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Late-breaking abstract: Cluster analysis of objectively measured physical activity in 1001 COPD patients

Rafael Mesquita, Gabriele Spina, Fabio Pitta, David Donaire-Gonzalez, Brenda M. Deering, Mehul S. Patel, Katy E. Mitchell, Jennifer Alison, Arnoldus J. R. van Gestel, Stefanie Zogg, Philippe Gagnon, Beatriz Abascal-Bolado, Barbara Vagaggini, Judith Garcia-Aymerich, Sue C. Jenkins, Elisabeth A. P. M. Romme, Samantha S.C. Kon, Paul S. Albert, Benjamin Waschki, Dinesh Shrikrishna, Sally J. Singh, Nicholas S. Hopkinson, David Miedinger, Roberto P. Benzo, François Maltais, Pierluigi Paggiaro, Zoe J. McKeough, Michael I. Polkey, Kylie Hill, William D-C. Man, Christian F. Clarenbach, Nidia A. Hernandes, Daniela Savi, Sally Wootton, Karina C. Furlanetto, Li W. Cindy Ng, Anouk W. Vaes, Christine Jenkins, Peter R. Eastwood, Diana Jarreta, Anne Kirsten, Dina Brooks, David R. Hillman, Thaís Sant'Anna, Kenneth Meijer, Selina Dürr, Malcolm Kohler, Vanessa S. Probst, Ruth Tal-Singer, Esther Garcia Gil, Jörg D. Leuppi, Peter M.A. Calverley, Frank W. J. M. Smeenk, Richard W. Costello, Marco Gramm, Roger Goldstein, Miriam Groenen, Helgo Magnussen, Emiel F.M. Wouters, Richard L. ZuWallack, Oliver Amft, Henrik Watz, Martijn A. Spruit
European Respiratory Journal 2014 44: 3486; DOI:
Rafael Mesquita
1Department of Research & Education, Center of Expertise for Chronic Organ Failure+ (CIRO+), Horn, Netherlands
2Department of Respiratory Medicine, Maastricht University Medical Center+ (MUMC+), Maastricht, Netherlands
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Gabriele Spina
3Department of Signal Processing Systems, Technische Universiteit Eindhoven, Eindhoven, Netherlands
4Smart Sensing and Analysis Group, Philips Research, Eindhoven, Netherlands
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Fabio Pitta
5Laboratório de Pesquisa em Fisioterapia Pulmonar, Departamento de Fisioterapia, Universidade Estadual de Londrina (UEL), Londrina, Paraná, Brazil
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David Donaire-Gonzalez
6Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain
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Brenda M. Deering
7Department of Respiratory Medicine, Beaumont Hospital, Dublin, Ireland
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Mehul S. Patel
8NIHR Respiratory Biomedical Research Unit, Royal Brompton & Harefield NHS Foundation Trust and Imperial College, London, United Kingdom
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Katy E. Mitchell
9NIHR EM CLAHRC - Centre for Exercsie and Rehabilitation Science, University Hospitals, Leicester, United Kingdom
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Jennifer Alison
10Clinical and Rehabilitation Sciences, The University of Sydney, Sydney, NSW, Australia
11Physiotherapy Department, Royal Prince Alfred Hospital, Sydney, NSW, Australia
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Arnoldus J. R. van Gestel
12Pulmonary Division, University Hospital of Zurich, Zurich, Switzerland
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Stefanie Zogg
13Medical University Clinic, Cantonal Hospital Baselland, Liestal and Medical Faculty, University of Basel, Basel, Switzerland
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Philippe Gagnon
14Centre de Recherche, Institut Universitaire de Cardiologie et de Pneumologie de Québec, Université Laval, Québec, Canada
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Beatriz Abascal-Bolado
15Division of Pulmonary, Hospital U. Marqués de Valdecilla, IFIMAV, Santander, Spain
16Mindful Breathing Laboratory, Mayo Clinic, Rochester, MN,
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Barbara Vagaggini
17Cardio-Thoracic and Vascular Department, University of Pisa, Pisa, Italy
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Judith Garcia-Aymerich
6Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain
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Sue C. Jenkins
18School of Physiotherapy and Exercise Science, Curtin University, Perth, WA, Australia
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Elisabeth A. P. M. Romme
19Department of Respiratory Medicine, Catharina Hospital, Eindhoven, Netherlands
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Samantha S.C. Kon
