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"Daily physical activity" and "copd"

Helen Laura Cameron-Tucker, Richard Wood-Baker, Lyn Joseph, Julia A Walters, Natalie Schüz, E Haydn Walters
PURPOSE: With the limited reach of pulmonary rehabilitation (PR) and low levels of daily physical activity in chronic obstructive pulmonary disease (COPD), a need exists to increase daily exercise. This study evaluated telephone health-mentoring targeting home-based walking (tele-rehab) compared to usual waiting time (usual care) followed by group PR. PATIENTS AND METHODS: People with COPD were randomized to tele-rehab (intervention) or usual care (controls). Tele-rehab delivered by trained nurse health-mentors supported participants' home-based walking over 8-12 weeks...
2016: International Journal of Chronic Obstructive Pulmonary Disease
Henrik Watz, Claudia Mailänder, Monika Baier, Anne Kirsten
BACKGROUND: Physical activity limitation is common in chronic obstructive pulmonary disease (COPD), and is associated with worse health status, and increased hospitalisation and mortality. Long-acting bronchodilators, either alone or in combination, have been shown to improve exercise intolerance. However, none of these studies were designed with physical activity as primary outcome. This study assessed the effect of indacaterol/glycopyrronium fixed dose combination (IND/GLY) 110/50 μg once daily (OD) versus placebo on lung hyperinflation (inspiratory capacity [IC]) and physical activity in patients with moderate-to-severe COPD...
2016: BMC Pulmonary Medicine
Jean Bourbeau, Kim L Lavoie, Maria Sedeno, Dorothy De Sousa, Damijan Erzen, Alan Hamilton, François Maltais, Thierry Troosters, Nancy Leidy
INTRODUCTION: Chronic obstructive pulmonary disease is generally progressive and associated with reduced physical activity. Both pharmacological therapy and exercise training can improve exercise capacity; however, these are often not sufficient to change the amount of daily physical activity a patient undertakes. Behaviour-change self-management programmes are designed to address this, including setting motivational goals and providing social support. We present and discuss the necessary methodological considerations when integrating behaviour-change interventions into a multicentre study...
2016: BMJ Open
Sigrid Nw Vorrink, Helianthe Sm Kort, Thierry Troosters, Jan-Willem J Lammers
BACKGROUND: Patients with chronic obstructive pulmonary disease (COPD) demonstrate reduced levels of daily physical activity (DPA) compared to healthy controls. This results in a higher risk of hospital admission and shorter survival. Performing regular DPA reduces these risks. OBJECTIVE: To develop an eHealth intervention that will support patients with COPD to improve or maintain their DPA after pulmonary rehabilitation. METHODS: The design process consisted of literature research and the iterative developing and piloting phases of the Medical Research Council (MRC) model for complex clinical interventions and the involvement of end users...
2016: JMIR MHealth and UHealth
David B Coultas, Bradford E Jackson, Rennie Russo, Jennifer Peoples, John Sloan, Karan P Singh, Jamile Ashmore, Steven N Blair, Minyong Uhm, Sejong Bae
RATIONALE: Physical inactivity is associated with poor outcomes among patients with chronic obstructive pulmonary disease (COPD). OBJECTIVES: To determine effectiveness of a behavioral intervention intended to increase daily physical activity with the goal of improving health-related quality of life and functional performance. METHODS: We conducted a randomized trial among patients with COPD cared for in primary care and pulmonary clinics...
May 2016: Annals of the American Thoracic Society
Chris Burtin, Daniel Langer, Hans van Remoortel, Heleen Demeyer, Rik Gosselink, Marc Decramer, Fabienne Dobbels, Wim Janssens, Thierry Troosters
BACKGROUND: Pulmonary rehabilitation programs only modestly enhance daily physical activity levels in patients with chronic obstructive pulmonary disease (COPD). This randomised controlled trial investigates the additional effect of an individual activity counselling program during pulmonary rehabilitation on physical activity levels in patients with moderate to very severe COPD. METHODS: Eighty patients (66 ± 7 years, 81% male, forced expiratory volume in 1 second 45 ± 16% of predicted) referred for a six-month multidisciplinary pulmonary rehabilitation program were randomised...
2015: PloS One
Fabiano Di Marco, Pierachille Santus, Giovanni Sotgiu, Francesco Blasi, Stefano Centanni
In COPD patients a reduced daily activity has been well documented, resulting from both respiratory and non-respiratory manifestations of the disease. An evaluation by multisensory armband has confirmed that daily physical activity is mainly associated with dynamic hyperinflation, regardless of COPD severity. This aspect is crucial, since exercise capacity is closely correlated to life expectancy. Notwithstanding the causal key role of lung impairment in the patient's symptoms, some authors have suggested that other factors, such as systemic inflammation and co-morbidities, have an important role, particularly as mortality risk factors...
