Forgotten comorbidities in COPD

3^rd International Conference on Chronic Obstructive Pulmonary Disease

July 11-12, 2016 Brisbane, Australia

Roger Goldstein and Annemarie Lee

West Park Healthcare Centre, Canada

Scientific Tracks Abstracts: J Pulm Respir Med

Abstract :

Chronic obstructive pulmonary disease (COPD) is a complex multi-component condition whose clinical presentation is oft en complicated by comorbidities and extrapulmonary clinical features. Th is presentation will highlight three of them. Aff ecting between 17% and 78% of people is gastro-oesophageal refl ux disease (GORD). Due to the possibility of pulmonary microaspiration GORD may infl uence lung disease severity and is a predictor of acute exacerbations. Pain is common in people with COPD, aff ecting 66% of individuals with moderate to very severe disease. Higher pain intensity is associated with increased dyspnea, fatigue, poorer quality of life, lower levels of physical activity and a greater number of comorbidities. Pain imposes limitations on exercise behavior and participation in pulmonary rehabilitation. Th e common locations of pain are the upper and lower back and lower limbs. In COPD, postural alterations may be infl uenced by musculoskeletal comorbidities including osteoarthritis and osteoporosis. Common postural abnormalities include alterations in the degree of cervical lordosis and thoracic kyphosis and altered scapula position. Postural alterations are associated with reduced pulmonary function and may contribute to exercise limitations and increased functional impairment.

Biography :

Roger Goldstein is the Director of the Respiratory program at West Park Healthcare Centre and a Professor of Medicine at the University of Toronto. His research interests include chronic respiratory disease, exercise training and pulmonary rehabilitation. Dr Annemarie Lee is a postdoctoral research fellow at West Park Healthcare Centre and a physiotherapist in pulmonary rehabilitation, with an interest in comorbidities in COPD, including pain and gastro-oesophageal refl ux. She has published more than 50 papers in peer reviewed journals.

Email: Roger.Goldstein@westpark.org Annemarie.Lee@westpark.org