Sociodemographic Characteristics and Physical Activity in Patients with COPD: A 3-Month Cohort Study

Dragnich, A.G.; Yee, Nathan; Gylys-Colwell, Ina; Locke, Emily; Nguyen, Huong Q.; Moy, Marilyn L.; Magzamen, Sheryl; Fan, Vincent S.

doi:10.1080/15412555.2021.1920902

Cited by 4 publications

(8 citation statements)

References 39 publications

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“…2). Spain was the most frequently studied country (6 studies, 14.3%) [8,15,40,42,53,65], followed by the United States (5 studies, 11.9%) [33,46,62,62,69], the United Kingdom (5 studies, 11.9%) [35,51,57,59,60], Switzerland (5 studies, 11.9%) [48,49,[54][55][56] and Australia (5 studies, 11.9%) [36,47,58,63,70]. The remaining 16 studies were conducted in 12 countries (Germany, Japan, Brazil, Netherlands, Romania, Norway, Sweden, Denmark, China, Indonesia, Portugal, Chile).…”

Section: Article Characteristicsmentioning

confidence: 99%

“…The remaining 16 studies were conducted in 12 countries (Germany, Japan, Brazil, Netherlands, Romania, Norway, Sweden, Denmark, China, Indonesia, Portugal, Chile). Among the reviewed articles, study designs ranged from: n = 14 (33.3%) cross-sectional study [32][33][34][35][36][37][38][39][40][41][42][43][44][45]; n = 9 (21.4%) cohort study [8,9,[46][47][48][49][50][51][52]; n = 4 (9.5%) longitudinal study [15,[53][54][55]; n = 3 (7.1%) qualitative study [56][57][58]; n = 12 (28.7%) randomized controlled trials (RCTs) [59][60][61][62][63][64][65][66][67][68][69][70]. Of these, 39 were quantitative studies and 3 were qualitative studies.…”

Section: Article Characteristicsmentioning

confidence: 99%

“…Across all the 42 studies, 27 (64.3%) of studies summarized the barriers to PA in people with COPD, of which 14 used a cross-sectional design [9,[32][33][34][35][36][37][38][39][40][41][42][43][44][45][46], 4 used a longitudinal design [15,[53][54][55], 6 were cohort studies [47][48][49][50][51][52], and 3 used a qualitative design [56][57][58]. We categorized the barriers into four main aspects: sociodemographic variables, physiological factors, psychological factors and social environmental factors (see Regarding the sociodemographic characteristics, studies focused on the effects of age and gender on PA in people with COPD.…”

Section: Barriers Of Physical Activitymentioning

confidence: 99%

“…Thirty-nine studies (92.3%) reported the measurements tools for assessing PA in people with COPD [9, 32-55, 59-70] (see Additional file 1). Of these, 11 (26.2%) utilized questionnaires including the International Physical Activity Questionnaire (IPAQ) [33,43], Yale Physical Activity Survey (YPAS) [38], Physical Activity Scale for Elderly (PASE) [46], the Longitudinal Ageing Study Amsterdam Physical Activity Questionnaire (LAPAQ) [48,49] and Clinical-PRO active Physical Activity [60,65]. Three (7.1%) studies collected data using interview [8,9,47].…”

Section: Measurement Of Physical Activitymentioning

confidence: 99%

“…Three (7.1%) studies collected data using interview [8,9,47]. 27 (64.3%) studies utilized PA monitors, including pedometers (monitor daily step counts and provide real-time feedback) [46,51,54,62,64,[66][67][68] and accelerometers (measure the intensity of PA and provide energy expenditure) [15, 34-37, 39-42, 50, 52, 55, 60, 61, 63, 69, 70]. The instrument is a small and light device, which can be worn on the arm, waist, wrist, foot or thigh.…”

Section: Measurement Of Physical Activitymentioning

confidence: 99%

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Physical activity and chronic obstructive pulmonary disease: a scoping review

