Bronchiectasis Patients Exhibit Higher Sedentary Lifestyles and Treatment Should Include Physical Activity Interventions

Bronchiectasis Patients Exhibit Higher Sedentary Lifestyles and Treatment Should Include Physical Activity Interventions

In a recent study entitled “Sedentary behavior and physical activity in bronchiectasis: a cross-sectional study,authors studied, for the first time, how bronchiectasis impacts patients’ physical activity and sedentary behavior. The study was published in the journal BMC Pulmonary Medicine.

Physical activity is increasingly recognized for its positive impact (health benefits but also reduced mortality) in several chronic diseases, including those affecting respiratory conditions such as chronic obstructive pulmonary disease (COPD) and cystic fibrosis. In fact, international guidelines recommend periods of sedentary behavior should be limited and at least 150 minutes of physical activity per week for maintain general populations’ health. However, how bronchiectasis, a permanent dilatation and thickening of the airways characterized by chronic cough, impacts patients’ sedentary behavior and physical activity is currently unknown.

In this study, the authors determined the physical activity of 63 patients with bronchiectasis. They used the ActiGraph GT3X+ accelerometer (a device that measures overall physical activity, discriminating physically active from physically inactive populations) for its reliability and validity in respiratory disease populations, assessed in previous studies. Patients were monitored for seven days. Additionally, the team performed questionnaires where they asked patients about their health-related quality-of-life and attitudes towards physical activity; they assessed patients lungs capacity by spirometry (a test used to assess lungs work by measuring how much air you inhale, how much you exhale and how quickly you exhale); and they also performed the modified shuttle test (MST), a valid and sensitive measure of exercise capacity in adults with respiratory diseases such as cystic fibrosis.

The team retrieved complete data from 55 bronchiectasis patients and the results showed that patients with bronchiectasis exhibit a highly inactive lifestyle, demonstrating a more sedentary and less active profile, in contradiction with the recommended guidelines for physical activity. This is the first study reporting patterns of sedentary behavior and physical activity in bronchiectasis patients. The authors highlight that their findings are particularly relevant, since other studies suggested that inactivity leads to decreased survival and higher dependence of healthcare facilities in chronic disease populations, such as those with COPD and diabetes.

Patients reported that, although they recognized the importance of physical activity, they experience low-levels of confidence to engage in exercise, particularly during periods of respiratory symptoms. As a result, this study points out the urgent need for physical activity interventions in bronchiectasis patients.