Improving physical activity in patients with COPD with urban walking circuits

Abstract

Urban circuits are an easy, inexpensive strategy, which demonstrated to be useful to stimulate physical activity in our population of severe and very severe COPD patients and resulted in increased exercise capacity even 9 months after completion of a rehabilitation program.

Programas De Exercício Físico Para Pessoas Com Dpoc: Uma Revisão Sistemática

“…Com objetivo de avaliar o efeito da implementação de circuitos de caminhadas urbanas durante nove meses para o aumento do nível de atividade física e da capacidade de exercício em pessoas com DPOC grave ou muito grave, após um programa de reabilitação pulmonar (3 vezes por semana durante 12 semanas), Pleguezuelos et al (2013), randomizaram 87 pessoas que já haviam realizado reabilitação pulmonar (terminaram o estudo 34 indivíduos do Grupo Circuito e 37 do Grupo Não Circuito) em comparação a 54 pessoas no Grupo Controle. O Grupo Circuito realizou 32 circuitos de caminhadas urbanas e o Grupo Não Circuito, 3 vezes por semana, 10 minutos de aquecimento, 25 minutos de aeróbi-cos, 15 minutos de exercícios resistidos para os membros superiores, 10 minutos de exercícios de alongamento e 10 minutos de exercícios de relaxamento.…”

Don’t forget to walk at least 30min per day 5 days a week. Why and how to prescribe physical exercise in chronic obstructive pulmonary disease

“…The advantage is that they are easy to use and do not depend on the patient's memory, since they are completed daily after they have finished their PA. 16 Pedometers Pedometers are small, simple, cheap devices that are placed on part of the body, generally at the waist, and are capable of recording the body's vertical oscillations produced during gait. The information that they provide is the number of steps taken and an estimate of the distance walked.…”

“…Intervention Increased PA De Blok et al 35 PA promotion programme with pedometers throughout a PR conventional programme; four individual sessions of motivational advice over 9 weeks Yes Hospes et al 34 PA promotion programme with pedometers; five individual sessions of motivational advice over 12 weeks Yes Moy et al 36 PA promotion programme with pedometers and an interactive web; 3 months of duration Yes Pleguezuelos et al 16 Urban circuits to walk in after a PR programme; bimonthly visits to promote PA over 9 months Yes PA: physical activity; PR: pulmonary rehabilitation.…”

The importance of physical activity

“…A different approach was taken by PLEGUEZUELOS et al [106], who tried to manipulate environmental factors by implementing urban walking circuits. Implementation of walking circuits in patients with COPD resulted in an increase in physical activity of 30 min per day in comparison to a control group after 9 months of follow-up, as assessed by self-report [106].…”

“…Implementation of walking circuits in patients with COPD resulted in an increase in physical activity of 30 min per day in comparison to a control group after 9 months of follow-up, as assessed by self-report [106]. Creating a healthy and safe environment for physical activities might be a crucial prerequisite for individuals to become more active Q15 ¶ .…”