Level of Daily Physical Activity in Chronic Obstructive Pulmonary Disease (copd) Patients According to Gold Classification

espanolIntroduccion y objetivo La guia Global Initiative for Chronic Obstructive Lung Disease (GOLD) para la clasificacion de pacientes con enfermedad pulmonar obstructiva cronica (EPOC) no refleja adecuadamente el impacto de la enfermedad al no considerar la actividad fisica diaria (AFD). Pacientes y metodos Se seleccionaron prospectivamente 48 pacientes (12 por cada grupo GOLD). Se midio la AFD mediante acelerometria clasificando a los pacientes en 3 niveles de actividad (muy inactivo, sedentario, activo). Resultados No se observaron diferencias significativas en los niveles de actividad fisica entre los grupos GOLD (p=0,361). Los porcentajes de pacientes muy inactivos fueron 33% para el grupo A, 42% para el B, 42% para el C y 59% para el D. Ademas, los pacientes sedentarios alcanzaron el 50% en el grupo A, el 42% en los B y C, y el 41% para el grupo D. Discusion Los pacientes EPOC con muy bajos niveles de actividad fisica estan presentes en todos los estadios de la clasificacion GOLD, incluso en aquellos definidos como de bajo impacto (por ejemplo, el GOLD A). Es necesario detectar precozmente a los pacientes en riesgo que podrian beneficiarse de intervenciones especificas. EnglishIntroduction and objective The Global Initiative for Chronic Obstructive Lung Disease (GOLD guideline) for patients with chronic obstructive pulmonary disease does not adequately reflect the impact of the disease because does not take into account daily physical activity (DPA). Patients and methods Forty eight patients (12 in each GOLD group) were prospectively recruited. DPA was evaluated by accelerometer. Patients were classified into 3 levels of activity (very inactive, sedentary, active). Results No significant differences in levels of physical activity among GOLD groups (P=.361) were observed. The percentages of very inactive patients were 33% in group A, 42% in group B, 42% in group C and 59% in group D. In addition, high percentage of sedentary patients were observed through 4 groups, in group A (50%), B and C (42%, each), and group D (41%). Discussion COPD patients has very low levels of physical activity at all stages of GOLD classification even those defined as low impact (such as GOLD A). Is necessary to detect patients at risk who might benefit from specific interventions.