8NIHR Respiratory Biomedical Research Unit, Royal Brompton & Harefield NHS Foundation Trust and Imperial College, London, United Kingdom
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Paul S. Albert
20School of Ageing and Chronic Disease, University Hospital Aintree, Liverpool, United Kingdom
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Benjamin Waschki
21Pulmonary Research Institute at LungClinic Grosshansdorf, Airway Research Center North, Member of the German Centre for Lung Research, Grosshansdorf, Germany
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Dinesh Shrikrishna
8NIHR Respiratory Biomedical Research Unit, Royal Brompton & Harefield NHS Foundation Trust and Imperial College, London, United Kingdom
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Sally J. Singh
9NIHR EM CLAHRC - Centre for Exercsie and Rehabilitation Science, University Hospitals, Leicester, United Kingdom
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Nicholas S. Hopkinson
8NIHR Respiratory Biomedical Research Unit, Royal Brompton & Harefield NHS Foundation Trust and Imperial College, London, United Kingdom
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David Miedinger
13Medical University Clinic, Cantonal Hospital Baselland, Liestal and Medical Faculty, University of Basel, Basel, Switzerland
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Roberto P. Benzo
16Mindful Breathing Laboratory, Mayo Clinic, Rochester, MN,
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François Maltais
14Centre de Recherche, Institut Universitaire de Cardiologie et de Pneumologie de Québec, Université Laval, Québec, Canada
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Pierluigi Paggiaro
17Cardio-Thoracic and Vascular Department, University of Pisa, Pisa, Italy
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Zoe J. McKeough
10Clinical and Rehabilitation Sciences, The University of Sydney, Sydney, NSW, Australia
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Michael I. Polkey
8NIHR Respiratory Biomedical Research Unit, Royal Brompton & Harefield NHS Foundation Trust and Imperial College, London, United Kingdom
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Kylie Hill
18School of Physiotherapy and Exercise Science, Curtin University, Perth, WA, Australia
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William D-C. Man
8NIHR Respiratory Biomedical Research Unit, Royal Brompton & Harefield NHS Foundation Trust and Imperial College, London, United Kingdom
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Christian F. Clarenbach
12Pulmonary Division, University Hospital of Zurich, Zurich, Switzerland
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Nidia A. Hernandes
5Laboratório de Pesquisa em Fisioterapia Pulmonar, Departamento de Fisioterapia, Universidade Estadual de Londrina (UEL), Londrina, Paraná, Brazil
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Daniela Savi
22Department of Pediatrics and Pediatric Neurology, Cystic Fibrosis Center, Sapienza University of Rome, Rome, Italy
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Sally Wootton
10Clinical and Rehabilitation Sciences, The University of Sydney, Sydney, NSW, Australia
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Karina C. Furlanetto
5Laboratório de Pesquisa em Fisioterapia Pulmonar, Departamento de Fisioterapia, Universidade Estadual de Londrina (UEL), Londrina, Paraná, Brazil
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Li W. Cindy Ng
18School of Physiotherapy and Exercise Science, Curtin University, Perth, WA, Australia
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Anouk W. Vaes
1Department of Research & Education, Center of Expertise for Chronic Organ Failure+ (CIRO+), Horn, Netherlands
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Christine Jenkins
23Woolcock Institute of Medical Research, The University of Sydney, Camperdown, NSW, Australia
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Peter R. Eastwood
24Department of Pulmonary Physiology, Sir Charles Gairdner Hospital, Perth, WA, Australia
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Diana Jarreta
25R&D Centre, Almirall, Barcelona, Spain
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Anne Kirsten
21Pulmonary Research Institute at LungClinic Grosshansdorf, Airway Research Center North, Member of the German Centre for Lung Research, Grosshansdorf, Germany
