
Dr Paola Urroz Guerrero
Postdoctoral Research Fellow
School of Nursing and Midwifery
- Email:paola.urroz@newcastle.edu.au
- Phone:0240420092
Career Summary
Biography
I completed my PhD at the University of Newcastle in 2025 and am currently a postdoctoral research fellow at the University of Newcastle and the Centre of Excellence in Treatable Traits. I hold a Bachelor in Applied Science (Sport and Exercise) and a Master of Health Science from Western Sydney University
Experience leading to research interest
Prior to commencing my PhD, I worked in corporate health and wellbeing. This involved conducting health and fitness assessments as a means of identifying and targeting traits that increase the risk of metabolic diseases. This enabled me to develop and prescribe individualised programmes that promoted healthy behaviours. In 2016, after completing my Masters by Research, I started working in respiratory research in a co-ordinating capacity. I've been responsible for co-ordinating multi-site and single site international and national clinical trials within respiratory disease.
My research interests
My current research explores physical inactivity and sedentary behaviour as treatable traits across lung conditions including asthma (mild, moderate and severe), chronic obstructive airway disease, and bronchiectasis. My goal is to develop practical solutions that enable people with lung conditions to participate more fully in daily activities.
Factors contributing to physical inactivity
Moderate to vigorous intensity physical activity improves disease-related outcomes in people with lung conditions, yet current approaches have translation limitations. My work has focused on identifying causes of physical inactivity in people with lung conditions to overcome these limitations by targeting these causes. Specifically, I am interested in examining if people with lung disease don't do the recommended amount of physical activity because they don't have the physical capacity to do so. This may help to inform strategies to optimise physical activity levels
Stakeholder perspective and involvement
Current strategies to increase movement in people with asthma fail to consider the unique barriers faced by people living with the disease. I have been focused on conducting mixed methods work that gains the perspective of people living with asthma, their carers and healthcare professionals in order to develop and design interventions or strategies that increases the likelihood of an effective and beneficial outcome.
Targeting sedentary behaviour as stepwise approach
Sedentary behaviour is distinct from physical inactivity, and potentially beginning with sedentary behaviour-focused strategies may lead to an increase in movement generally, suggesting a feasible approach for people with high disease burden. My work aims to firstly convey the message that sedentary behaviour requires a distinct approach compared to physical inactivity, and secondly to determine if targeting sedentary behaviour in the first instance will initiate a stepwise approach to increasing higher intensity physical activity.
24-hour movement behaviour in asthma
Considering the significant health impact of the collective influence of 24-hour movement behaviours on health, a similar approach is recommended for people with asthma which is yet to be adopted. Adopting a comprehensive 24-hour movement behaviour approach can create more flexible and achievable solutions for people with lung conditions, regardless of their capabilities. I am interested in applying this approach to people living with asthma and finding out how much time displaced from one behaviour to another impacts asthma-related outcomes. I am also interested in understanding if there is importance not only in accumulated time in these behaviours, but how it is accumulated (patterns) on asthma outcomes.
Qualifications
- Doctor of Philosophy, University of Newcastle
- Bachelor of Health Sciences (Honours), University of Western Sydney
- Master of Science (Honours), University of Western Sydney
Keywords
- Asthma
- Chronic Lung disease
- Movement Behaviours
- Physical activity
- Sedentary behaviour
Fields of Research
| Code | Description | Percentage |
|---|---|---|
| 320103 | Respiratory diseases | 50 |
| 420799 | Sports science and exercise not elsewhere classified | 50 |
Professional Experience
UON Appointment
| Title | Organisation / Department |
|---|---|
| Postdoctoral Research Fellow | University of Newcastle School of Nursing and Midwifery Australia |
| Casual Academic | University of Newcastle School of Biomedical Sciences and Pharmacy Australia |
Professional appointment
| Dates | Title | Organisation / Department |
|---|---|---|
| 23/4/2018 - 1/8/2024 | Clinical Research Officer | The University of Newcastle Australia |
Teaching
| Code | Course | Role | Duration |
|---|---|---|---|
| EXSS6120 |
Translating Research into Practice within Exercise Science The University of Newcastle, School of Biomedical Sciences and Pharmacy |
Course Coordinator | 22/7/2024 - 11/11/2024 |
Publications
For publications that are currently unpublished or in-press, details are shown in italics.
