title: [Home-based exercise training and physical activity level over one year in COPD patients].
abstract: BACKGROUND
  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.
  
  
  RESULTS
  About 80% of the patients completed the program. They improved their exercise tolerance and their daily physical activity level, even one year after inclusion. However, more severe patients did not maintain these benefits. Daily physical activity quantity was also decreased in these patients one year after inclusion.
  
  
  CONCLUSIONS
  This home-based exercise training program is feasible and effective. Improvements are sustainable for the majority of patients. However, severe patients were not able to maintain these benefits. Other exercise training strategies may have to be considered in these patients.
authors.affiliation: Société Home Air, ZAC pôle actif, 12, avenue de la Fontanisse, 30660 Gallargues-le-Monteux, France. Electronic address: ddelample@gmail.com.
authors.forename: D
authors.initials: D
authors.lastname: Delample
authors.affiliation: Société Home Air, ZAC pôle actif, 12, avenue de la Fontanisse, 30660 Gallargues-le-Monteux, France.
authors.forename: É
authors.initials: É
authors.lastname: Chavignay
authors.affiliation: Inserm U 1046, université de Montpellier 1, 34090 Montpellier, France.
authors.forename: C
authors.initials: C
authors.lastname: Prefaut
mesh_terms: D000368:Aged; D000553:Ambulatory Care / Q000379:methods; D005081:Exercise Therapy / Q000379:methods*; D017079:Exercise Tolerance / Q000502:physiology; D005260:Female; D005500:Follow-Up Studies; D006699:Home Care Services; D006801:Humans; D008297:Male; D009043:Motor Activity / Q000502:physiology*; D063087:Noninvasive Ventilation; D005082:Physical Exertion / Q000502:physiology; D010865:Pilot Projects; D029424:Pulmonary Disease, Chronic Obstructive / Q000534:rehabilitation* / Q000628:therapy
keywords: BPCO; COPD; Domicile; Exercise training; Faisabilité; Home-based; Relevance; Réentraînement à l’effort; Severity; Sévérité