Examinando por Autor "Torres, Antoni"

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    Exacerbations and changes in physical activity and sedentary behaviour in patients with bronchiectasis after 1 year
    (MDPI, 2021-03-02) Alcaraz Serrano, Victoria; Arbillaga Etxarri, Ane; Oscanoa, Patricia; Fernández Barat, Laia; Bueno, Leticia; Amaro, Rosanel; Gimeno Santos, Elena; Torres, Antoni
    Background: Low physical activity and high sedentary behaviour in patients with bron-chiectasis are associated with hospitalisation over one year. However, the factors associated with longitudinal changes in physical activity and sedentary behaviour have not been explored. We aimed to identify clinical and sociodemographic characteristics related to a change in physical activity and sedentary behaviour in patients with bronchiectasis after one year. Methods: This was a prospective observational study during which physical activity measurements were recorded using a SenseWear Armband for one week at baseline and at one year. At each assessment point, patients were classified as active or inactive (measured as steps per day) and as sedentary or not sedentary (measured as sedentary time). Results: 53 patients with bronchiectasis were analysed, and after one year, 18 (34%) had worse activity and sedentary levels. Specifically, 10 patients be-came inactive and sedentary. Multivariable analysis showed that the number of exacerbations during the follow-up period was the only outcome independently associated with change to higher inactivity and sedentary behaviour (odds ratio (OR), 2.19; 95% CI, 1.12 to 4.28). Conclusions: The number of exacerbations in patients with bronchiectasis was associated with changes in physical activity and sedentary behaviour. Exacerbation prevention may appear as a key factor in relation to physical activity and sedentary behaviour in patients with bronchiectasis.
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    Heart rate recovery after the 6-min walk test in people with bronchiectasis
    (European Respiratory Society, 2025-03) Sáez Pérez, Juan Antonio; Arbillaga Etxarri, Ane; Alcaraz Serrano, Victoria; Gimeno Santos, Elena; Torres, Antoni; Herrero Cortina, Beatriz
    Background The cardiac autonomic response to exercise and during recovery has been poorly explored in bronchiectasis. Methods A longitudinal study was conducted in adults with bronchiectasis. Sociodemographic and clinical data were collected at baseline and after 12 months of follow-up. The heart rate recovery after the first (HRR1) and second minute (HRR2) of recovery in the six-min walk test (6MWT) was estimated in both assessments. Adjusted regression models were used to identify predictors of a delayed HRR1 (HRR1 ⩽14). Results 104 participants with a mean±SD age of 64±13 years and mostly women (67%) were included. A delayed HRR1 after the baseline 6MWT was identified in 36% of participants. These participants presented a higher proportion of males, increased body mass index, higher disease severity, more likely to require hospitalisation, more impact on quality of life, lower exercise capacity, lower heart rate at the end of the 6MWT and lower HRR2. Disease severity (β, 95% CI) (moderate and severe versus mild, −0.47 (−0.94 to −0.01)) and distance walked (0.34 (0.11 to 0.56)) were the independent variables associated with HRR1. Of the 45 participants who completed the entire follow-up period, 24% exhibited delayed HRR1. The presence of at least two exacerbations during the follow-up period (OR 16.89, 95% CI 1.44 to 197.48) was the only predictor of a delayed HRR1 in the assessment completed at the end of the study. Conclusion HRR1 is related to disease severity and is mainly affected by having severe exacerbations in people with bronchiectasis.