Chapter (1 outputs)
| Year | Citation | Altmetrics | Link | |||||
|---|---|---|---|---|---|---|---|---|
| 2022 |
McLoughlin RF, Urroz PD, McDonald VM, Carvalho CRF, 'Exercise effects in adults with asthma', 117-130 (2022)
Asthma is a common chronic disease, affecting over 339 million people worldwide. People with asthma present with episodes of symptoms such as shortness of breath, wheez... [more] Asthma is a common chronic disease, affecting over 339 million people worldwide. People with asthma present with episodes of symptoms such as shortness of breath, wheezing, coughing, and chest tightness, which can be triggered by a variety of factors. However not all asthma is the same. The severity, frequency, duration, and symptoms vary, making asthma a complex heterogeneous disease, with many triggers of symptoms. Exercise is one such trigger that induces asthma symptoms, however, despite this exercise remains important for people with asthma and can usually be performed safely in this population. Indeed, people with asthma are recommended to engage in regular physical activity. Despite this, low levels of physical activity are still being reported in those living with asthma, particularly in those with severe disease. This unnecessary avoidance of physical activity and exercise results in negative health consequences including poorer respiratory functioning, increased disease severity, and healthcare use, decreased physical and mental health, and decreased quality of life. This chapter discusses the available evidence in relation to the benefits of regular exercise training in asthma. Several physiological and psychological benefits are reported including improved asthma control, fewer asthma symptoms and exacerbations, reduced medication and healthcare use including reduced emergency department visits, improved health status, and decreased symptoms of anxiety and depression. Although there is a paucity of evidence regarding the mechanisms responsible for the beneficial effects of exercise training in asthma, a number of mechanisms have been proposed which will also be explored. Finally, based on the currently available evidence clinical practice recommendations for exercise prescribers are provided using the FITT (frequency, intensity, time, and type) principles for exercise prescription, as well important safety considerations that should be taken into account. However, more research is required to determine optimal exercise prescription principles within the asthma population.
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Conference (11 outputs)
| Year | Citation | Altmetrics | Link | |||||
|---|---|---|---|---|---|---|---|---|
| 2024 |
Urroz P, Mcdonald V, Gibson P, Majellano E, Lewthwaite H, 'Stakeholders' top 10 strategies to improve sedentary behaviour in severe asthma', EUROPEAN RESPIRATORY JOURNAL, 64 (2024)
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| 2023 |
Bradbury T, Majellano E, Urroz P, McDonald V, Jenkins C, 'The exacerbation experience and research priorities of Australians with COPD', RESPIROLOGY, 28, 74-74 (2023)
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| 2023 |
Urroz P, Gibson P, Hiles S, McLoughlin R, Cordova-Rivera L, Evans T, McDonald V, 'Identifying treatable traits in people with bronchiectasis', RESPIROLOGY (2023)
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| 2022 | Alowiwi H, Urroz P, Tonga K, King G, Robinson P, Thamrin C, 'Methods for pooling multiple breath nitrogen washout data in asthma', RESPIROLOGY (2022) | |||||||
| 2020 | Badal T, Kennedy B, Urroz P, Laohachai K, Verrall C, Ayer J, et al., 'FOT-DERIVED REACTANCE CORRELATES WITH DIFFUSION ABNORMALITIES IN POST FONTAN SUBJECTS', RESPIROLOGY (2020) | |||||||
| 2019 | Badal T, Urroz P, Chapman D, Thamrin C, 'DOUBLE DIFFUSION METHOD FOR EVALUATING D | |||||||
| 2019 | Badal T, Urroz P, Chapman D, Thamrin C, 'DOUBLE DIFFUSION METHOD FOR EVALUATING DLCO AND DLNO IN HEALTH AND COPD', RESPIROLOGY (2019) | |||||||
