Cargando…
O.4.2-8 Gait differences between adults with COPD and healthy controls: systematic review and metaanalyses
PURPOSE: Fall risk is increased in adults with COPD. Although gait is an important risk factor for falls, hospitalisations, and mortality, the available literature shows inconsistencies on whether gait differs between adults with COPD and healthy controls. The aim of this study was to identify diffe...
Autores principales: | , , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10494141/ http://dx.doi.org/10.1093/eurpub/ckad133.183 |
_version_ | 1785104626963447808 |
---|---|
author | Buekers, Joren Ortiz, Laura Delgado Megaritis, Dimitrios Polhemus, Ashley Chynkiamis, Nikolaos Buttery, Sara Breuls, Sofie Koch, Sarah Santos, Elena Gimeno Demeyer, Heleen Hopkinson, Nick Vogiatzis, Ioannis Troosters, Thierry Frei, Anja Garcia-Aymerich, Judith |
author_facet | Buekers, Joren Ortiz, Laura Delgado Megaritis, Dimitrios Polhemus, Ashley Chynkiamis, Nikolaos Buttery, Sara Breuls, Sofie Koch, Sarah Santos, Elena Gimeno Demeyer, Heleen Hopkinson, Nick Vogiatzis, Ioannis Troosters, Thierry Frei, Anja Garcia-Aymerich, Judith |
author_sort | Buekers, Joren |
collection | PubMed |
description | PURPOSE: Fall risk is increased in adults with COPD. Although gait is an important risk factor for falls, hospitalisations, and mortality, the available literature shows inconsistencies on whether gait differs between adults with COPD and healthy controls. The aim of this study was to identify differences in digitally-measured gait characteristics during laboratory tests between adults with COPD and healthy controls. METHODS: As part of the Mobilise-D project (https://www.mobilise-d.eu), we conducted a systematic review built upon a previous scoping review (Polhemus, A. et al. npj Digit. Med. 2021). The search was updated in July 2021. Teams of two reviewers independently screened articles and extracted data. Meta-analyses were performed in studies not considered at a high risk of bias. RESULTS: Twenty-five studies were included. Gait speed was studied in 17 studies (68%), step length in 9 (36%), step time in 7 (28%), cadence in 6 (24%) and step width in 5 (20%). Meta-analyses revealed that adults with COPD walked with a lower self-selected speed and top speed than healthy controls. There was a trend towards a lower step length, lower cadence and higher step time at a self-selected walking speed in adults with COPD compared to healthy controls. Step width was similar for both groups. CONCLUSION: Adults with COPD exhibit slower gait than healthy controls. This could contribute to the increased fall risk in adults with COPD. SUPPORT/FUNDING SOURCE: This work was supported by the Mobilise-D project that has received funding from the Innovative Medicines Initiative 2 Joint Undertaking (JU) under grant agreement No. 820820. |
format | Online Article Text |
id | pubmed-10494141 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-104941412023-09-12 O.4.2-8 Gait differences between adults with COPD and healthy controls: systematic review and metaanalyses Buekers, Joren Ortiz, Laura Delgado Megaritis, Dimitrios Polhemus, Ashley Chynkiamis, Nikolaos Buttery, Sara Breuls, Sofie Koch, Sarah Santos, Elena Gimeno Demeyer, Heleen Hopkinson, Nick Vogiatzis, Ioannis Troosters, Thierry Frei, Anja Garcia-Aymerich, Judith Eur J Public Health Parallel sessions PURPOSE: Fall risk is increased in adults with COPD. Although gait is an important risk factor for falls, hospitalisations, and mortality, the available literature shows inconsistencies on whether gait differs between adults with COPD and healthy controls. The aim of this study was to identify differences in digitally-measured gait characteristics during laboratory tests between adults with COPD and healthy controls. METHODS: As part of the Mobilise-D project (https://www.mobilise-d.eu), we conducted a systematic review built upon a previous scoping review (Polhemus, A. et al. npj Digit. Med. 2021). The search was updated in July 2021. Teams of two reviewers independently screened articles and