TY - JOUR T1 - COPD: Is there association between physical activity and depression/anxiety? JF - European Respiratory Journal JO - Eur Respir J VL - 44 IS - Suppl 58 SP - P3683 AU - Helena Azcuna AU - Cristobal Esteban AU - Inmaculada Arostegi AU - Javier Moraza AU - Myriam Aburto AU - Amaia Aramburu AU - Mikel Egurrola Y1 - 2014/09/01 UR - http://erj.ersjournals.com/content/44/Suppl_58/P3683.abstract N2 - INTRODUCTION: COPD is a complex disease that is associated to sistemic effects, in addition to chronic airflow obstruction. These symptoms restrict the daily life and physical activity of the patients with a high prevalence of anxiety and depression that is often underdiagnosed.OBJECTIVE: The aim of the study is to asses if there is any association between physical activity and anxiety/depression levels in COPD patients.MATERIALS AND METHODS:543 patients were selected from our pneumology area from January 2003 to January 2004. They were diagnosed of COPD in the 6 months prior and stayed stable at least 6 weeks. An initial evaluation was made, where we included, among other aspects of disease, depression and anxiety by Hospital Anxiety and Depression (HAD) questionnaire and physical activity (PA) (walked distance 3 days per week) and we set up 3 categories: low the patients who walked less than 3 km per day, medium 3-6km and high more than 6 km. Depression and anxiety level and physical activity changes were analyzed during 5 years.RESULTS: 324 (60%) patients fulfill 5 years of follow up. We analyze the overall relationship between AP changes and mean level of depression with a statistical significative diference (p=0.025). Data gave evidence of statistical significance in patients who manteined low AP during the follow up with change of -1,20 of depression level (CI -1,84-0,56) and in patients who decreced AP from high to medium/low with change of -0,93 (CI -1,67-0,18) in depression level and incresed 1,12 (CI 95% 0,27-1,97) anxiety level.CONCLUSION: An association was found between the change of physical activity level and change of depression level in a COPD patient cohort during 5 years. ER -