Xiang

Fang

et al. 2022

BMC Pulm Med

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Background Reduced physical activity (PA) was the strongest predictor of all-cause mortality in patients with chronic obstructive pulmonary disease (COPD). This scoping review aimed to map the evidence on the current landscape of physical activity, barriers and facilitators, and assessment tools across COPD patients. Methods Arksey and O’Malley’s scoping review methodology framework guided the conduct of this review. An electronic search was conducted on five English databases (PubMed, Cochrane Library, PsycINFO, CINAHL and Web of Science) and three Chinese databases (CNKI, CQVIP and WAN-FANG) in January 2022. Two authors independently screened the literature, extracted the studies characteristics. Results The initial search yielded 4389 results, of which 1954 were duplicates. Of the remaining 135 articles, 42 studies met the inclusion criteria. Among the reviewed articles, there were 14 (33.3%) cross-sectional study, 9 (21.4%) cohort study, 4 (9.5%) longitudinal study, 3 qualitative study, 12 (28.7%) randomized control trials. The main barriers identified were older age, women, lung function, comorbidities, COPD symptoms (fear of breathlessness and injury, severe fatigue, anxiety and depression), GOLD stage, frequency of exacerbation, oxygen use, lack of motivation and environment-related (e.g., season and weather). Twelve studies have evaluated the effects of physical exercise (e.g., walking training, pulmonary rehabilitation (PR), pedometer, self-efficacy enhancing intervention and behavioral modification intervention) on PA and showed significant positive effects on the prognosis of patients. However, in real life it is difficult to maintain PA in people with COPD. Conclusions Changing PA behavior in patients with COPD requires multidisciplinary collaboration. Future studies need to identify the best instruments to measure physical activity in clinical practice. Future studies should focus on the effects of different types, time and intensity of PA in people with COPD and conduct randomized, adequately-powered, controlled trials to evaluate the long-term effectiveness of behavioral change interventions in PA.

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Section: Article Characteristicsmentioning

confidence: 99%

Section: Article Characteristicsmentioning

confidence: 99%

Section: Barriers Of Physical Activitymentioning

confidence: 99%

Section: Measurement Of Physical Activitymentioning

confidence: 99%

Section: Measurement Of Physical Activitymentioning

confidence: 99%

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Physical activity and chronic obstructive pulmonary disease: a scoping review

Xiang

Fang

et al. 2022

BMC Pulm Med

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Targeting exertional breathlessness to improve physical activity: the role of primary care

Román-Rodríguez

Kocks

2021

npj Prim. Care Respir. Med.

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Primary care physicians (PCPs) play a crucial role in the diagnosis and management of chronic obstructive pulmonary disease (COPD). By working together with patients to target exertional breathlessness and increase physical activity, PCPs have an important role to play, early in the disease course, in improving patient outcomes in both the short and long term. In this article, we consider how physical activity affects disease progression from the PCP perspective. We discuss the role of pharmacological therapy, the importance of an holistic approach and the role of PCPs in assessing and promoting physical activity. The complexity and heterogeneity of COPD make it a challenging disease to treat. Patients’ avoidance of activity, and subsequent decline in capacity to perform it, further impacts the management of the disease. Improving patient tolerance of physical activity, increasing participation in daily activities and helping patients to remain active are clear goals of COPD management. These may require an holistic approach to management, including pulmonary rehabilitation and psychological programmes in parallel with bronchodilation therapy, in order to address both physiological and behavioural factors. PCPs have an important role to optimise therapy, set goals and communicate the importance of maintaining physical activity to their patients. In addition, optimal treatment that addresses activity-related breathlessness can help prevent the downward spiral of inactivity and get patients moving again, to improve their overall health and long-term prognosis.

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Motivating factors for physical activity participation among individuals with chronic obstructive pulmonary disease: A qualitative study applying the motivation, opportunity, and ability model

Liao,

Yu,

Zhan

et al. 2024

PLoS ONE

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Objective The study aims to explore the driving forces behind physical activity engagement among patients with chronic obstructive pulmonary disease, focusing on motivation, opportunity, and capability. Design A phenomenological qualitative study applied the motivation, opportunity, and capability model, conducted in two respiratory units of a Chinese university hospital. Methods Participants, selected by age, gender, and illness duration, included inpatients during the interview sessions and those recently discharged within six months. One-on-one semi-structured interviews were recorded, transcribed, and analyzed by the Colaizzi seven-step method. Results Seventeen participants diagnosed with chronic obstructive pulmonary disease for over one year aged between 66 (range: 42–96) participated. Three major themes were identified: Inspiring participation motivation—transitioning from recognizing significance to habit formation; Offering participation opportunities—reiterating demand for personalized strategies and ideal environmental settings; Enhancing participation capability—addressing strategies for overcoming fears, setting goals, ensuring safety, and adjusting activity levels. Conclusions This research underscores the vital role of inspiring participation motivation, offering opportunities, and enhancing the capability for participation in effective engagement. Advocating increased attention from healthcare departments, fostering interdisciplinary collaboration, improving activity guidance and counseling effectiveness, and considering individual preferences can significantly benefit those patients with chronic obstructive pulmonary disease who hesitate or are unable to participate in physical activities, thereby increasing the dose of non-leisure time physical activity.

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Sociodemographic Characteristics and Physical Activity in Patients with COPD: A 3-Month Cohort Study

Cited by 4 publications

References 39 publications

Physical activity and chronic obstructive pulmonary disease: a scoping review

Physical activity and chronic obstructive pulmonary disease: a scoping review

Targeting exertional breathlessness to improve physical activity: the role of primary care

Motivating factors for physical activity participation among individuals with chronic obstructive pulmonary disease: A qualitative study applying the motivation, opportunity, and ability model

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