Respiratory patient activity, physical exercise in normal individuals, and telehealth prediction of air pollution

M Morrison, K M Prentice, L J Anderson, K McDowall, E Hopkins, L MacLeod-Kennedy, J K Anderson, I.J. Beverland, S Sneddon, K Anderson

Research output: Contribution to journalMeeting abstract

Abstract

Background While air pollution is associated with morbidity and mortality in patients with respiratory and cardiac disease, there are also effects in normal individuals particularly if exercising on days when pollutants are high. The accepted advice on these days is to reduce exposure by restricting activity or remaining indoors. Consequently, in the European Union, high PM10 levels in 2005 caused 625M individual restricted activity days, encouraging national telehealth programmes, which incorporate this approach. Know and Respond, introduced in Scotland in February 2012, informs individuals by text, email, or landline message of the next day’s air pollution prediction.Study Five main focus groups were contacted–COPD patients registered with our LTOT service (n=20, age 55–73), in-patient respiratory patients (n= 6 COPD and n=7 asthmatics, age 24–75), regular recreational joggers from central Glasgow (n=25, age 24–30), competitive athletes (n=15, age 21–26), and a group of occasional exercisers, who were predominately sedentary otherwise (n=15, age 25–30). Questions were asked about multimedia access, basic knowledge of air pollution and its’ influence on daily activities.Results Only 5 of the LTOT patients had internet access, and 7 had text receiving mobiles. All other subjects had internet access, and text phones. In the in-patient asthmatic group most were aware of the links between air pollution and health (6/7) and would change their exercise habits. In comparison only one COPD patient reported a link and consideration for air pollution when exercising. Some of the competitive athletes (13/15) and occasional exercisers (9/15) were aware of PM2.5 as a risk pollutant which might influence their choice of activity, but none of the joggers, who all ran regularly even during the high levels of air pollution in Glasgow during March 2012 when unseasonal weather patterns drew pollutant dusts from Europe across Scotland.Conclusion We would reasonably contend that the aim of Know and Respond is justified given the known effects of air pollution however we acknowledge that awareness of the background relevance of air pollution is extremely variable. Know and Respond patient cards have been sent to general practise surgeries nationally to encourage patients to register with this free service.
LanguageEnglish
Article numberP246
PagesA172
Number of pages1
JournalThorax
Volume67
Issue numberSuppl 2
DOIs
Publication statusPublished - 1 Dec 2012

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Telemedicine
Air Pollution
Exercise
Chronic Obstructive Pulmonary Disease
Scotland
Athletes
Internet
Multimedia
Weather
European Union
Focus Groups
Dust
General Practice
Habits
Heart Diseases
Morbidity
Mortality
Health

Keywords

  • air pollution
  • respiratory illness
  • physical exercise
  • telehealth

Cite this

Morrison, M., Prentice, K. M., Anderson, L. J., McDowall, K., Hopkins, E., MacLeod-Kennedy, L., ... Anderson, K. (2012). Respiratory patient activity, physical exercise in normal individuals, and telehealth prediction of air pollution. Thorax, 67(Suppl 2), A172. [P246]. https://doi.org/10.1136/thoraxjnl-2012-202678.307
Morrison, M ; Prentice, K M ; Anderson, L J ; McDowall, K ; Hopkins, E ; MacLeod-Kennedy, L ; Anderson, J K ; Beverland, I.J. ; Sneddon, S ; Anderson, K. / Respiratory patient activity, physical exercise in normal individuals, and telehealth prediction of air pollution. In: Thorax. 2012 ; Vol. 67, No. Suppl 2. pp. A172.
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Morrison, M, Prentice, KM, Anderson, LJ, McDowall, K, Hopkins, E, MacLeod-Kennedy, L, Anderson, JK, Beverland, IJ, Sneddon, S & Anderson, K 2012, 'Respiratory patient activity, physical exercise in normal individuals, and telehealth prediction of air pollution' Thorax, vol. 67, no. Suppl 2, P246, pp. A172. https://doi.org/10.1136/thoraxjnl-2012-202678.307

Respiratory patient activity, physical exercise in normal individuals, and telehealth prediction of air pollution. / Morrison, M; Prentice, K M; Anderson, L J; McDowall, K; Hopkins, E; MacLeod-Kennedy, L; Anderson, J K; Beverland, I.J.; Sneddon, S; Anderson, K.

In: Thorax, Vol. 67, No. Suppl 2, P246, 01.12.2012, p. A172.

Research output: Contribution to journalMeeting abstract

TY - JOUR

T1 - Respiratory patient activity, physical exercise in normal individuals, and telehealth prediction of air pollution

AU - Morrison, M

AU - Prentice, K M

AU - Anderson, L J

AU - McDowall, K

AU - Hopkins, E

AU - MacLeod-Kennedy, L

AU - Anderson, J K

AU - Beverland, I.J.

