PMID- 38108832 OWN - NLM STAT- MEDLINE DCOM- 20231219 LR - 20231225 IS - 1479-9731 (Electronic) IS - 1479-9723 (Print) IS - 1479-9723 (Linking) VI - 20 DP - 2023 Jan-Dec TI - Physical activity in idiopathic pulmonary fibrosis: Longitudinal change and minimal clinically important difference. PG - 14799731231221818 LID - 10.1177/14799731231221818 [doi] LID - 14799731231221818 AB - BACKGROUND AND OBJECTIVE: Reference values of physical activity to interpret longitudinal changes are not available in patients with idiopathic pulmonary fibrosis (IPF). This study aimed to define the minimal clinical important difference (MCID) of longitudinal changes in physical activity in patients with IPF. METHODS: Using accelerometry, physical activity (steps per day) was measured and compared at baseline and 6-months follow-up in patients with IPF. We calculated MCID of daily step count using multiple anchor-based and distribution-based methods. Forced vital capacity and 6-minute walk distance were applied as anchors in anchor-based methods. Effect size and standard error of measurement were used to calculate MCID in distribution-based methods. RESULTS: One-hundred and five patients were enrolled in the study (mean age: 68.5 +/- 7.5 years). Step count significantly decreased from baseline to 6-months follow-up (-461 +/- 2402, p = .031). MCID calculated by anchor-based and distribution-based methods ranged from 570-1358 steps. CONCLUSION: Daily step count significantly declined over 6-months in patients with IPF. MCID calculated by multiple anchor-based and distribution-based methods was 570 to 1358 steps/day. These findings contribute to interpretation of the longitudinal changes of physical activity that will assist its use as a clinical and research outcome in patients with IPF. FAU - Shingai, Kazuya AU - Shingai K AUID- ORCID: 0000-0001-9036-6636 AD - Department of Physical Therapy Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan. RINGGOLD: 200674 FAU - Matsuda, Toshiaki AU - Matsuda T AD - Department of Respiratory Medicine and Allergy, Tosei General Hospital, Seto, Japan. RINGGOLD: 37091 FAU - Kondoh, Yasuhiro AU - Kondoh Y AD - Department of Respiratory Medicine and Allergy, Tosei General Hospital, Seto, Japan. RINGGOLD: 37091 FAU - Kimura, Tomoki AU - Kimura T AD - Department of Respiratory Medicine and Allergy, Tosei General Hospital, Seto, Japan. RINGGOLD: 37091 FAU - Kataoka, Kensuke AU - Kataoka K AD - Department of Respiratory Medicine and Allergy, Tosei General Hospital, Seto, Japan. RINGGOLD: 37091 FAU - Yokoyama, Toshiki AU - Yokoyama T AD - Department of Respiratory Medicine and Allergy, Tosei General Hospital, Seto, Japan. RINGGOLD: 37091 FAU - Yamano, Yasuhiko AU - Yamano Y AD - Department of Respiratory Medicine and Allergy, Tosei General Hospital, Seto, Japan. RINGGOLD: 37091 FAU - Ogawa, Tomoya AU - Ogawa T AD - Department of Rehabilitation, Tosei General Hospital, Seto, Japan. RINGGOLD: 37091 FAU - Watanabe, Fumiko AU - Watanabe F AD - Department of Rehabilitation, Tosei General Hospital, Seto, Japan. RINGGOLD: 37091 FAU - Hirasawa, Jun AU - Hirasawa J AD - Department of Rehabilitation, Tosei General Hospital, Seto, Japan. RINGGOLD: 37091 FAU - Reid, W Darlene AU - Reid WD AUID- ORCID: 0000-0001-9980-8699 AD - Department of Physical Therapy, University of Toronto, Toronto, Canada. RINGGOLD: 7938 AD - Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Canada. RINGGOLD: 7938 AD - KITE, Toronto Rehabilitation Institute, University Health Network, Toronto, Canada. FAU - Kozu, Ryo AU - Kozu R AUID- ORCID: 0000-0002-9310-185X AD - Department of Physical Therapy Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan. RINGGOLD: 200674 LA - eng PT - Journal Article PL - England TA - Chron Respir Dis JT - Chronic respiratory disease JID - 101197408 SB - IM MH - Humans MH - Middle Aged MH - Aged MH - *Minimal Clinically Important Difference MH - Exercise MH - *Idiopathic Pulmonary Fibrosis MH - Walking MH - Accelerometry PMC - PMC10748643 OTO - NOTNLM OT - Accelerometry OT - exercise OT - exercise test OT - idiopathic pulmonary fibrosis OT - minimal clinically important difference OT - rehabilitation COIS- Declaration Of Conflicting InterestsThe author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Yasuhiro Kondoh reports advisory board fees and personal fees from Asahi Kasei Pharma Corp., Shionogi & Co.Ltd., and Boehringer Ingelheim Co., Ltd., advisory board fees from Janssen Pharmaceutical K.K., Healios K.K., Chugai Pharmaceutical Co., Ltd., and Taiho Pharmaceutical Co., Ltd., and personal fees from AstraZeneca K.K., Eisai inc., KYORIN Pharmaceutical Co., Ltd., Mitsubishi Tanabe Pharma, and Novartis Pharma K.K., outside the presentation work. Kensuke Kataoka and Yasuhiko Yamano received lecture fees from Nippon Boehringer, Ingelheim Co., Ltd., outside the submitted work. All other authors declared no conflict of interest. EDAT- 2023/12/18 12:41 MHDA- 2023/12/19 06:42 PMCR- 2023/12/18 CRDT- 2023/12/18 11:03 PHST- 2023/12/19 06:42 [medline] PHST- 2023/12/18 12:41 [pubmed] PHST- 2023/12/18 11:03 [entrez] PHST- 2023/12/18 00:00 [pmc-release] AID - 10.1177_14799731231221818 [pii] AID - 10.1177/14799731231221818 [doi] PST - ppublish SO - Chron Respir Dis. 2023 Jan-Dec;20:14799731231221818. doi: 10.1177/14799731231221818.