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Peer-reviewedCC BY 4.0Scientific Reports

Real intensity of physical activity capacity of patients with chronic disease: a cross-sectional study

Abstract

The aim of this study was to evaluate the real intensity level of exercise in a sample of patients with chronic disease from obesity, rheumatology, hematology and other departments involved in a hospital-based program of adapted physical activity (APA). For this cross-sectional study, we studied seventy-five patients with chronic disease and no beta-blocker treatment. They systematically performed a cardiopulmonary exercise test before participating in a supervised APA practice using a telemetry wireless system to monitor heart rate (HR) during the first session. Based upon the results of the functional evaluation of exercise performance, we studied two groups of patients: (1) No limitation in exercise performance (maximal oxygen uptake greater than or equal to 80% of the theoretical reference) and (2) limited exercise performance (maximal oxygen uptake less than 80% of the theoretical value). Fifty-two patients (69.3%) were women, mean age was 42.6 (± 13.8), and mean BMI was 36.7 (± 10.6). Most patients had been referred for obesity (57.3%). We found 39 patients with normal exercise capacities and 36 patients with limited exercise performance. There were no significant differences in demographic and clinical characteristics between the two groups. For all populations, the mean and median real intensity levels of exercise in a sample of patients were moderate (55–70% HR max) and were the same for both groups. During the most intensive 15-min bout of the APA session, the HR for patients in both groups was greater than 70% of the actual maximum HR. This study observed a moderate level of APA exercise intensity in patients suffering from various chronic diseases. We found no significant difference in intensity level of exercise between patients’ capacities, i.e., with and without limitation of their maximal performance.

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BibTeX
@article{allado2026real,
  title = {{Real intensity of physical activity capacity of patients with chronic disease: a cross-sectional study}},
  author = {Edem Allado and Mathias Poussel and Eliane Albuisson and Jean Paysant and Margaux Temperelli and Oriane Hily and Anthony Moussu and Noura Benhajji and Gerôme Gauchard and Bruno Chenuel},
  journal = {Scientific Reports},
  year = {2026},
  month = sep,
  doi = {10.1038/s41598-022-17047-9},
  url = {https://hal.science/hal-04187995v1},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Real intensity of physical activity capacity of patients with chronic disease: a cross-sectional study
AU  - Edem Allado
AU  - Mathias Poussel
AU  - Eliane Albuisson
AU  - Jean Paysant
AU  - Margaux Temperelli
AU  - Oriane Hily
AU  - Anthony Moussu
AU  - Noura Benhajji
AU  - Gerôme Gauchard
AU  - Bruno Chenuel
PY  - 2026
DA  - 2026/09/15
JO  - Scientific Reports
DO  - 10.1038/s41598-022-17047-9
UR  - https://hal.science/hal-04187995v1
AB  - The aim of this study was to evaluate the real intensity level of exercise in a sample of patients with chronic disease from obesity, rheumatology, hematology and other departments involved in a hospital-based program of adapted physical activity (APA). For this cross-sectional study, we studied seventy-five patients with chronic disease and no beta-blocker treatment. They systematically performed a cardiopulmonary exercise test before participating in a supervised APA practice using a telemetry wireless system to monitor heart rate (HR) during the first session. Based upon the results of the functional evaluation of exercise performance, we studied two groups of patients: (1) No limitation in exercise performance (maximal oxygen uptake greater than or equal to 80% of the theoretical reference) and (2) limited exercise performance (maximal oxygen uptake less than 80% of the theoretical value). Fifty-two patients (69.3%) were women, mean age was 42.6 (± 13.8), and mean BMI was 36.7 (± 10.6). Most patients had been referred for obesity (57.3%). We found 39 patients with normal exercise capacities and 36 patients with limited exercise performance. There were no significant differences in demographic and clinical characteristics between the two groups. For all populations, the mean and median real intensity levels of exercise in a sample of patients were moderate (55–70% HR max) and were the same for both groups. During the most intensive 15-min bout of the APA session, the HR for patients in both groups was greater than 70% of the actual maximum HR. This study observed a moderate level of APA exercise intensity in patients suffering from various chronic diseases. We found no significant difference in intensity level of exercise between patients’ capacities, i.e., with and without limitation of their maximal performance.
SN  - 2045-2322
ER  -