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Dina Brooks
26Respiratory Medicine, West Park Healthcare Centre, Toronto, Canada
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David R. Hillman
24Department of Pulmonary Physiology, Sir Charles Gairdner Hospital, Perth, WA, Australia
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Thaís Sant'Anna
5Laboratório de Pesquisa em Fisioterapia Pulmonar, Departamento de Fisioterapia, Universidade Estadual de Londrina (UEL), Londrina, Paraná, Brazil
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Kenneth Meijer
27Department of Human Movement Science, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, Netherlands
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Selina Dürr
13Medical University Clinic, Cantonal Hospital Baselland, Liestal and Medical Faculty, University of Basel, Basel, Switzerland
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Malcolm Kohler
12Pulmonary Division, University Hospital of Zurich, Zurich, Switzerland
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Vanessa S. Probst
5Laboratório de Pesquisa em Fisioterapia Pulmonar, Departamento de Fisioterapia, Universidade Estadual de Londrina (UEL), Londrina, Paraná, Brazil
28Centro de Pesquisa em Ciências da Saúde, Centro de Ciências Biológicas e da Saúde, Universidade Norte do Paraná (UNOPAR), Londrina, Paraná, Brazil
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Ruth Tal-Singer
29GlaxoSmithKline, King of Prussia, PA,
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Esther Garcia Gil
25R&D Centre, Almirall, Barcelona, Spain
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Jörg D. Leuppi
13Medical University Clinic, Cantonal Hospital Baselland, Liestal and Medical Faculty, University of Basel, Basel, Switzerland
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Peter M.A. Calverley
20School of Ageing and Chronic Disease, University Hospital Aintree, Liverpool, United Kingdom
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Frank W. J. M. Smeenk
19Department of Respiratory Medicine, Catharina Hospital, Eindhoven, Netherlands
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Richard W. Costello
7Department of Respiratory Medicine, Beaumont Hospital, Dublin, Ireland
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Marco Gramm
21Pulmonary Research Institute at LungClinic Grosshansdorf, Airway Research Center North, Member of the German Centre for Lung Research, Grosshansdorf, Germany
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Roger Goldstein
26Respiratory Medicine, West Park Healthcare Centre, Toronto, Canada
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Miriam Groenen
1Department of Research & Education, Center of Expertise for Chronic Organ Failure+ (CIRO+), Horn, Netherlands
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Helgo Magnussen
21Pulmonary Research Institute at LungClinic Grosshansdorf, Airway Research Center North, Member of the German Centre for Lung Research, Grosshansdorf, Germany
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Emiel F.M. Wouters
1Department of Research & Education, Center of Expertise for Chronic Organ Failure+ (CIRO+), Horn, Netherlands
2Department of Respiratory Medicine, Maastricht University Medical Center+ (MUMC+), Maastricht, Netherlands
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Richard L. ZuWallack
30Department of Pulmonary and Critical Care, Saint Francis Hospital and Medical Center, Hartford, CT,
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Oliver Amft
3Department of Signal Processing Systems, Technische Universiteit Eindhoven, Eindhoven, Netherlands
31ACTLab Group, Chair of Sensor Technology, University Passau, Passau, Germany
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Henrik Watz
21Pulmonary Research Institute at LungClinic Grosshansdorf, Airway Research Center North, Member of the German Centre for Lung Research, Grosshansdorf, Germany
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Martijn A. Spruit
1Department of Research & Education, Center of Expertise for Chronic Organ Failure+ (CIRO+), Horn, Netherlands
32REVAL - Rehabilitation Research Center, BIOMED - Biomedical Research Institute, Faculty of Medicine and Life Sciences, Hasselt University, Diepenbeek, Belgium
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Abstract

