Short-term effects of air pollution and weather on physical activity in patients with chronic obstructive pulmonary disease (COPD)

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dc.contributor.authorJosa-Culleré, Alícia
dc.contributor.authorBasagaña, Xavier
dc.contributor.authorKoch, Sarah
dc.contributor.authorArbillaga Etxarri, Ane
dc.contributor.authorBalcells, Eva
dc.contributor.authorBosch de Basea, Magda
dc.contributor.authorCelorrio, Nuria
dc.contributor.authorForaster, María
dc.contributor.authorRodríguez-Roisin, Robert
dc.contributor.authorMarín, Alicia
dc.contributor.authorPeralta, Gabriela P.
dc.contributor.authorRodríguez-Chiaradia, Diego A.
dc.contributor.authorSimonet, Pere
dc.contributor.authorTorán-Monserrat, Pere
dc.contributor.authorVall-Casas, Pere
dc.contributor.authorGarcia-Aymerich, Judith
dc.date.accessioned2024-11-11T10:49:49Z
dc.date.available2024-11-11T10:49:49Z
dc.date.issued2024-04-15
dc.date.updated2024-11-11T10:49:49Z
dc.description.abstractIntroduction: Patients with chronic obstructive pulmonary disease (COPD) accumulate low levels of physical activity. How environmental factors affect their physical activity in the short-term is uncertain. Aim: to assess the short-term effects of air pollution and weather on physical activity levels in COPD patients. Methods: This multi-center panel study assessed 408 COPD patients from Catalonia (Spain). Daily physical activity (i.e., steps, time in moderate-to-vigorous physical activity (MVPA), locomotion intensity, and sedentary time) was recorded in two 7-day periods, one year apart, using the Dynaport MoveMonitor. Air pollution (nitrogen dioxide (NO2), particulate matter below 10 μm (PM10) and a marker of black carbon (absorbance of PM2.5: PM2.5ABS), and weather (average and maximum temperature, and rainfall) were estimated the same day (lag zero) and up to 5 days prior to each assessment (lags 1–5). Mixed-effect distributed lag linear regression models were adjusted for age, sex, weekday, public holidays, greenness, season, and social class, with patient and city as random effects. Results: Patients (85% male) were on average (mean ± SD) 68 ± 9 years old with a post-bronchodilator forced expiratory volume in 1 s (FEV1) of 57 ± 18% predicted. Higher NO2, PM10 and PM2.5ABS levels at lag four were associated with fewer steps, less time in MVPA, reduced locomotion intensity, and longer sedentary time (e.g., coefficient (95% CI) of −60 (−105, −15) steps per 10 μg/m3 increase in NO2). Higher average and maximum temperatures at lag zero were related to more steps and time in MVPA, and less sedentary time (e.g., +85 (15, 154) steps per degree Celsius). Higher rainfall at lag zero was related to fewer steps and more sedentary time. Conclusion: Air pollution affects the amount and intensity of physical activity performed on the following days in COPD patients, whereas weather affects the amount of physical activity performed on the same day.en
dc.description.sponsorshipThe study was funded by grants from Fondo de Investigación Sanitaria, Instituto de Salud Carlos III (ISCIII, PI11/01283 and PI14/0419). It was also integrated into Plan Estatal I + D + I 2013–2016 and co-funded by Sociedad Española de Neumología y Cirugía Torácica (SEPAR, 147/2011 and 201/2011), ISCIII-Subdirección General de Evaluación y Fomento de la Investigación and Fondo Europeo de Desarrollo Regional (FEDER); and Societat Catalana de Pneumologia (Ajuts al millor projecte en fisioteràpia respiratòria 2013). We acknowledge support from the grant CEX 2018-000806-S funded by MCIN/AEI/10.13039/501100011033, and support from the Generalitat de Catalunya through the CERCA Program. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.en
dc.identifier.citationJosa-Culleré, A., Basagaña, X., Koch, S., Arbillaga-Etxarri, A., Balcells, E., Bosch de Basea, M., Celorrio, N., Foraster, M., Rodriguez-Roisin, R., Marin, A., Peralta, G. P., Rodríguez-Chiaradia, D. A., Simonet, P., Torán-Monserrat, P., Vall-Casas, P., & Garcia-Aymerich, J. (2024). Short-term effects of air pollution and weather on physical activity in patients with chronic obstructive pulmonary disease (COPD). Environmental Research, 247. https://doi.org/10.1016/J.ENVRES.2024.118195
dc.identifier.doi10.1016/J.ENVRES.2024.118195
dc.identifier.issn1096-0953
dc.identifier.urihttp://hdl.handle.net/20.500.14454/1732
dc.language.isoeng
dc.publisherAcademic Press Inc.
dc.rights© 2024 The Authors
dc.subject.otherAir pollution
dc.subject.otherCOPD
dc.subject.otherExposure
dc.subject.otherPhysical activity levels
dc.subject.otherShort-term
dc.subject.otherWeather
dc.titleShort-term effects of air pollution and weather on physical activity in patients with chronic obstructive pulmonary disease (COPD)en
dc.typejournal article
dcterms.accessRightsopen access
oaire.citation.titleEnvironmental Research
oaire.citation.volume247
oaire.licenseConditionhttps://creativecommons.org/licenses/by-nc/4.0/
oaire.versionVoR
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