TY - JOUR
T1 - Improving physical activity in COPD
T2 - Towards a new paradigm
AU - Troosters, Thierry
AU - Van Der Molen, Thys
AU - Polkey, Michael
AU - Rabinovich, Roberto A.
AU - Vogiatzis, Ioannis
AU - Weisman, Idelle
AU - Kulich, Karoly
PY - 2013/10/30
Y1 - 2013/10/30
N2 - Chronic obstructive pulmonary disease (COPD) is a debilitating disease affecting patients in daily life, both physically and emotionally. Symptoms such as dyspnea and muscle fatigue, lead to exercise intolerance, which, together with behavioral issues, trigger physical inactivity, a key feature of COPD. Physical inactivity is associated with adverse clinical outcomes, including hospitalization and all-cause mortality. Increasing activity levels is crucial for effective management strategies and could lead to improved long-term outcomes. In this review we summarize objective and subjective instruments for evaluating physical activity and focus on interventions such as pulmonary rehabilitation or bronchodilators aimed at increasing activity levels. To date, only limited evidence exists to support the effectiveness of these interventions. We suggest that a multimodal approach comprising pulmonary rehabilitation, pharmacotherapy, and counselling programs aimed at addressing emotional and behavioural aspects of COPD may be an effective way to increase physical activity and improve health status in the long term.
AB - Chronic obstructive pulmonary disease (COPD) is a debilitating disease affecting patients in daily life, both physically and emotionally. Symptoms such as dyspnea and muscle fatigue, lead to exercise intolerance, which, together with behavioral issues, trigger physical inactivity, a key feature of COPD. Physical inactivity is associated with adverse clinical outcomes, including hospitalization and all-cause mortality. Increasing activity levels is crucial for effective management strategies and could lead to improved long-term outcomes. In this review we summarize objective and subjective instruments for evaluating physical activity and focus on interventions such as pulmonary rehabilitation or bronchodilators aimed at increasing activity levels. To date, only limited evidence exists to support the effectiveness of these interventions. We suggest that a multimodal approach comprising pulmonary rehabilitation, pharmacotherapy, and counselling programs aimed at addressing emotional and behavioural aspects of COPD may be an effective way to increase physical activity and improve health status in the long term.
KW - Activity monitors
KW - Bronchodilators
KW - COPD
KW - Physical activity
KW - Pulmonary rehabilitation
U2 - 10.1186/1465-9921-14-115
DO - 10.1186/1465-9921-14-115
M3 - Review article
C2 - 24229341
AN - SCOPUS:84887561577
SN - 1465-9921
VL - 14
JO - Respiratory Research
JF - Respiratory Research
IS - 1
M1 - 115
ER -