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Validation of Walking Trails for the Urban TrainingTM of Chronic Obstructive Pulmonary Disease Patients.

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dc.contributor.author Arbillaga Etxarri, Ane, 1986-
dc.contributor.author Torrent-Pallicer, Jaume
dc.contributor.author Gimeno Santos, Elena, 1980-
dc.contributor.author Barberan-Garcia, Anael
dc.contributor.author Delgado Llobet, Anna
dc.contributor.author Balcells Vilarnau, Eva, 1967-
dc.contributor.author Rodríguez, Diego
dc.contributor.author Vilaró Casamitjana, Jordi
dc.contributor.author Vall-Casas, Pere
dc.contributor.author Irurtia, Alfredo
dc.contributor.author Rodriguez, Robert, 1968-
dc.contributor.author García Aymerich, Judith
dc.contributor.author Urban Training™Study Group
dc.date.accessioned 2016-04-11T06:42:13Z
dc.date.available 2016-04-11T06:42:13Z
dc.date.issued 2016
dc.identifier.citation Arbillaga-Etxarri A, Torrent-Pallicer J, Gimeno-Santos E, Barberan-Garcia A, Delgado A. et al. Validation of Walking Trails for the Urban TrainingTM of Chronic Obstructive Pulmonary Disease Patients. PLoS One. 2016 Jan 14;11(1):e0146705. doi: 10.1371/journal.pone.0146705.
dc.identifier.issn 1932-6203
dc.identifier.uri http://hdl.handle.net/10230/26065
dc.description.abstract PURPOSE: Accessible interventions to train patients with chronic obstructive pulmonary disease (COPD) are needed. We designed urban trails of different intensities (low, moderate and high) in different types of public spaces (boulevard, beach and park). We aimed to validate the trails' design by assessing the physiological response to unsupervised walking trails of: (1) different intensities in COPD patients, and (2) same intensity from different public spaces in healthy adults. METHODS: On different days and under standardized conditions, 10 COPD patients walked the three intensity trails designed in a boulevard space, and 10 healthy subjects walked the three intensity trails in three different spaces. We measured physiological response and energy expenditure using a gas analyzer. We compared outcomes across trails intensity and/or spaces using mixed-effects linear regression. RESULTS: In COPD patients, physiological response and energy expenditure increased significantly according to the trails intensity: mean (SD) peak [Formula: see text]O2 15.9 (3.5), 17.4 (4.7), and 17.7 (4.4) mL/min/kg (p-trend = 0.02), and MET-min 60 (23), 64 (26), 72 (31) (p-trend<0.01) in low, moderate and high intensity trails, respectively. In healthy subjects there were no differences in physiological response to walking trails of the same intensity across different spaces. CONCLUSIONS: We validated the trails design for the training of COPD patients by showing that the physiological response to and energy expenditure on unsupervised walking these trails increased according to the predefined trails' intensity and did not change across trails of the same intensity in different public space. Walkable public spaces allow the design of trails that could be used for the training of COPD patients in the community.
dc.description.sponsorship The study was funded by grants fromSupported by Fondo de Investigacion Sanitaria,Ministry of Health, Spain (FIS PI11/01283), integratedinto Plan Estatal I+D+I 2013-2016 and co-funded byISCIII-Subdirección General de Evaluación yFomento de la Investigación and Fondo Europeo deDesarrollo Regional (FEDER); Spanish Society ofPneumology and Thoracic Surgery (SEPAR 147/2011and 201/2011), and Catalan Society of Pneumology(SOCAP Fisioteràpia 2013). Anael Barberan-Garcia had personal funding from Agaur 2014-SGR-661,Catalan Government.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher Public Library of Science
dc.rights © 2016 Arbillaga-Etxarri et al. This is an open access article distributed under the terms of the http://creativecommons.org/licenses/by/4.0/, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source arecredited.
dc.rights.uri http://creativecommons.org/licenses/by/4.0/
dc.subject.other Pulmons--Malalties obstructives
dc.title Validation of Walking Trails for the Urban TrainingTM of Chronic Obstructive Pulmonary Disease Patients.
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.1371/journal.pone.0146705
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/publishedVersion


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