Activity Levels and Exercise Motivation in Patients With COPD and Their Resident Loved Ones

Mesquita, Rafael; Nakken, Nienke; Janssen, Daisy J.A.; Bogaart, Esther H. A. van den; Delbressine, Jeannet M; Essers, J M N Hans; Meijer, Kenneth; Vliet, Monique van; Vries, Geeuwke J. de; Muris, Jean; Pitta, Fábio; Wouters, Emiel F.M.; Spruit, Martijn A.

doi:10.1016/j.chest.2016.12.021

Cited by 55 publications

(35 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Irrespective of the reasons why poor responders did not improve following a comprehensive PR, recent literature suggests that some specific strategies and/or factors could be considered as when trying to make these patients less sedentary and/or more physically active. For example, our group has recently shown that patients with COPD who have a physically active loved one have a higher likelihood of being physically active themselves [40]. Still related to socialenvironmental factors, Arbillaga-Etxarri et al [41] recently observed that dog walking and grandparenting are associated with a higher amount and intensity of physical activity in patients with COPD.…”

Section: Characteristicmentioning

confidence: 89%

Changes in physical activity and sedentary behaviour following pulmonary rehabilitation in patients with COPD

Mesquita

Meijer

Pitta

et al. 2017

Respiratory Medicine

Self Cite

View full text Add to dashboard Cite

A more profound investigation about the responses in activity levels following pulmonary rehabilitation (PR) in patients with COPD is needed. We aimed to describe groups of patients with COPD according to patterns of change in physical activity and sedentary behaviour following PR. 90 patients with COPD (60% male; mean age 67 ± 8; median FEV 47 (32-62) %pred) completed a comprehensive PR programme. A triaxial accelerometer was used to assess the time in sedentary behaviour, light activities and moderate-to-vigorous physical activity (MVPA). Additionally, exercise capacity, quality of life, and symptoms of anxiety and depression were assessed before and after PR. Six groups with different patterns of change in physical activity and sedentary behaviour were identified. The two most prevalent patterns were represented by good responders (increase in physical activity and reduction in sedentary behaviour, 34%) and poor responders (decrease in physical activity and increase in sedentary behaviour, 30%). Good responders had greater improvements in six-minute walk distance (6MWD) and symptoms of depression than poor responders (P < 0.05 for all). Strong correlation was found between changes in sedentary behaviour and changes in light activities (r = -0.89; P < 0.0001). Changes in 6MWD correlated fairly with changes in sedentary behaviour (r = -0.26), light activities (r = 0.25), and MVPA (r = 0.24); P < 0.05 for all. Different patterns of change in activity levels following PR can be found in patients with COPD. Focusing on light physical activities might be a potential strategy to make patients less sedentary, but for this to be achieved prior (or at least parallel) improvements in functional capacity seem to be necessary.

show abstract

Section: Characteristicmentioning

confidence: 89%

Changes in physical activity and sedentary behaviour following pulmonary rehabilitation in patients with COPD

Mesquita

Meijer

Pitta

et al. 2017

Respiratory Medicine

Self Cite

View full text Add to dashboard Cite

show abstract

“…by their resident loved ones. Indeed, patients with an active loved one are also more active themselves [54].…”

Section: Example 2: Patients' Social Networkmentioning

confidence: 99%

COPD stands for complex obstructive pulmonary disease

Houben-Wilke¹,

Augustin

Vercoulen

et al. 2018

Eur Respir Rev

Self Cite

View full text Add to dashboard Cite

Chronic obstructive pulmonary disease (COPD) has extensively been reported as a complex disease affecting patients' health beyond the lungs with a variety of intra- and extrapulmonary components and considerable variability between individuals. This review discusses the assessment of this complexity and underlines the importance of transdisciplinary management programmes addressing the physical, emotional and social health of the individual patient.COPD management is challenging and requires advanced, sophisticated strategies meeting the patient's individual needs. Due to the heterogeneity and complexity of the disease leading to non-linear and consequently poorly predictable treatment responses, multidimensional patient profiling is crucial to identify the right COPD patient for the right treatment. Current methods are often restricted to general, well-known and commonly used assessments neglecting potentially relevant (interactions between) individual, unique "traits" to finally ensure personalised treatment. Dynamic, personalised and holistic approaches are needed to tackle this multifaceted disease and to ensure personalised medicine and value-based healthcare.

show abstract

“…Family may also play a role: patients with COPD are more inactive and sedentary than their loved ones, despite relatively similar exercise motivation. Nevertheless, patients with an active loved one are more active themselves and have a higher likelihood of being active [49]. …”

Section: Physical Activitymentioning

confidence: 99%

Lifestyle interventions in prevention and comprehensive management of COPD

Ambrosino

Bertella

2018

Breathe

View full text Add to dashboard Cite

Chronic respiratory diseases are among the four major human chronic diseases. Tobacco smoke as well as environmental pollutants, infections, physical activity and nutritional status play a role in the prevalence, development and/or progression of chronic obstructive pulmonary disease (COPD).Changes in lifestyle are possible and may be beneficial in prevention and comprehensive management of COPD. Population-level interventions aimed at early diagnosis, promotion of vaccinations and prevention of infections, and reductions in smoking, environmental pollutants, physical inactivity, obesity and malnutrition may increase the number of life-years lived in good health.Educational aimsTo improve awareness of the influence of lifestyle on natural history of COPD.To describe the effects of some interventions to modify lifestyle in prevention and management.To provide information on the main clinical results.To define recommendations and limitations.

show abstract

Activity Levels and Exercise Motivation in Patients With COPD and Their Resident Loved Ones

Abstract: Dutch Trial Register (NTR3941).

Cited by 55 publications

References 42 publications

Changes in physical activity and sedentary behaviour following pulmonary rehabilitation in patients with COPD

Changes in physical activity and sedentary behaviour following pulmonary rehabilitation in patients with COPD

COPD stands for complex obstructive pulmonary disease

Lifestyle interventions in prevention and comprehensive management of COPD

Contact Info

Product

Resources

About