Interventions for promoting physical activity in people with chronic obstructive pulmonary disease (COPD)

Burge, Angela T; Cox, Narelle S; Abramson, Michael J.; Holland, Anne E

doi:10.1002/14651858.cd012626.pub2

Cited by 90 publications

(97 citation statements)

References 246 publications

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“…However, a recent Cochrane review found conflicting evidence regarding the effectiveness of various interventions aiming to increase PA in COPD. 7 The included studies used a wide range of different interventions, devices and outcomes, hampering comparison. 7 Among the various interventions investigated, combining PA counselling with pedometer-based feedback showed the most promising results.…”

Section: Introductionmentioning

confidence: 99%

“…7 The included studies used a wide range of different interventions, devices and outcomes, hampering comparison. 7 Among the various interventions investigated, combining PA counselling with pedometer-based feedback showed the most promising results. 8 There is consensus that the measurement of PA needs continuous and accurate monitoring to provide valuable feedback, which state-of-the-art pedometers and accelerometers can achieve nowadays.…”

Section: Introductionmentioning

confidence: 99%

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<p>Long-Term Effects of Pedometer-Based Physical Activity Coaching in Severe COPD: A Randomized Controlled Trial</p>

Kohlbrenner

Sievi

Senn

et al. 2020

COPD

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Background and Objective: Limited evidence on long-term effects of physical activity programs in COPD is available. The aim of the study was to investigate the effects of a threemonth program combining physical activity counselling and pedometer-based feedback in addition to usual care, followed by a nine-month unsupervised observation period as compared to usual care in participants with severe to very severe COPD. Methods: Participants were randomized to either a control group receiving usual care or an intervention group receiving motivational support, an activity diary with an individual step count goal (ie, an increase of ≥15% from baseline) and a pedometer in addition to usual care. The intervention ended after three months and an unsupervised observational period followed until twelve months. Primary outcome was daily step count after one year. Results: Seventy-four participants were included, 61 (82%) completed the study. Linear regression modelling, adjusted for baseline step count, showed no significant difference in change in step count after 12 months between the groups (Β = 547.33, 95% CI = −243.55/1338.20). Conclusion: A three-month program combining physical activity counselling and pedometer-based feedback in addition to usual care does not attenuate the declining course of physical activity in participants with severe and very severe COPD during a long term follow-up of one year as compared to usual care. This result was primarily determined by the low intervention response rates to the combined program. Clinical Trial Registration: www.ClinicalTrials.gov, NCT03114241.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

<p>Long-Term Effects of Pedometer-Based Physical Activity Coaching in Severe COPD: A Randomized Controlled Trial</p>

Kohlbrenner

Sievi

Senn

et al. 2020

COPD

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“…The duration of MVPA, defined as an intensity of ≥3.0 METs, is one of the most frequently employed indicators of PA [54][55][56][57][58][59]. Three METs is considered the metabolic rate obtained walking at 4.0 km/hour on flat and firm surfaced road, which is thought to be the normal walking speed of adults [60].…”

Section: Duration Of Mvpamentioning

confidence: 99%

“…The daily step count is one of the indicators of PA [57]. It is more familiar and easily understandable for the general population than other indicators.…”

Section: Step Countmentioning

confidence: 99%

Data Reproducibility and Effectiveness of Bronchodilators for Improving Physical Activity in COPD Patients

Minakata

Sasaki

2020

JCM

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Increasing physical activity (PA) in patients with chronic obstructive pulmonary disease (COPD) is an important issue, however, the effect of bronchodilators on PA is still controversial. The indicators of PA, as measured by an accelerometer, can easily fluctuate based on several factors, which might cause inconsistent results. In this review, we listed the indicators of PA and the factors influencing the reproducibility of indicators of PA, and reviewed reports in which the effects of bronchodilators on PA were evaluated by an accelerometer. Then, we investigated the association between the processing of influencing factors and the effectiveness of bronchodilators for improving the PA of COPD patients. Fifteen reports were extracted using the PubMed database. In all seven reports in which adjustment was performed for at least two of four influencing factors (non-wear time, data from days with special behavior, environmental factors, and number of valid days required to obtain reproducible data), bronchodilators showed beneficial effects on PA. No adjustment was made for any of these factors in any of the four bronchodilator-ineffective reports. This suggests that the processing of influencing factors to secure reproducibility might affect the results regarding the effectiveness of bronchodilators for improving PA in COPD patients.

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“…Clinical rehabilitation interventions incorporating exercise training, behaviour change and psychosocial support can increase tness, reduce breathlessness and improve quality of life in a range of cardiopulmonary diseases (9)(10)(11). A 2017 Cochrane systematic review ( ve trials, N = 206) provided moderate quality evidence of short-term improvements in exercise tolerance and health-related quality of life for people with pulmonary hypertension receiving supervised, exercise-based rehabilitation when compared to usual care, delivered over three to 15 weeks (12).…”

Section: Introductionmentioning

confidence: 99%

Development of a Complex Exercise Rehabilitation Intervention for People with Pulmonary Hypertension: The Supervised Pulmonary Hypertension Exercise Rehabilitation (SPHERe) Trial

Ennis

Sandhu

Bruce

et al. 2020

Preprint

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Background: People with pulmonary hypertension (PH) are not routinely referred for exercise rehabilitation despite the potential for reducing breathlessness and improving quality of life. We describe the development of a supervised exercise-based rehabilitation programme for this group. The intervention will be tested in a randomised controlled trial (Supervised Pulmonary Hypertension Exercise Rehabilitation trial: SPHERe).Methods: Work was completed in three phases; 1) systematic review, 2) stakeholder engagement with consensus from expert opinion, and 3) intervention piloting and acceptability testing. Our systematic reviews identified exercise interventions for pulmonary hypertension. The draft intervention was ratified through discussions with representatives from medicine, exercise physiology, psychology, and patients. We subsequently assessed the SPHERe intervention in a pre-pilot. Results: Systematic reviews report that exercise might be safe and effective in this population. We found that other exercise interventions were within existing international cardiopulmonary rehabilitation guidelines. Stakeholder opinion and consensus shaped components of the SPHERe intervention, including addition of individual behavioural education sessions to promote adherence to exercise. Our pre-pilot investigation identified a number of condition-specific issues relating to safety and fear avoidance. We addressed these by adding two familiarisation sessions. The development of comprehensive intervention training manuals for participants and practitioners will ensure standardised delivery.Discussion: The SPHERe intervention incorporates three main components: supervised gym exercise, behavioural strategies to encourage adherence, and a home exercise plan for people with pulmonary hypertension. We will evaluate the clinical and cost-effectiveness of the SPHERe intervention in a multicentre randomised controlled trial for people with pulmonary hypertension (ISCRTN no.:10608766)

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Interventions for promoting physical activity in people with chronic obstructive pulmonary disease (COPD)

Abstract: Interventions for promoting physical activity in people with chronic obstructive pulmonary disease (COPD).

Cited by 90 publications

References 246 publications

<p>Long-Term Effects of Pedometer-Based Physical Activity Coaching in Severe COPD: A Randomized Controlled Trial</p>

<p>Long-Term Effects of Pedometer-Based Physical Activity Coaching in Severe COPD: A Randomized Controlled Trial</p>

Data Reproducibility and Effectiveness of Bronchodilators for Improving Physical Activity in COPD Patients

Development of a Complex Exercise Rehabilitation Intervention for People with Pulmonary Hypertension: The Supervised Pulmonary Hypertension Exercise Rehabilitation (SPHERe) Trial

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