Heart rate and oxygen uptake kinetics obtained from continuous measurements with wearable devices during outdoor walks of patients with COPD

dc.contributor.authorBuekers, Joren
dc.contributor.authorArbillaga Etxarri, Ane
dc.contributor.authorGimeno-Santos, Elena
dc.contributor.authorDonaire-Gonzalez, David
dc.contributor.authorChevance, Guillaume
dc.contributor.authorAerts, Jean-Marie
dc.contributor.authorGarcia-Aymerich, Judith
dc.date.accessioned2024-11-11T10:49:54Z
dc.date.available2024-11-11T10:49:54Z
dc.date.issued2023
dc.date.updated2024-11-11T10:49:54Z
dc.description.abstractObjective: Continuous physiological measurements during a laboratory-based exercise test can provide physiological biomarkers, such as heart rate (HR) and oxygen uptake (V̇O2) kinetics, that carry clinically relevant information. In contrast, it is not clear how continuous data generated by wearable devices during daily-life routines could provide meaningful biomarkers. We aimed to determine whether valid HR and V̇O2 kinetics can be obtained from measurements with wearable devices during outdoor walks in patients with chronic obstructive pulmonary disease (COPD). Methods: HR (Polar Belt) and V̇O2(METAMAX3B) were measured during 93 physical activity transitions performed by eight patients with COPD during three different outdoor walks (ntr= 77) and a 6-minute walk test (ntr= 16). HR and V̇O2 kinetics were calculated every time a participant started a walk, finished a walk or walked upstairs. HR and V̇O2 kinetics were considered valid if the response magnitude and model fit were adequate, and model parameters were reliable. Results: Continuous measurements with wearable devices provided valid HR kinetics when COPD patients started or finished (range 63%–100%) the different outdoor walks and valid V̇O2 kinetics when they finished (range 63%–100%) an outdoor walk. The amount of valid kinetics and kinetic model performance was comparable between outdoor walks and a laboratory-based exercise test (p >.05). Conclusion: We envision that the presented approach could improve telemonitoring applications of patients with COPD by providing regular, unsupervised assessments of HR kinetics during daily-life routines. This could allow to early identify a decline in the patients’ dynamic physiological functioning, physical fitness and/or health status.en
dc.description.sponsorshipJoren Buekers acknowledges the support of the European Respiratory Society – ERS Long-Term Research Fellowship 2020. ISGlobal acknowledges support from the Spanish Ministry of Science and Innovation through the ‘Centro de Excelencia Severo Ochoa 2019–2023’ Program (CEX2018-000806-S) and support from the Generalitat de Catalunya through the CERCA Programen
dc.identifier.citationBuekers, J., Arbillaga-Etxarri, A., Gimeno-Santos, E., Donaire-Gonzalez, D., Chevance, G., Aerts, J.-M., & Garcia-Aymerich, J. (2023). Heart rate and oxygen uptake kinetics obtained from continuous measurements with wearable devices during outdoor walks of patients with COPD. Digital Health, 9. https://doi.org/10.1177/20552076231162989
dc.identifier.doi10.1177/20552076231162989
dc.identifier.issn2055-2076
dc.identifier.urihttp://hdl.handle.net/20.500.14454/1734
dc.language.isoeng
dc.publisherSAGE Publications Inc.
dc.rights© The Author(s) 2023
dc.subject.otherExercise lifestyle
dc.subject.othermHealth physiology
dc.subject.otherRemote patient monitoring personalised medicine
dc.subject.otherRespiratory medicine
dc.subject.otherTelehealth general
dc.subject.otherWearables personalised medicine
dc.titleHeart rate and oxygen uptake kinetics obtained from continuous measurements with wearable devices during outdoor walks of patients with COPDen
dc.typejournal article
dcterms.accessRightsopen access
oaire.citation.titleDigital Health
oaire.citation.volume9
oaire.licenseConditionhttps://creativecommons.org/licenses/by-nc-nd/4.0/
oaire.versionVoR
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