| 2018 | Urroz P, Robinson P, King G, Thamrin C, 'COMPARISON OF METHODS FOR POOLING MULTIPLE BREATH NITROGEN WASHOUT DATA', RESPIROLOGY (2018) | |||||||
| Show 8 more conferences | ||||||||
Journal article (15 outputs)
| Year | Citation | Altmetrics | Link | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025 |
Fingleton J, McLachlan R, Sparks J, Beasley R, Agustí A, Gibson PG, Pavord ID, Hardy J, Weatherall M, Eathorne A, McDonald VM, Treatable Traits Study Group, 'Treatable Trait Guided Asthma Management: A Feasibility Study.', Respirology, 30, 480-492 (2025) [C1]
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| 2025 |
Oliveira JM, Urroz Guerrero PD, Lewthwaite H, Clark VL, Furlanetto KC, Gibson PG, McDonald VM, 'Safety of the 6-min walk test in adults with severe asthma', Respiratory Medicine, 248 (2025) [C1]
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| 2025 |
Thomas D, McDonald VM, Majellano E, Steel K, Stubbs M, Urroz Guerrero PD, Beverley A, Rutherford J, Gibson PG, 'Engagement and outcomes of virtual antenatal asthma care: a randomised controlled tele-trial.', ERJ open research, 11, 1379-2024 (2025) [C1]
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| 2024 |
Gibson PG, Guerrero PDU, Poon C, Rutherford N, Brooker B, Smith A, Grainge C, Wark PAB, McDonald VM, 'Ventilation Heterogeneity Is a Treatable Trait in Severe Asthma', JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY-IN PRACTICE, 12 (2024) [C1]
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Open Research Newcastle | |||||||||
| 2024 |
Guerrero PDU, Lewthwaite H, Gibson PG, Clark VL, Cordova-Rivera L, McDonald VM, 'Physical capacity and inactivity in obstructive airway diseases: a "can do, do do" analysis', ERJ OPEN RESEARCH, 10 (2024) [C1]
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| 2024 |
Urroz Guerrero PD, Gibson PG, Lewthwaite H, Majellano E, Hiles SA, McDonald VM, 'Perceptions of sedentary behaviour in people with severe asthma: a qualitative study', BMC PUBLIC HEALTH, 24 (2024) [C1]
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Open Research Newcastle | |||||||||
| 2024 |
Lewthwaite H, Gibson PG, Guerrero PDU, Smith A, Clark VL, Vertigan AE, Hiles SA, Bailey B, Yorke J, McDonald VM, 'Understanding Breathlessness Burden and Psychophysiological Correlates in Asthma', JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY-IN PRACTICE, 12, 2754-+ (2024) [C1]
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| 2023 |
Guerrero PDU, Oliveira JM, Lewthwaite H, Gibson PG, McDonald VM, 'Key Considerations When Addressing Physical Inactivity and Sedentary Behaviour in People with Asthma', JOURNAL OF CLINICAL MEDICINE, 12 (2023) [C1]
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Open Research Newcastle | |||||||||
| 2022 |
McLoughlin RF, Clark VL, Urroz PD, Gibson PG, McDonald VM, 'Increasing physical activity in severe asthma: a systematic review and meta-analysis', EUROPEAN RESPIRATORY JOURNAL, 60 (2022) [C1]
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Open Research Newcastle | |||||||||
| 2021 |
Hiles SA, Urroz PD, Gibson PG, Bogdanovs A, McDonald VM, 'A feasibility randomised controlled trial of Novel Activity Management in severe ASthma-Tailored Exercise (NAMASTE): yoga and mindfulness', BMC PULMONARY MEDICINE, 21 (2021) [C1]
Background: Physical inactivity is common in severe asthma and associated with poor health outcomes. New approaches are needed to address physical inactivity in this gr... [more] Background: Physical inactivity is common in severe asthma and associated with poor health outcomes. New approaches are needed to address physical inactivity in this group. Objective: To examine whether yoga and mindfulness improves health-related quality of life (HRQoL) compared with a minimal active control group and collect feasibility data to inform future studies. Methods: Over 12-weeks, adults with severe asthma were recruited. Participants were randomised 2:1 to parallel yoga or control groups. All participants received an activity tracker. The yoga group received tailored group classes twice a week for 