2015: COPD
Wen-Te Liu, Han-Pin Kuo, Tien-Hua Liao, Ling-Ling Chiang, Li-Fei Chen, Min-Fang Hsu, Hsiao-Chi Chuang, Kang-Yun Lee, Chien-Da Huang, Shu-Chuan Ho
COPD patients have an increased prevalence of osteoporosis (OP) compared with healthy people. Physical inactivity in COPD patients is a crucial risk factor for OP; the COPD assessment test (CAT) is the newest assessment tool for the health status and daily activities of COPD patients. This study investigated the relationship among daily physical activity (DPA), CAT scores, and bone mineral density (BMD) in COPD patients with or without OP. This study included 30 participants. Ambulatory DPA was measured using actigraphy and oxygen saturation by using a pulse oximeter...
2015: International Journal of Chronic Obstructive Pulmonary Disease
Zafeiris Louvaris, Ioannis Vogiatzis
EDUCATIONAL AIMS: To illustrate the common mechanisms limiting exercise tolerance in patients with chronic lung and heart diseaseTo highlight the impact of lung and heart disease on daily physical activity levelsTo outline the effects of cardiopulmonary rehabilitation on functional capacity in patients with chronic lung and heart diseaseTo discuss an innovative tele-rehabilitation intervention using information and communications technologies to improve functional capacity in patients with chronic lung and heart disease...
June 2015: Breathe
Yoshiaki Minakata, Yukiko Morishita, Tomohiro Ichikawa, Keiichiro Akamatsu, Tsunahiko Hirano, Masanori Nakanishi, Kazuto Matsunaga, Masakazu Ichinose
BACKGROUND: Improvement in the daily physical activity (PA) is important for the management of chronic obstructive pulmonary disease (COPD). However, the effects of pharmacologic treatment on PA are not well understood. We evaluated the effects of additional medications, including bronchodilator with or without inhaled corticosteroid, based on airflow limitation and breathlessness on the PA in COPD patients and the factors that could predict or affect the improvement in PA. METHODS: A prospective non-randomized observational study was employed...
2015: International Journal of Chronic Obstructive Pulmonary Disease
Benjamin Waschki, Anne M Kirsten, Olaf Holz, Kai-Christian Mueller, Miriam Schaper, Anna-Lena Sack, Thorsten Meyer, Klaus F Rabe, Helgo Magnussen, Henrik Watz
RATIONALE: Little is known about the role of physical activity in the course of chronic obstructive pulmonary disease (COPD). OBJECTIVES: To assess changes in physical activity in COPD in relation to severity stages and changes in other disease components, and to evaluate the longitudinal association between sustained physical inactivity and disease progression. METHODS: In this prospective cohort study, we measured physical activity (multisensory armband), airflow obstruction (FEV1), health status (St...
August 1, 2015: American Journal of Respiratory and Critical Care Medicine
Philippe Gagnon, Richard Casaburi, Didier Saey, Janos Porszasz, Steeve Provencher, Julie Milot, Jean Bourbeau, Denis E O'Donnell, François Maltais
BACKGROUND: We hypothesized that heterogeneity exists within the Global Initiative for Chronic Obstructive Lung Disease (GOLD) 1 spirometric category and that different subgroups could be identified within this GOLD category. METHODS: Pre-randomization study participants from two clinical trials were symptomatic/asymptomatic GOLD 1 chronic obstructive pulmonary disease (COPD) patients and healthy controls. A hierarchical cluster analysis used pre-randomization demographics, symptom scores, lung function, peak exercise response and daily physical activity levels to derive population subgroups...
2015: PloS One
D Delample, É Chavignay, C Prefaut
INTRODUCTION: The aim of our study was to investigate whether exclusive home-based training was feasible and effective in COPD patients and if patients have a persistent improvement in their level of physical activity after this intervention. METHODS: One hundred COPD patients (FEV1=42.6% predicted) first underwent 25 weekly sessions of supervised cycle ergometry training, followed by one year of monthly supervised follow-up. Six minutes walking test, endurance test, BODE index and activity monitoring were performed before, after and one year after inclusion...
November 2015: Revue des Maladies Respiratoires
Yu Nishijima, Seigo Minami, Suguru Yamamoto, Yoshitaka Ogata, Taro Koba, Shinji Futami, Kiyoshi Komuta
BACKGROUND: Indacaterol, a once-daily, long-acting β2-agonist, may improve not only respiratory function, dyspnea symptoms, and quality of life, but also physical activity for patients with chronic obstructive pulmonary disease (COPD). This study aimed to evaluate the effect of 12-week indacaterol therapy on daytime physical activity in patients with untreated COPD. METHODS: The subjects were stable and untreated COPD outpatients with a percent predicted forced expiratory volume in 1 second (%FEV1) below 80%...
