The Association Between BODEx Index and Activities of Daily Living, Occupational Performance, Psychosocial Status and Health Related Quality of Life in Patients with COPD

Abstract

Introduction and Background: BODEx index which is a multidimensional disease severity index and simplified version of BODE in chronic obstructive pulmonary disease (COPD) patients. There is limited use of BODEx index in Europe but it can be practical for daily living activities (ADL) status in COPD.

Aim and Objectives: The aim was to evaluate the association between BODEx index and ADL, occupational performance, psychosocial status and health related quality of life (HRQoL) in patients with COPD.

Methods: Twenty-seven patients with COPD (mean age: 58.6 ± 9.6 years, mean %FEV1=50.6±13.7) were included in the study. BODEx index was calculated according to Body mass index, airflow Obstruction, Dyspnea with MMRC scale and Exacerbations. ADL was evaluated with London Chest ADL Scale (LCADL). Occupational performance was assessed by Canadian Occupational Performance Measurement (COPM). Psychosocial status was determined with Hospital Anxiety amd Depression Scale (HADS) and HRQoL was assessed with COPD Assesment Test (CAT).

Results: Mean BODEx score of patients was 3.6±1.6. The BODEx score was significantly correlated with COPM-satisfaction score (r=-0.474, p=0.014), LCADL-leisure time score (r=0.473, p=0.013), HADS-anxiety score (r=0.420, p=0.029) and CAT score (r=0.430, p=0.028).

Conclusions: As the multidimensional disease severity increase, daily living activities, satisfaction from occupational performance, health related quality of life and psychosocial status deteriorate in COPD. BODEx index can be a practical metod for understanding functional impairment of patients in pulmonary rehabilitation.