16-weeks with a qualified yoga instructor. The control group set activity goals with a research officer and received eight progress calls. Outcomes were assessed at 16-weeks. Primary outcome was St George's Respiratory Questionnaire (SGRQ). Secondary outcomes included asthma control, physical activity, breathlessness, and inflammation. Face-to-face qualitative interviews were conducted to determine acceptability. Results: There were 15 participants randomised to yoga (mean 67¿years; 60% female) and 9 to control (68¿years; 56% female). Planned comparisons indicated the yoga group had greater SGRQ improvement than the control group. There was little change in secondary outcomes. Moderate-vigorous activity increased substantially in the control group. Participants found the intervention acceptable; key barriers and facilitators were social connection, the setting, addressing breathing and asthma symptoms, changing their mindset, and the intersection of different elements. Conclusion: A yoga and mindfulness intervention was feasible, acceptable to patients and improved HRQoL. The findings will inform design of much needed future research into physical activity interventions for severe asthma. World Health Organization International Clinical Trials Registry Platform The study was registered under the Australian New Zealand Clinical Trials Registry (ANZCTR) on the 26th of November 2018, Trial ID ACTRN12618001914257.
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Open Research Newcastle | |||||||||
| 2021 |
Cordova-Rivera L, Gardiner PA, Gibson PG, Winkler EAH, Urroz PD, McDonald VM, 'Sedentary time in people with obstructive airway diseases', RESPIRATORY MEDICINE, 181 (2021) [C1]
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Open Research Newcastle | |||||||||
| 2021 |
McDonald VM, Urroz PD, Bajc M, Rutherford N, Brooker B, Gibson PG, 'Imaging for precision medicine: can V-P SPECT measure mepolizumab response in asthma?', RESPIROLOGY CASE REPORTS, 9 (2021) [C1]
Monoclonal antibody therapies are effective for many but not all people with severe asthma. Precision medicine guides treatment selection using biomarkers to select pat... [more] Monoclonal antibody therapies are effective for many but not all people with severe asthma. Precision medicine guides treatment selection using biomarkers to select patients most likely to respond according to their inflammatory endotypes. However, when assessing response to treatment, greater precision is required. We report a case series describing treatment response to mepolizumab in four severe asthma patients, assessed by traditional methods and with objective ventilation/perfusion single photon emission computed tomography (V-P SPECT). In this series, patients with severe asthma received mepolizumab treatment with clinical outcomes recorded at commencement and at approximately 16 weeks post-treatment initiation. V-P SPECT imaging was performed before and after treatment to determine ventilation heterogeneity and perfusion, and its ability to assess treatment responsiveness. V-P SPECT shows promise as an objective measure to assess lung ventilation and perfusion to observe and assess responsiveness to mepolizumab. With quantification, this measure may allow better precision in determining treatment improvements.
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Open Research Newcastle | |||||||||
| 2016 |
Urroz P, Colagiuri B, Smith CA, Yeung A, Cheema BS, 'Effect of acupuncture and instruction on physiological recovery from maximal exercise: a balanced-placebo controlled trial', BMC COMPLEMENTARY AND ALTERNATIVE MEDICINE, 16 (2016) [C1]
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| Show 12 more journal articles | |||||||||||
Dr Paola Urroz Guerrero
Positions
Postdoctoral Research Fellow
School of Nursing and Midwifery
College of Health, Medicine and Wellbeing
Casual Academic
School of Biomedical Sciences and Pharmacy
College of Health, Medicine and Wellbeing
Contact Details
| paola.urroz@newcastle.edu.au | |
| Phone | 0240420092 |
