity in Chronic Obstructive Pulmonary Disease (COPD) subjects.
Materials and Methods: This study included 120 adults (aged between 40-80 years) with diagnosis of COPD, who were evaluated for perception of dyspnea {St. George Respiratory Questionnaire (SGRQ)} and Hamilton depression scale. The level of physical activity was assessed by the modified Baecke questionnaire (mBQ) and Quality of Life by Short Form-36 Questionnaire (SF 36). The Student’s t-test, as well as multivariate linear regression analysis, was used for the statistical analysis.
Results: The prevalence of depression was 80%, with female sex predilection. Depression was predominant in the age group of 46-55 years. Mean scores (±SD) of depression of total participants and the physically impaired ones were 14.22±7.56 and 19.04±5.37, respectively. The level of physical activity (mean modified Baecke questionnaire score±SD) of total participants and the physically impaired ones were 4.22±0.72 and 3.7±0.36 respectively. The determinants of impaired physical activity were CAT Score, BMI, Six-minute walk distance (6MWD), Depression, Quality of life (PCS SF36) and the length of stay in ward in the regression analysis.
Conclusion: The present study found that depression, quality of life and physical activity of life are important entities for the management of COPD subjects.
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