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Deriving personalised physical activity intensity thresholds by merging accelerometry with field-based walking tests: Implications for pulmonary rehabilitation
During pulmonary rehabilitation (PR), patients receive individually tailored walking exercise training. The personalised nature of exercise prescription is a fundamental component of PR. Despite this, the measurement of physical activity (PA) has been limited to a ‘one size fits all’ approach and ca...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9549080/ https://www.ncbi.nlm.nih.gov/pubmed/36203407 http://dx.doi.org/10.1177/14799731221129286 |
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author | Pina, Ilaria Ndagire, Pauline Katagira, Winceslaus Latimer, Lorna Zatloukal, Jakub Kirenga, Bruce Singh, Sally J Orme, Mark W |
author_facet | Pina, Ilaria Ndagire, Pauline Katagira, Winceslaus Latimer, Lorna Zatloukal, Jakub Kirenga, Bruce Singh, Sally J Orme, Mark W |
author_sort | Pina, Ilaria |
collection | PubMed |
description | During pulmonary rehabilitation (PR), patients receive individually tailored walking exercise training. The personalised nature of exercise prescription is a fundamental component of PR. Despite this, the measurement of physical activity (PA) has been limited to a ‘one size fits all’ approach and can be challenging to translate into clinically meaningful or real-world units, such as cadence. This discrepancy may partly explain the inconsistent evidence for the impact of PR on PA. It may also provide an opportunity to standardise PA assessment in the context of chronic respiratory disease (CRD) and PR, where field-based walking tests are routine measures. This technical note provides an example of how to develop personalised PA intensity thresholds, calibrated against an individual’s performance on the Incremental Shuttle Walking Test (ISWT; maximal) and Endurance Shuttle Walk Test (ESWT; sub-maximal). These are externally paced tests, with each level (speed) of the tests denoting a specific speed (intensity); ranging 1.8 km/h (ISWT Level 1) to 8.5 km/h (ISWT Level 12). From the ESWT, it becomes possible to evaluate adherence to each individual’s walking exercise prescription. Future research should explore this approach and its responsiveness to PR. It may be possible to extend this methodology with the inclusion of physiological parameters (e.g., heart rate, calorimetry, and oxygen consumption) to derive relative intensity markers (e.g. moderate-to-vigorous), accounting for individual differences in exercise capacity, under the same paradigm as PR exercise prescription. |
format | Online Article Text |
id | pubmed-9549080 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-95490802022-10-11 Deriving personalised physical activity intensity thresholds by merging accelerometry with field-based walking tests: Implications for pulmonary rehabilitation Pina, Ilaria Ndagire, Pauline Katagira, Winceslaus Latimer, Lorna Zatloukal, Jakub Kirenga, Bruce Singh, Sally J Orme, Mark W Chron Respir Dis Technical Note During pulmonary rehabilitation (PR), patients receive individually tailored walking exercise training. The personalised nature of exercise prescription is a fundamental component of PR. Despite this, the measurement of physical activity (PA) has been limited to a ‘one size fits all’ approach and can be challenging to translate into clinically meaningful or real-world units, such as cadence. This discrepancy may partly explain the inconsistent evidence for the impact of PR on PA. It may also provide an opportunity to standardise PA assessment in the context of chronic respiratory disease (CRD) and PR, where field-based walking tests are routine measures. This technical note provides an example of how to develop personalised PA intensity thresholds, calibrated against an individual’s performance on the Incremental Shuttle Walking Test (ISWT; maximal) and Endurance Shuttle Walk Test (ESWT; sub-maximal). These are externally paced tests, with each level (speed) of the tests denoting a specific speed (intensity); ranging 1.8 km/h (ISWT Level 1) to 8.5 km/h (ISWT Level 12). From the ESWT, it becomes possible to evaluate adherence to each individual’s walking exercise prescription. Future research should explore this approach and its responsiveness to PR. It may be possible to extend this methodology with the inclusion of physiological parameters (e.g., heart rate, calorimetry, and oxygen consumption) to derive relative intensity markers (e.g. moderate-to-vigorous), accounting for individual differences in exercise capacity, under the same paradigm as PR exercise prescription. SAGE Publications 2022-10-06 /pmc/articles/PMC9549080/ /pubmed/36203407 http://dx.doi.org/10.1177/14799731221129286 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Technical Note Pina, Ilaria Ndagire, Pauline Katagira, Winceslaus Latimer, Lorna Zatloukal, Jakub Kirenga, Bruce Singh, Sally J Orme, Mark W Deriving personalised physical activity intensity thresholds by merging accelerometry with field-based walking tests: Implications for pulmonary rehabilitation |
title | Deriving personalised physical activity intensity thresholds by
merging accelerometry with field-based walking tests: Implications for pulmonary
rehabilitation |
title_full | Deriving personalised physical activity intensity thresholds by
merging accelerometry with field-based walking tests: Implications for pulmonary
rehabilitation |
title_fullStr | Deriving personalised physical activity intensity thresholds by
merging accelerometry with field-based walking tests: Implications for pulmonary
rehabilitation |
title_full_unstemmed | Deriving personalised physical activity intensity thresholds by
merging accelerometry with field-based walking tests: Implications for pulmonary
rehabilitation |
title_short | Deriving personalised physical activity intensity thresholds by
merging accelerometry with field-based walking tests: Implications for pulmonary
rehabilitation |
title_sort | deriving personalised physical activity intensity thresholds by
merging accelerometry with field-based walking tests: implications for pulmonary
rehabilitation |
topic | Technical Note |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9549080/ https://www.ncbi.nlm.nih.gov/pubmed/36203407 http://dx.doi.org/10.1177/14799731221129286 |
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