2015: International Journal of Chronic Obstructive Pulmonary Disease
Michael T Durheim, Patrick J Smith, Michael A Babyak, Stephanie K Mabe, Tereza Martinu, Karen E Welty-Wolf, Charles F Emery, Scott M Palmer, James A Blumenthal
RATIONALE: The 2011 combined Global Initiative for Chronic Obstructive Lung Disease (GOLD) assessment incorporates symptoms, exacerbation history, and spirometry in discriminating risk of exacerbations in patients with chronic obstructive pulmonary disease (COPD). Six-minute-walk distance (6MWD) and accelerometry also have been used to assess disease severity in COPD. The association between these measures and the risks of hospitalization and mortality in the context of GOLD 2011 is unknown...
March 2015: Annals of the American Thoracic Society
Noriane A Sievi, Oliver Senn, Thomas Brack, Martin H Brutsche, Martin Frey, Sarosh Irani, Jörg D Leuppi, Robert Thurnheer, Daniel Franzen, Malcolm Kohler, Christian F Clarenbach
BACKGROUND AND OBJECTIVE: Both comorbidities and physical inactivity have been shown to impair quality of life and contribute to hospital admissions and mortality in chronic obstructive pulmonary disease (COPD) patients. We hypothesized that the comorbid status predicts the level of daily physical activity (PA) in COPD. METHODS: In 228 patients with COPD (76% men; median (quartiles) age: 64 (59/69) years; percentage of predicted forced expiratory volume in 1 s (FEV1 % pred): 44 (31/63)), comorbidities were assessed by medical history, clinical interviews, examination and blood analysis...
April 2015: Respirology: Official Journal of the Asian Pacific Society of Respirology
M Schönmann, N A Sievi, C F Clarenbach, T Brack, M Brutsche, M Frey, S Irani, J D Leuppi, J Ruediger, O Senn, R Thurnheer, M Kohler
PURPOSE: Acute exacerbations (AE) in patients with COPD are associated with a decline in lung function, increased risk of hospitalization, and mortality. In this cross-sectional study we tested whether the level of objectively measured daily physical activity and exercise capacity are associated with the number of COPD exacerbations. METHODS: In 210 patients with COPD (67 % men; mean (SD) age: 63 (8) years) enrolled in The Obstructive Pulmonary Disease Outcomes Cohort of Switzerland (TOPDOCS) physical activity (PA) (steps per day, physical activity level, (PAL)), exercise capacity (6-min walking distance, (6MWD)), comorbidities, lung function, and medication were assessed...
February 2015: Lung
Wytske A Altenburg, Nick H T ten Hacken, Linda Bossenbroek, Huib A M Kerstjens, Mathieu H G de Greef, Johan B Wempe
BACKGROUND: We were interested in the effects of a physical activity (PA) counselling programme in three groups of COPD patients from general practice (primary care), outpatient clinic (secondary care) and pulmonary rehabilitation (PR). METHODS: In this randomized controlled trial 155 COPD patients, 102 males, median (IQR) age 62 (54-69) y, FEV1predicted 60 (40-75) % were assigned to a 12-weeks' physical activity counselling programme or usual care. Physical activity (pedometer (Yamax SW200) and metabolic equivalents), exercise capacity (6-min walking distance) and quality of life (Chronic Respiratory Questionnaire and Clinical COPD Questionnaire) were assessed at baseline, after three and 15 months...
January 2015: Respiratory Medicine
Laura Mendoza, Paula Horta, José Espinoza, Miguel Aguilera, Nicolás Balmaceda, Ariel Castro, Mauricio Ruiz, Orlando Díaz, Nicholas S Hopkinson
Physical inactivity is a cardinal feature of chronic obstructive pulmonary disease (COPD), and is associated with increased morbidity and mortality. Pedometers, which have been used in healthy populations, might also increase physical activity in patients with COPD. COPD patients taking part in a 3-month individualised programme to promote an increase in their daily physical activity were randomised to either a standard programme of physical activity encouragement alone, or a pedometer-based programme. Assessments were performed by investigators blinded to treatment allocation...
February 2015: European Respiratory Journal: Official Journal of the European Society for Clinical Respiratory Physiology
Alina Croitoru, Miron Alexandru Bogdan
Pulmonary rehabilitation represents a modern therapeutic approach of respiratory diseases, with a multidisciplinary character, including: physical training, therapeutic education, psychosocial counseling, and nutritional approach. Pulmonary rehabilitation addresses to any patient suffering from pulmonary pathology whose quality of life is affected by the respiratory symptoms, regardless of the degree of functional impairment. This article is an analysis of evidences from the medical literature on outcomes of rehabilitation programs conducted in various lung diseases...
April 2014: Pneumologia: Revista Societății Române de Pneumologie
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