Influence of major pulmonary resection on postoperative daily ambulatory activity of the patients.

To describe and compare the daily ambulatory activity of the patients before and one month after major lung resection. Daily activity was measured using a pedometer (OMROM Walking Style PRO) given preoperatively in a prospective way to a series of 21 consecutive cases scheduled for lobectomy or pneumonectomy. Analyzed variables were age, pulmonary function, mean number of total and aerobic steps per day, walked distance and mean daily time of aerobic activity. Activity variables were analyzed individually and as a new differential variable DELTA. Wilcoxon and Mann-Whitney nonparametric tests were used for comparison between groups. General series data: 19 male. Age: 63+/-10.9 years. FEV(1)%: 88.4+/-22.7. DLCO: 86.2+/-21.6. Eleven cases had COPD criteria. Type of surgery: 3 pneumonectomy/18 lobectomy. Activity data: all patients showed a global decrease of their activity one month after surgery but, patients in the pneumonectomy group are unable to keep aerobic activity meanwhile patients that undergone lobectomy showed only a 25% reduction in the measured variables. Major pulmonary resection decreases the time and the quality of the daily ambulatory activity of the patients during the first postoperative month. Despite limitations, the chosen pedometer OMRON Walking Style Pro is an efficient tool to evaluate the perioperative daily ambulatory activity of patients.

[1]  Minsoo Kang,et al.  Validity and reliability of Omron pedometers for prescribed and self-paced walking. , 2009, Medicine and science in sports and exercise.

[2]  H. Magnussen,et al.  Physical activity in patients with COPD , 2008, European Respiratory Journal.

[3]  T. Win,et al.  RETRACTED: Long-Term Quality of Life After Lung Resection , 2008 .

[4]  T. Win,et al.  Long-term quality of life after lung resection. , 2008, Thoracic surgery clinics.

[5]  H. Sintonen,et al.  Pneumonectomy: post-operative quality of life and lung function. , 2007, Lung cancer.

[6]  Richard W. Bohannon,et al.  Number of Pedometer-Assessed Steps Taken Per Day by Adults: A Descriptive Meta-Analysis , 2007, Physical Therapy.

[7]  I. Olkin,et al.  Using pedometers to increase physical activity and improve health: a systematic review. , 2007, JAMA.

[8]  K. Shirouzu,et al.  Long-term recovery of exercise capacity and pulmonary function after lobectomy. , 2007, The Journal of thoracic and cardiovascular surgery.

[9]  A. Brunelli,et al.  Quality of life before and after major lung resection for lung cancer: a prospective follow-up analysis. , 2007, The Annals of thoracic surgery.

[10]  Nasser Altorki,et al.  Interactive CardioVascular and Thoracic Surgery - 2011 Reviewers , 2007 .

[11]  R. Marasco,et al.  Evaluation of expiratory volume, diffusion capacity, and exercise tolerance following major lung resection: a prospective follow-up analysis. , 2007, Chest.

[12]  A. Carretta,et al.  Does lobectomy for lung cancer in patients with chronic obstructive pulmonary disease affect lung function? A multicenter national study. , 2005, The Journal of thoracic and cardiovascular surgery.

[13]  T. Iizasa,et al.  Minimal alteration of pulmonary function after lobectomy in lung cancer patients with chronic obstructive pulmonary disease. , 2003, The Annals of thoracic surgery.

[14]  Catrine Tudor-Locke,et al.  Utility of Pedometers for Assessing Physical Activity , 2002 .

[15]  Catrine Tudor-Locke,et al.  Utility of pedometers for assessing physical activity: convergent validity. , 2002, Sports medicine.

[16]  B. Steele,et al.  Quantitating physical activity in COPD using a triaxial accelerometer. , 2000, Chest.

[17]  P. Jones,et al.  Evaluation of a movement detector to measure daily activity in patients with chronic lung disease. , 1997, The European respiratory journal.

[18]  N. Milman,et al.  Cardiopulmonary function at rest and during exercise after resection for bronchial carcinoma. , 1997, The Annals of thoracic surgery.