AU - Sneddon, S

AU - Anderson, K

PY - 2012/12/1

Y1 - 2012/12/1

N2 - Background While air pollution is associated with morbidity and mortality in patients with respiratory and cardiac disease, there are also effects in normal individuals particularly if exercising on days when pollutants are high. The accepted advice on these days is to reduce exposure by restricting activity or remaining indoors. Consequently, in the European Union, high PM10 levels in 2005 caused 625M individual restricted activity days, encouraging national telehealth programmes, which incorporate this approach. Know and Respond, introduced in Scotland in February 2012, informs individuals by text, email, or landline message of the next day’s air pollution prediction.Study Five main focus groups were contacted–COPD patients registered with our LTOT service (n=20, age 55–73), in-patient respiratory patients (n= 6 COPD and n=7 asthmatics, age 24–75), regular recreational joggers from central Glasgow (n=25, age 24–30), competitive athletes (n=15, age 21–26), and a group of occasional exercisers, who were predominately sedentary otherwise (n=15, age 25–30). Questions were asked about multimedia access, basic knowledge of air pollution and its’ influence on daily activities.Results Only 5 of the LTOT patients had internet access, and 7 had text receiving mobiles. All other subjects had internet access, and text phones. In the in-patient asthmatic group most were aware of the links between air pollution and health (6/7) and would change their exercise habits. In comparison only one COPD patient reported a link and consideration for air pollution when exercising. Some of the competitive athletes (13/15) and occasional exercisers (9/15) were aware of PM2.5 as a risk pollutant which might influence their choice of activity, but none of the joggers, who all ran regularly even during the high levels of air pollution in Glasgow during March 2012 when unseasonal weather patterns drew pollutant dusts from Europe across Scotland.Conclusion We would reasonably contend that the aim of Know and Respond is justified given the known effects of air pollution however we acknowledge that awareness of the background relevance of air pollution is extremely variable. Know and Respond patient cards have been sent to general practise surgeries nationally to encourage patients to register with this free service.

AB - Background While air pollution is associated with morbidity and mortality in patients with respiratory and cardiac disease, there are also effects in normal individuals particularly if exercising on days when pollutants are high. The accepted advice on these days is to reduce exposure by restricting activity or remaining indoors. Consequently, in the European Union, high PM10 levels in 2005 caused 625M individual restricted activity days, encouraging national telehealth programmes, which incorporate this approach. Know and Respond, introduced in Scotland in February 2012, informs individuals by text, email, or landline message of the next day’s air pollution prediction.Study Five main focus groups were contacted–COPD patients registered with our LTOT service (n=20, age 55–73), in-patient respiratory patients (n= 6 COPD and n=7 asthmatics, age 24–75), regular recreational joggers from central Glasgow (n=25, age 24–30), competitive athletes (n=15, age 21–26), and a group of occasional exercisers, who were predominately sedentary otherwise (n=15, age 25–30). Questions were asked about multimedia access, basic knowledge of air pollution and its’ influence on daily activities.Results Only 5 of the LTOT patients had internet access, and 7 had text receiving mobiles. All other subjects had internet access, and text phones. In the in-patient asthmatic group most were aware of the links between air pollution and health (6/7) and would change their exercise habits. In comparison only one COPD patient reported a link and consideration for air pollution when exercising. Some of the competitive athletes (13/15) and occasional exercisers (9/15) were aware of PM2.5 as a risk pollutant which might influence their choice of activity, but none of the joggers, who all ran regularly even during the high levels of air pollution in Glasgow during March 2012 when unseasonal weather patterns drew pollutant dusts from Europe across Scotland.Conclusion We would reasonably contend that the aim of Know and Respond is justified given the known effects of air pollution however we acknowledge that awareness of the background relevance of air pollution is extremely variable. Know and Respond patient cards have been sent to general practise surgeries nationally to encourage patients to register with this free service.

KW - air pollution

KW - respiratory illness

KW - physical exercise

KW - telehealth

U2 - 10.1136/thoraxjnl-2012-202678.307

DO - 10.1136/thoraxjnl-2012-202678.307

M3 - Meeting abstract

VL - 67

SP - A172

JO - Thorax

T2 - Thorax

JF - Thorax

SN - 0040-6376

IS - Suppl 2

M1 - P246

ER -

Morrison M, Prentice KM, Anderson LJ, McDowall K, Hopkins E, MacLeod-Kennedy L et al. Respiratory patient activity, physical exercise in normal individuals, and telehealth prediction of air pollution. Thorax. 2012 Dec 1;67(Suppl 2):A172. P246. https://doi.org/10.1136/thoraxjnl-2012-202678.307