Un estudio caracteriza por primera vez cómo caminan las personas con EPOC, más allá de cuánto caminan
Walking is an essential health activity. Although numerous studies have analyzed how much people walk with Chronic Obstractive pulmonary cooling (COPD)few ones who have investigated how they do it, especially in environments without medical supervision. To address this knowledge lagoon, a study by the Global Health Institute of Barcelona (ISGlobal), a center imported by the «La Caixa» Foundation, has analyzed, through the use of digital technologies, Lass, the Characteristics of the Marmla of People with COPD in their daily life. The investigation has evaluated parameters such as the speed when walking, the frequency of steps per minute or the length of the stride.
In the study, Posted in European respiratory magazineThey participated 549 people With COPD, with an average age of 68 years, from Seven European cities: Athens, Barcelona, Grosshansdorf, Leuven, London, Newcastle and Zurich. To carry out a first characterization of the participants’ march, investigator praise used, continuously for a week, Digital technologies that combined a small portable apostitive placed on the film of the participants with specific algorithms designed for populations with limitations in their mobility.
This study is part of the European project Mobilizar-DFocused on using dignified tools to monitor the daily marking of people with mobility problems in order to improve suggestion and medical care.
Progressive deterioration
The study results show that The march deteriorates as cooling progresses. Specifically, how mayor is the difference to breathe and more symptoms or crisis has had personality, the more its march is affected. The most serious confoc people walk more slowly, take shorter steps, have a lower steps rhythm and present less variation in speed, the longitid of the stride and the cadence when walking -It is -Decir, the number of steps counted with those who have mild ways of the disease.
In secondary analysis, the march of Nineteen healthy adults Of age similar to that of the participants COPD. The comparison between both groups showed that the Speed and cadence when walking are significant altered in COPD people compared to people who do not suffer from the disease.
«Our result indicates that COPD is not only impact how much they walk The people who suffer from it, but also How they walk. Although we still do not know exactly the mechanisms that cause deterioration in the way of walking, the most important alterations in the most serious cases of COPD could be due to a lower physical capacity caused by more symptoms, more complications and inflammatory sequelae typical of the advanced forms of cooling, ”he explains Judith García-AymerichDirector of the Environment and Health Program throughout the life of Isglobal and senior author of the study.
Evaluate how you walk on a day to day
The results of the study results show that some parameters of the rod, such as the speed when walking, the stride length and the cadence, an observed in previous studies carried out in controlled medical supervision controls were inference. On the other hand, these values were followed by the only study that has evaluated cadence in people ENEPOC in daily life, without direct intervention of a professional.
“The hypothesis is supporting that respiratory coolness is negative impacting mobility in daily life. In this sense, the use of portable sensors for several days do not know how of the real behavior of people in their day to day, read how to know how of the real behavior of people in their day to day, far to know how of the real behavior of people in their day to day, you Know how of the real behavior of people in their day to day, far knowing how of rehabilitation behaviors, which gives us a much more image of their walk and how it is affected by cooling, ”he says Laura Delgado-OrtizIslobal researcher and first author of the study.
Implications for clinical practice
The study could have Important implications in the medical management of COPD. «When addressing changes in the march and acting on them, doctors and health professionals could address key factors associated with falls, disability and mortality in this population,» says Judith García-Aymerich.
Reference
Laura Delgado-Ortiz Joren Buekers Nikolaos Chynkiamis Heleen Demeyer Anja Frei Elena Gimeno-Santos Clint Hansen Jeffrey M. Hausdorff Nicholas S. Hopkinson Carl-Philipp Jansen Anne Kirsten Sarah Koch Walter Maetzler Dimitrios Megaritis Milon Milon Henrik Watz Silvia Din Brian Brian Brian Brian Din Brian Brian Cauldield Clemens Becker Lynn Rochester Thierry Troosters Judith García-Aymerich. How do people walk with COPD? A European study on the march of the real world digitally measured, European respiratory magazine 2025 2402303; https://doi.org/10.1183/13993003.02303-2024
