Heart rate and oxygen uptake kinetics obtained from continuous measurements with wearable devices during outdoor walks of patients with COPD

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• dc.contributor.author Buekers, Joren
• dc.contributor.author Arbillaga Etxarri, Ane, 1986-
• dc.contributor.author Gimeno Santos, Elena, 1980-
• dc.contributor.author Donaire González, David
• dc.contributor.author Chevance, Guillaume
• dc.contributor.author Aerts, Jean-Marie
• dc.contributor.author García Aymerich, Judith
• dc.date.accessioned 2023-06-19T05:53:25Z
• dc.date.available 2023-06-19T05:53:25Z
• dc.date.issued 2023
• dc.description.abstract Continuous physiological measurements during a laboratory-based exercise test can provide physiological biomarkers, such as heart rate (HR) and oxygen uptake (V̇O2) kinetics, that carry clinically relevant information. In contrast, it is not clear how continuous data generated by wearable devices during daily-life routines could provide meaningful biomarkers. We aimed to determine whether valid HR and V̇O2 kinetics can be obtained from measurements with wearable devices during outdoor walks in patients with chronic obstructive pulmonary disease (COPD). HR (Polar Belt) and V̇O2(METAMAX3B) were measured during 93 physical activity transitions performed by eight patients with COPD during three different outdoor walks (ntr = 77) and a 6-minute walk test (ntr = 16). HR and V̇O2 kinetics were calculated every time a participant started a walk, finished a walk or walked upstairs. HR and V̇O2 kinetics were considered valid if the response magnitude and model fit were adequate, and model parameters were reliable. Continuous measurements with wearable devices provided valid HR kinetics when COPD patients started or finished (range 63%–100%) the different outdoor walks and valid V̇O2 kinetics when they finished (range 63%–100%) an outdoor walk. The amount of valid kinetics and kinetic model performance was comparable between outdoor walks and a laboratory-based exercise test (p > .05). We envision that the presented approach could improve telemonitoring applications of patients with COPD by providing regular, unsupervised assessments of HR kinetics during daily-life routines. This could allow to early identify a decline in the patients’ dynamic physiological functioning, physical fitness and/or health status.
• dc.description.sponsorship Joren Buekers acknowledges the support of the European Respiratory Society – ERS Long-Term Research Fellowship 2020. ISGlobal acknowledges support from the Spanish Ministry of Science and Innovation through the ‘Centro de Excelencia Severo Ochoa 2019–2023’ Program (CEX2018-000806-S) and support from the Generalitat de Catalunya through the CERCA Program.
• dc.format.mimetype application/pdf
• dc.identifier.citation Buekers J, Arbillaga-Etxarri A, Gimeno-Santos E, Donaire-Gonzalez D, Chevance G, Aerts J, et al. Heart rate and oxygen uptake kinetics obtained from continuous measurements with wearable devices during outdoor walks of patients with COPD. Digital Health. 2023 Jan-Dec;9:205520762311629. DOI: 10.1177/20552076231162989
• dc.identifier.doi http://dx.doi.org/10.1177/20552076231162989
• dc.identifier.issn 2055-2076
• dc.identifier.uri http://hdl.handle.net/10230/57203
• dc.language.iso eng
• dc.publisher SAGE Publications
• dc.relation.ispartof Digital Health. 2023 Jan-Dec;9:205520762311629
• dc.relation.projectID info:eu-repo/grantAgreement/2PE/CEX2018-000806-S
• dc.rights © The Author(s) 2023. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/
• dc.subject.keyword Respiratory medicine
• dc.subject.keyword Wearables personalised medicine
• dc.subject.keyword mHealth physiology
• dc.subject.keyword Remote patient monitoring personalised medicine
• dc.subject.keyword Exercise lifestyle
• dc.subject.keyword Telehealth general
• dc.title Heart rate and oxygen uptake kinetics obtained from continuous measurements with wearable devices during outdoor walks of patients with COPD
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion