Strategies to Increase Physical Activity in Chronic Respiratory Diseases

Troosters, Thierry; Blondeel, Astrid; Rodrigues, Fernanda Machado; Janssens, Wim; Demeyer, Heleen

doi:10.1016/j.ccm.2019.02.017

Cited by 29 publications

(30 citation statements)

References 54 publications

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“…Participants with severe and very severe COPD experience impairment in multiple dimensions, such as PA, exercise capacity, and health-related quality-of-life. Our findings are in line with previous investigations, 10 suggesting that a one-dimensional target might not be sufficient to achieve relevant and sustained PA changes in this population. However, in some very specific patient groups simple PA counselling may be sufficient, while others do not respond to a combined intervention (ie, PA counselling and pedometer-based feedback).…”

supporting

confidence: 91%

“…9 Furthermore, limited evidence on the longterm effects of such programs is available. 2,10 Building on these findings, the combined program may be suitable for participants with more severe COPD, commonly experiencing more pronounced PA impairment and more severely impaired participation in activities of daily living.…”

Section: Introductionmentioning

confidence: 99%

“…We suggest to adapt PA interventions more closely to various phenotypes which have to be investigated in further studies. Considering the high behavioral contribution towards a change in PA, 10 a multidimensional and possibly repeated intervention might be required in severely diseased participants. Additionally, a certain threshold of exercise tolerance Notes: Data are B (95% confidence interval, p-value).…”

mentioning

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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supporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

mentioning

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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“…People with COPD experience a physical activity decline over time of ∼450 steps per year, which impacts negatively on HRQoL and lung function [49]. KORENY et al [50] identified three physical activity trajectory patterns (inactive, active decliners and active improvers) using a cohort of 293 patients with COPD.…”

Section: Oral Presentation On "Insights Into Rehabilitation and Physimentioning

confidence: 99%

ERS International Congress, Madrid, 2019: highlights from the Allied Respiratory Professionals' Assembly

et al. 2020

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This article provides an overview of outstanding sessions that were (co)organised by the Allied Respiratory Professionals' Assembly during the European Respiratory Society International Congress 2019 in Madrid, Spain. Session content was mainly targeted at allied respiratory professionals such as respiratory physiologists, respiratory physiotherapists and respiratory nurses, and is summarised in this document. Short take-home messages related to pulmonary function testing highlight the importance of quality control. Furthermore, novel findings regarding the assessment of functional status call attention to bodily factors that can affect functional status. Regarding pulmonary rehabilitation, data were presented about the use of equipment and type of exercise training in COPD and lung cancer. Recent developments in physical activity-related research give insight in enablers of physical activity after hospital admission. The importance of integrated respiratory care was also highlighted, with the occupational therapist, nurse, and nutritional and psychological counsellor playing a pivotal role, which relates directly to research in the field of respiratory nursing that formulates the need for more nursing led-interventions in the future. To conclude, this review provides readers with valuable insight into some of the emerging and future areas affecting clinical practice of allied healthcare professionals.

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“…PA promotion is included as a recommended non-pharmacological intervention for all stages of COPD in the GOLD strategy [11]. Several strategies to improve PA have been investigated in patients with COPD [12]. Coaching interventions with use of activity trackers showed significant improvements in PA [13,14].…”

Section: Introductionmentioning

confidence: 99%

Accuracy of consumer-based activity trackers as measuring tool and coaching device in patients with COPD and healthy controls

et al. 2020

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Background Consumer-based activity trackers are used to measure and improve physical activity. However, the accuracy of these devices as clinical endpoint or coaching tool is unclear. We investigated the use of two activity trackers as measuring and coaching tool in patients with Chronic Obstructive Pulmonary Disease (COPD) and healthy age-matched controls. Methods Daily steps were measured by two consumer-based activity trackers (Fitbit Zip, worn at the hip and Fitbit Alta, worn at the wrist) and a validated activity monitor (Dynaport Movemonitor) in 28 patients with COPD and 14 healthy age-matched controls for 14 consecutive days. To investigate the accuracy of the activity trackers as a clinical endpoint, mean step count per patient were compared with the reference activity monitor and agreement was investigated by Bland-Altman plots. To evaluate the accuracy of activity trackers as coaching tool, day-by-day differences within patients were calculated for all three devices. Additionally, consistency of ranking daily steps between the activity trackers and accelerometer was investigated by Kendall correlation coefficient. Results As a measuring tool, the hip worn activity tracker significantly underestimates daily step count in patients with COPD as compared to DAM (mean±SD Δ-1112±872 steps/day; p<0.0001). This underestimation is less prominent in healthy subjects (p = 0.21). The wrist worn activity tracker showed a non-significant overestimation of step count (p = 0.13) in patients with COPD, and a significant overestimation of daily steps in healthy controls (mean±SD Δ+1907±2147 steps/day; p = 0.006). As a coaching tool, both hip and wrist worn activity tracker were able to pick up the day-by-day variability as measured by Dynaport (consistency of ranking resp. r = 0.80; r = 0.68 in COPD).

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Strategies to Increase Physical Activity in Chronic Respiratory Diseases

Cited by 29 publications

References 54 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>

ERS International Congress, Madrid, 2019: highlights from the Allied Respiratory Professionals' Assembly

Accuracy of consumer-based activity trackers as measuring tool and coaching device in patients with COPD and healthy controls

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