extracted data. Meta-analyses were performed in studies not considered at a high risk of bias. RESULTS: Twenty-five studies were included. Gait speed was studied in 17 studies (68%), step length in 9 (36%), step time in 7 (28%), cadence in 6 (24%) and step width in 5 (20%). Meta-analyses revealed that adults with COPD walked with a lower self-selected speed and top speed than healthy controls. There was a trend towards a lower step length, lower cadence and higher step time at a self-selected walking speed in adults with COPD compared to healthy controls. Step width was similar for both groups. CONCLUSION: Adults with COPD exhibit slower gait than healthy controls. This could contribute to the increased fall risk in adults with COPD. SUPPORT/FUNDING SOURCE: This work was supported by the Mobilise-D project that has received funding from the Innovative Medicines Initiative 2 Joint Undertaking (JU) under grant agreement No. 820820. Oxford University Press 2023-09-11 /pmc/articles/PMC10494141/ http://dx.doi.org/10.1093/eurpub/ckad133.183 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of the European Public Health Association. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Parallel sessions Buekers, Joren Ortiz, Laura Delgado Megaritis, Dimitrios Polhemus, Ashley Chynkiamis, Nikolaos Buttery, Sara Breuls, Sofie Koch, Sarah Santos, Elena Gimeno Demeyer, Heleen Hopkinson, Nick Vogiatzis, Ioannis Troosters, Thierry Frei, Anja Garcia-Aymerich, Judith O.4.2-8 Gait differences between adults with COPD and healthy controls: systematic review and metaanalyses |
title | O.4.2-8 Gait differences between adults with COPD and healthy controls: systematic review and metaanalyses |
title_full | O.4.2-8 Gait differences between adults with COPD and healthy controls: systematic review and metaanalyses |
title_fullStr | O.4.2-8 Gait differences between adults with COPD and healthy controls: systematic review and metaanalyses |
title_full_unstemmed | O.4.2-8 Gait differences between adults with COPD and healthy controls: systematic review and metaanalyses |
title_short | O.4.2-8 Gait differences between adults with COPD and healthy controls: systematic review and metaanalyses |
title_sort | o.4.2-8 gait differences between adults with copd and healthy controls: systematic review and metaanalyses |
topic | Parallel sessions |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10494141/ http://dx.doi.org/10.1093/eurpub/ckad133.183 |
work_keys_str_mv | AT buekersjoren o428gaitdifferencesbetweenadultswithcopdandhealthycontrolssystematicreviewandmetaanalyses AT ortizlauradelgado o428gaitdifferencesbetweenadultswithcopdandhealthycontrolssystematicreviewandmetaanalyses AT megaritisdimitrios o428gaitdifferencesbetweenadultswithcopdandhealthycontrolssystematicreviewandmetaanalyses AT polhemusashley o428gaitdifferencesbetweenadultswithcopdandhealthycontrolssystematicreviewandmetaanalyses AT chynkiamisnikolaos o428gaitdifferencesbetweenadultswithcopdandhealthycontrolssystematicreviewandmetaanalyses AT butterysara o428gaitdifferencesbetweenadultswithcopdandhealthycontrolssystematicreviewandmetaanalyses AT breulssofie o428gaitdifferencesbetweenadultswithcopdandhealthycontrolssystematicreviewandmetaanalyses AT kochsarah o428gaitdifferencesbetweenadultswithcopdandhealthycontrolssystematicreviewandmetaanalyses AT santoselenagimeno o428gaitdifferencesbetweenadultswithcopdandhealthycontrolssystematicreviewandmetaanalyses AT demeyerheleen o428gaitdifferencesbetweenadultswithcopdandhealthycontrolssystematicreviewandmetaanalyses AT hopkinsonnick o428gaitdifferencesbetweenadultswithcopdandhealthycontrolssystematicreviewandmetaanalyses AT vogiatzisioannis o428gaitdifferencesbetweenadultswithcopdandhealthycontrolssystematicreviewandmetaanalyses AT troostersthierry o428gaitdifferencesbetweenadultswithcopdandhealthycontrolssystematicreviewandmetaanalyses AT freianja o428gaitdifferencesbetweenadultswithcopdandhealthycontrolssystematicreviewandmetaanalyses AT garciaaymerichjudith o428gaitdifferencesbetweenadultswithcopdandhealthycontrolssystematicreviewandmetaanalyses |