“…COPD affects patients' functioning in daily life by reducing functional capacity and performance (Leidy, 1994) as well as quality of life (QoL) (Wang et al, 2008;Heyworth et al, 2009), due to dyspnoea, fatigue, cough, exacerbations, dietary problems, anxiety and depression (ATS/ERS, 2006;Miravitlles et al, 2007). Pulmonary rehabilitation (PR) in hospital settings for patients diagnosed with COPD has been found to increase functional capacity, QoL and decrease exacerbations (Lacasse et al, 2006).…”