COPD, Frailty
Conditions
Keywords
COPD, Frailty, Balance, Cognition, Activities of Daily Living
Brief summary
The investigators aim to demonstrate whether balance, cognition and activities of daily living have changed in COPD patients with and without frailty.
Detailed description
COPD is a common, preventable and treatable disease characterized by progressive respiratory symptoms and airflow limitation. Frailty defines a clinical syndrome characterized by multiple system effects, leading to decreased functional reserve and increased sensitivity to dependence or mortality following minor stress events. Inflammation, lack of physical activity, reduced exercise efficiency and maximum oxygen uptake may contribute to the development of frailty in patients with COPD. Balance, cognition and activities of daily living are associated with COPD. This study will evaluate the effect of frailty on balance, cognition and activities of daily living in patients with COPD.
Interventions
None listed
Sponsors
Hacettepe University
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
55 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* COPD patients who have been clinically stable for the last four weeks and who have not undergone drug change for the last four weeks * Being 55 years of age or older * Accepted to participate in the study (Able and wililing to complete the informed consent process) * Co-operate * Patients with COPD who are ambulant without support or an assistive device
Exclusion criteria
* Neurological, cardiac or orthopedic diseases * Other chronic diseases that may affect balance and walking
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Perform activities of daily living (ADL) will be evaluated using the Glittre ADL-test | 1st Day | Glittre ADL-test was designed specifically to assess the functional limitation in patients with COPD. Glittre ADL-test time will be considered the main outcome variable, and will be recorded in minutes (metric). |
| Presence of The Frailty Will Be evaluated Using The Frailty Criteria by Fried | 1st Day | Frailty will be identified by the presence of three or more of the following criteria unintentional weight loss (10 Ibs in past year), weakness (grip strength), self-reported exhaustion, slow walking speed and low physical activity. Patients with three or more of the criteria present were classified as frail. |
| Balance Assessment Using Functional Reach Test | 1st Day | The Functional Reach Test measures how far patient can reach forward from a normal relaxed stance. |
| Cognition Using MoCA-Test | 1st Day | Cognitive function will be evaluated with the secreening tool the Montreal Cognitive Assessment (MoCA). The MoCA is a 30-point screening tool. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Exercise Capacity Using 6-Minute Walk Test | 1st Day | The standard protocol of the test is applied in a 30-meter continuous corridor. Standard instructions are given during testing. |
| Disease-Related Quality of Life Assessment | 1st Day | COPD evaluation test (CAT) was developed to help assess health status. |
| Respiratory Muscle Strength Assessment | 1st Day | Respiratory muscle strength will be evaluated by non-invasive methods by measuring maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP). |
| Shortness of Breath Assessment | 1st Day | Modified Medical Research Council (mMRC) dyspnea scale will be used to determine the shortness of breath severity. |
Countries
Turkey (Türkiye)
Outcome results
None listed