Feasibility of objectively measured physical activity and sedentary behavior in patients with malignant pleural effusion

Purpose: Malignant pleural effusion (MPE) affects 1 million people worldwide annually and can significantly impair physical activity. Accelerometry is a validated method of objectively assessing physical activity. The purpose of this study was to determine the compliance in patients with MPE to acce...

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Main Authors: Jeffery, E., Lee, Y., McVeigh, Joanne, Straker, Leon, Wooding, T., Newton, R., Peddle-McIntyre, C.
Format: Journal Article
Published: Springer 2017
Online Access:http://hdl.handle.net/20.500.11937/53701
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author Jeffery, E.
Lee, Y.
McVeigh, Joanne
Straker, Leon
Wooding, T.
Newton, R.
Peddle-McIntyre, C.
author_facet Jeffery, E.
Lee, Y.
McVeigh, Joanne
Straker, Leon
Wooding, T.
Newton, R.
Peddle-McIntyre, C.
author_sort Jeffery, E.
building Curtin Institutional Repository
collection Online Access
description Purpose: Malignant pleural effusion (MPE) affects 1 million people worldwide annually and can significantly impair physical activity. Accelerometry is a validated method of objectively assessing physical activity. The purpose of this study was to determine the compliance in patients with MPE to accelerometry and describe their activity. Methods: Patients with MPE wore an Actigraph GT3X accelerometer over a 7-day continuous wear protocol. Compliance was measured as the percent of patients who had =4 valid days (i.e., 8-h/day of waking wear-time). Eastern Cooperative Oncology Group performance status was documented the day of actigraphy initialization. Results: Forty-six patients with MPE received accelerometers; 44 (95.7%) returned their device. No complications were reported on their use. Forty subjects (90.9%) had =4 valid days of wear-time. Patients spent most of their waking hours sedentary [mean 11.0 h (SD 1.95)], with limited participation in moderate and vigorous physical activity [mean 9.5 min (SD 14.16)]. Compared to patients with better performance status (n = 32), patients with poorer performance status (n = 11) spent significantly more hours/day sedentary [mean difference 2.1 (CI 0.86–3.32); p = 0.001], as did those who survived <3 months (n = 5) compared to >12 months (n = 27) [mean difference 2.6 (CI 0.49–4.77); p = 0.013). Conclusion: Accelerometry was applied successfully in patients with MPE with high compliance and no adverse events. This is the first reported objectively measured physical activity in patients with MPE and revealed high sedentary behavior and low physical activity. The data reflected patient performance status and discriminated between survival groups. Accelerometry can provide a useful measure for future interventional studies in patients with MPE.
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spelling curtin-20.500.11937-537012017-10-23T06:20:13Z Feasibility of objectively measured physical activity and sedentary behavior in patients with malignant pleural effusion Jeffery, E. Lee, Y. McVeigh, Joanne Straker, Leon Wooding, T. Newton, R. Peddle-McIntyre, C. Purpose: Malignant pleural effusion (MPE) affects 1 million people worldwide annually and can significantly impair physical activity. Accelerometry is a validated method of objectively assessing physical activity. The purpose of this study was to determine the compliance in patients with MPE to accelerometry and describe their activity. Methods: Patients with MPE wore an Actigraph GT3X accelerometer over a 7-day continuous wear protocol. Compliance was measured as the percent of patients who had =4 valid days (i.e., 8-h/day of waking wear-time). Eastern Cooperative Oncology Group performance status was documented the day of actigraphy initialization. Results: Forty-six patients with MPE received accelerometers; 44 (95.7%) returned their device. No complications were reported on their use. Forty subjects (90.9%) had =4 valid days of wear-time. Patients spent most of their waking hours sedentary [mean 11.0 h (SD 1.95)], with limited participation in moderate and vigorous physical activity [mean 9.5 min (SD 14.16)]. Compared to patients with better performance status (n = 32), patients with poorer performance status (n = 11) spent significantly more hours/day sedentary [mean difference 2.1 (CI 0.86–3.32); p = 0.001], as did those who survived <3 months (n = 5) compared to >12 months (n = 27) [mean difference 2.6 (CI 0.49–4.77); p = 0.013). Conclusion: Accelerometry was applied successfully in patients with MPE with high compliance and no adverse events. This is the first reported objectively measured physical activity in patients with MPE and revealed high sedentary behavior and low physical activity. The data reflected patient performance status and discriminated between survival groups. Accelerometry can provide a useful measure for future interventional studies in patients with MPE. 2017 Journal Article http://hdl.handle.net/20.500.11937/53701 10.1007/s00520-017-3721-9 Springer restricted
spellingShingle Jeffery, E.
Lee, Y.
McVeigh, Joanne
Straker, Leon
Wooding, T.
Newton, R.
Peddle-McIntyre, C.
Feasibility of objectively measured physical activity and sedentary behavior in patients with malignant pleural effusion
title Feasibility of objectively measured physical activity and sedentary behavior in patients with malignant pleural effusion
title_full Feasibility of objectively measured physical activity and sedentary behavior in patients with malignant pleural effusion
title_fullStr Feasibility of objectively measured physical activity and sedentary behavior in patients with malignant pleural effusion
title_full_unstemmed Feasibility of objectively measured physical activity and sedentary behavior in patients with malignant pleural effusion
title_short Feasibility of objectively measured physical activity and sedentary behavior in patients with malignant pleural effusion
title_sort feasibility of objectively measured physical activity and sedentary behavior in patients with malignant pleural effusion
url http://hdl.handle.net/20.500.11937/53701