COPD and exercise: does it make a difference?

Spruit, Martijn A.; Burtin, Chris; Boever, Patrick De; Langer, Daniël; Vogiatzis, Ioannis; Wouters, Emiel F.M.; Franssen, Frits M.E.

doi:10.1183/20734735.003916

Cited by 63 publications

(53 citation statements)

References 101 publications

(117 reference statements)

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“…Minimizing exposure to both smoking and indoor air pollution decreases the rate of disease progression and is positively correlated with a decrease in mortality [67,68]. Physical activity is exceptionally important in reducing exacerbation frequency and mortality rates in patients with COPD [69][70][71][72]. Other interventions include vaccinations against influenza and pneumococcal infections, as these may reduce the risk of exacerbation events and hospital admission [73,74].…”

Section: Treatment Optionsmentioning

confidence: 99%

Animal Models Reflecting Chronic Obstructive Pulmonary Disease and Related Respiratory Disorders: Translating Pre-Clinical Data into Clinical Relevance

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2019

J Innate Immun

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Chronic obstructive pulmonary disease (COPD) affects the lives of an ever-growing number of people worldwide. The lack of understanding surrounding the pathophysiology of the disease and its progression has led to COPD becoming the third leading cause of death worldwide. COPD is incurable, with current treatments only addressing associated symptoms and sometimes slowing its progression, thus highlighting the need to develop novel treatments. However, this has been limited by the lack of experimental standardization within the respiratory disease research area. A lack of coherent animal models that accurately represent all aspects of COPD clinical presentation makes the translation of promising in vitro data to human clinical trials exceptionally challenging. Here, we review current knowledge within the COPD research field, with a focus on current COPD animal models. Moreover, we include a set of advantages and disadvantages for the selection of pre-clinical models for the identification of novel COPD treatments.

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Section: Treatment Optionsmentioning

confidence: 99%

Animal Models Reflecting Chronic Obstructive Pulmonary Disease and Related Respiratory Disorders: Translating Pre-Clinical Data into Clinical Relevance

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Single

2019

J Innate Immun

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“…Does pulmonary rehabilitation result in higher level of PADL? It is obvious that a more individually tailored and comprehensive intervention is required to change human behaviour to achieve a higher level of PADL [18]. …”

Section: Introductionmentioning

confidence: 99%

Barriers and motivational factors towards physical activity in daily life living with COPD – an interview based pilot study

Østergaard

Sritharan

Kristiansen

et al. 2018

European Clinical Respiratory Journal

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Background: In Denmark, few people with Chronic Obstructive Pulmonary Disease (COPD) engage in physical activity although it is evident that pulmonary rehabilitation has positive effects on physical activity, dyspnoea, anxiety, fatigue and quality of life. Objective: The purpose of this pilot study was to explore why people with COPD do not engage in physical activity and to explore motivational factors and barriers towards physical activity. Furthermore, to explore the role general practitioners have in this matter. Design: We conducted fieldwork among five people with COPD and three general practitioners using qualitative semi-structured interviews. We made a thematic analysis and our analytical perspective was based on The Health Belief Model and Self Determination Theory. Results: Findings revealed that people with COPD was not active because they did not receive the necessary information from the general practitioners about the benefits of physical activity neither about the negative consequences of an inactive lifestyle. Motivational factors were knowledge about COPD and benefits of physical activity. Experiencing the benefits on their own bodies, feeling that it was not dangerous to feel breathless and being successful coping with breathlessness were motivational. Functional tests like walking tests were very important and motivational for the participants because they outlined the progress achieved during activity and provided evidence of progress that was easy to comprehend compared with spirometry tests. General practitioners did not inform about the benefits of physical activity because they felt that medication was more important than physical activity and that people with COPD would not be motivated to be active. Conclusions: The main reason for people with COPD not being physically active in our study was lack of sufficient information from their general practitioners. This study described some barriers, enablers and motivational factors for a physically active lifestyle and the general practitioners’ role in this. Thus, it is important that people with COPD receive early information about physical activity - and it should start with the general practitioners, who are the gate keepers in the health care system. We recommend that lung function test results are never used as a single indicator of disease progression and that more focus should be paid to functional tests like The Shuttle Walking Test or The Six Minute Walking Test.Further studies to identify barriers to, and facilitators for referral people with COPD to physical activity in daily life from the perspective of Danish general practitioners are required.

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“…Fatigue were associated with exercise capacity and disease severity in both men and women (Todt et al., ). Exercise training makes a difference in the life of patients with COPD and has been identified as the best available means of improving muscle function and exercise tolerance in patients with COPD (Spruit et al., ). Fatigue and decreased health status were shown to be associated among subjects with and without COPD.…”

Section: Introductionmentioning

confidence: 99%

A complex intervention of self‐management for patients with COPD or CHF in primary care improved performance and satisfaction with regard to own selected activities; A longitudinal follow‐up

Zakrisson

Arne

Hasselgren

et al. 2018

Journal of Advanced Nursing

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Aim To test a self‐management intervention in primary health care (PHC) for patients with chronic obstructive pulmonary disease (COPD) or chronic heart failure (CHF) on self‐efficacy, symptoms, functioning, and health. Background Patients with COPD or CHF experience often the same symptoms such as shortness of breath, cough, lack of energy, dry mouth, numbness or tingling in hands and feet, pain and sleeping problems. Design A multicentre randomized control trial. Method The trial was conducted with one intervention group (N = 73) and one control group (N = 77). The trial was performed from September 2013–September 2015 at nine PHC centres in three county councils in Sweden. At baseline patients with COPD and CHF experienced any symptom. Follow‐ups were performed after 3 months and 1 year. The intervention was structured on Bandura's theory of self‐efficacy in six meetings and individual action plans based on personal problems were performed and discussed. Results At baseline, there were no differences between the groups except for SF‐36 social function. After 3 months, the intervention group improved performance and satisfaction with regard to own selected activities, otherwise no differences were found. Conclusion When designing a program, the patient's own difficulties must be taken into consideration if person‐centred care is to be established. It is feasible to include both patients with COPD and CHF in the same group in PHC. Healthcare professionals need supervision in pedagogics during intervention in self‐management.

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COPD and exercise: does it make a difference?

Cited by 63 publications

References 101 publications

Animal Models Reflecting Chronic Obstructive Pulmonary Disease and Related Respiratory Disorders: Translating Pre-Clinical Data into Clinical Relevance

Animal Models Reflecting Chronic Obstructive Pulmonary Disease and Related Respiratory Disorders: Translating Pre-Clinical Data into Clinical Relevance

Barriers and motivational factors towards physical activity in daily life living with COPD – an interview based pilot study

A complex intervention of self‐management for patients with COPD or CHF in primary care improved performance and satisfaction with regard to own selected activities; A longitudinal follow‐up

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