Background: Detailed analyses of physical activity (PA) measures in chronic obstructive pulmonary disease (COPD) have been insufficiently explored. We aimed to identify clusters of COPD patients based on objectively measured PA data, and to compare clinical characteristics, PA measures and PA hourly patterns between these clusters.

Methods: 1001 COPD patients (65% men; median age and FEV1: 67 yrs and 49%pred, respectively) from 10 countries were studied. PA measures and hourly patterns were analysed based on data from the multi-sensor Sensewear armband used for >=4 days. Principal component analysis was applied to PA data for dimensionality reduction, subsequently k-means cluster analysis was used to identify subgroups of COPD patients.

Results: 5 clusters were identified (Table 1).

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Cluster 1 (very inactive) spent less time in moderate-to-vigorous intensity and more time in very light intensity, whilst cluster 5 (very active) presented an opposite behaviour. Cluster 1 also presented higher body mass index, lower FEV1 and worse dyspnoea compared to other clusters. PA hourly patterns revealed that in all clusters the peak of intensity occurred before midday, but also that more inactive clusters had a more similar pattern between week and weekend (Figure 1).

Conclusions: Five subgroups of COPD patients were identified with distinct PA measures and hourly patterns. These findings may serve as a basis for tailored interventions in COPD.

  • COPD - management
  • Physical activity
  • Monitoring
  • © 2014 ERS
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Late-breaking abstract: Cluster analysis of objectively measured physical activity in 1001 COPD patients
Rafael Mesquita, Gabriele Spina, Fabio Pitta, David Donaire-Gonzalez, Brenda M. Deering, Mehul S. Patel, Katy E. Mitchell, Jennifer Alison, Arnoldus J. R. van Gestel, Stefanie Zogg, Philippe Gagnon, Beatriz Abascal-Bolado, Barbara Vagaggini, Judith Garcia-Aymerich, Sue C. Jenkins, Elisabeth A. P. M. Romme, Samantha S.C. Kon, Paul S. Albert, Benjamin Waschki, Dinesh Shrikrishna, Sally J. Singh, Nicholas S. Hopkinson, David Miedinger, Roberto P. Benzo, François Maltais, Pierluigi Paggiaro, Zoe J. McKeough, Michael I. Polkey, Kylie Hill, William D-C. Man, Christian F. Clarenbach, Nidia A. Hernandes, Daniela Savi, Sally Wootton, Karina C. Furlanetto, Li W. Cindy Ng, Anouk W. Vaes, Christine Jenkins, Peter R. Eastwood, Diana Jarreta, Anne Kirsten, Dina Brooks, David R. Hillman, Thaís Sant'Anna, Kenneth Meijer, Selina Dürr, Malcolm Kohler, Vanessa S. Probst, Ruth Tal-Singer, Esther Garcia Gil, Jörg D. Leuppi, Peter M.A. Calverley, Frank W. J. M. Smeenk, Richard W. Costello, Marco Gramm, Roger Goldstein, Miriam Groenen, Helgo Magnussen, Emiel F.M. Wouters, Richard L. ZuWallack, Oliver Amft, Henrik Watz, Martijn A. Spruit
European Respiratory Journal Sep 2014, 44 (Suppl 58) 3486;

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Late-breaking abstract: Cluster analysis of objectively measured physical activity in 1001 COPD patients
Rafael Mesquita, Gabriele Spina, Fabio Pitta, David Donaire-Gonzalez, Brenda M. Deering, Mehul S. Patel, Katy E. Mitchell, Jennifer Alison, Arnoldus J. R. van Gestel, Stefanie Zogg, Philippe Gagnon, Beatriz Abascal-Bolado, Barbara Vagaggini, Judith Garcia-Aymerich, Sue C. Jenkins, Elisabeth A. P. M. Romme, Samantha S.C. Kon, Paul S. Albert, Benjamin Waschki, Dinesh Shrikrishna, Sally J. Singh, Nicholas S. Hopkinson, David Miedinger, Roberto P. Benzo, François Maltais, Pierluigi Paggiaro, Zoe J. McKeough, Michael I. Polkey, Kylie Hill, William D-C. Man, Christian F. Clarenbach, Nidia A. Hernandes, Daniela Savi, Sally Wootton, Karina C. Furlanetto, Li W. Cindy Ng, Anouk W. Vaes, Christine Jenkins, Peter R. Eastwood, Diana Jarreta, Anne Kirsten, Dina Brooks, David R. Hillman, Thaís Sant'Anna, Kenneth Meijer, Selina Dürr, Malcolm Kohler, Vanessa S. Probst, Ruth Tal-Singer, Esther Garcia Gil, Jörg D. Leuppi, Peter M.A. Calverley, Frank W. J. M. Smeenk, Richard W. Costello, Marco Gramm, Roger Goldstein, Miriam Groenen, Helgo Magnussen, Emiel F.M. Wouters, Richard L. ZuWallack, Oliver Amft, Henrik Watz, Martijn A. Spruit
European Respiratory Journal Sep 2014, 44 (Suppl 58) 3486;
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