Short- and long-term effects of a physical activity counselling programme in COPD: A randomized controlled trial

Abstract

Our PA counselling programme effectively enhances PA level in COPD patients after three months. Sedentary patients at baseline still benefit after 15 months. ClinicalTrials.gov: registration number NCT00614796.

Interventions to modify physical activity in patients with COPD: where do we go from here?

“…They offered an identical physical activity counselling intervention to three different patient populations. While the intervention was effective as a stand-alone therapy in patients with moderate impairments in functional exercise capacity it was less effective when offered in combination with a rehabilitation programme in more physically limited patients [30]. These latter patients were most likely perceiving more difficulties in engaging in physical activity, which might explain part of the differences in response.…”

“…Patients therefore find it difficult to further increase their participation in daily activities at home while participating in the rehabilitation programme. In a subgroup analysis of a randomised controlled trial, ALTENBURG et al [30] also observed that a physical activity counselling intervention offered during a rehabilitation programme resulted in less improvement than counselling offered as a standalone intervention in less impaired patients. Based on these observations future studies should focus on integrating physical activity coaching elements into the final phase of the rehabilitation programme.…”

“…specific motivation to engage in physical activities outside of the supervised exercise intervention and health beliefs about the potential benefits of engaging in these daily activities), should be registered during intervention studies. The complex interplay between physical, environmental and behavioural factors during interventions aimed at modifying physical activity behaviour is nicely illustrated in a study by ALTENBURG et al [30]. They offered an identical physical activity counselling intervention to three different patient populations.…”

Pedometer Step Count Targets during Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease. A Randomized Controlled Trial

“…To date, three small randomized controlled trials have explored the effect of pedometers as an adjunct to PR (10)(11)(12). The results were conflicting, reflecting intervention heterogeneity and trial methodologies.…”

The importance of physical activity

“…DE BLOK et al [77] found a 1000-step difference in increasing daily activity by adding a physical activity counselling programme to a 9-week PR programme, in comparison with a control group. More recently, the effects of pedometer-based programmes in patients with COPD have been investigated in more detail and increases in daily physical activity ranging 600-3000 steps have been reported in comparison with control groups [98][99][100][101][102][103]. Two studies reported a pedometer-based intervention, during which patients were coached by telephone [101,102].…”