title: Physical Activity Counselling during Pulmonary Rehabilitation in Patients with COPD: A Randomised Controlled Trial.
abstract: 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. The intervention group was offered an additional eight-session activity counselling program. The primary outcomes were daily walking time and time spent in at least moderate intense activities.
  
  
  RESULTS
  Baseline daily walking time was similar in the intervention and control group (median 33 [interquartile range 16-47] vs 29 [17-44]) whereas daily time spent in at least moderate intensity was somewhat higher in the intervention group (17[4-50] vs 12[2-26] min). No significant intervention*time interaction effects were observed in daily physical activity levels. In the whole group, daily walking time and time spent in at least moderate intense activities did not significantly change over time.
  
  
  CONCLUSIONS
  The present study identified no additional effect of eight individual activity counselling sessions during pulmonary rehabilitation to enhance physical activity levels in patients with COPD.
  
  
  BACKGROUND
  clinicaltrials.gov NCT00948623.
authors.affiliation: KU Leuven, Faculty of Kinesiology and Rehabilitation Sciences, Leuven, Belgium.|KU Leuven, Respiratory Rehabilitation and Respiratory Division, University Hospitals, Leuven, Belgium.|Rehabilitation Research Centre, Biomedical Research Institute, Faculty of Medicine and Life Sciences, Hasselt University, Diepenbeek, Belgium.
authors.forename: Chris
authors.initials: C
authors.lastname: Burtin
authors.affiliation: KU Leuven, Faculty of Kinesiology and Rehabilitation Sciences, Leuven, Belgium.|KU Leuven, Respiratory Rehabilitation and Respiratory Division, University Hospitals, Leuven, Belgium.
authors.forename: Daniel
authors.initials: D
authors.lastname: Langer
authors.affiliation: KU Leuven, Faculty of Kinesiology and Rehabilitation Sciences, Leuven, Belgium.|KU Leuven, Respiratory Rehabilitation and Respiratory Division, University Hospitals, Leuven, Belgium.
authors.forename: Hans
authors.initials: H
authors.lastname: van Remoortel
authors.affiliation: KU Leuven, Faculty of Kinesiology and Rehabilitation Sciences, Leuven, Belgium.|KU Leuven, Respiratory Rehabilitation and Respiratory Division, University Hospitals, Leuven, Belgium.
authors.forename: Heleen
authors.initials: H
authors.lastname: Demeyer
authors.affiliation: KU Leuven, Faculty of Kinesiology and Rehabilitation Sciences, Leuven, Belgium.|KU Leuven, Respiratory Rehabilitation and Respiratory Division, University Hospitals, Leuven, Belgium.
authors.forename: Rik
authors.initials: R
authors.lastname: Gosselink
authors.affiliation: KU Leuven, Respiratory Rehabilitation and Respiratory Division, University Hospitals, Leuven, Belgium.
authors.forename: Marc
authors.initials: M
authors.lastname: Decramer
authors.affiliation: Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium.
authors.forename: Fabienne
authors.initials: F
authors.lastname: Dobbels
authors.affiliation: KU Leuven, Respiratory Rehabilitation and Respiratory Division, University Hospitals, Leuven, Belgium.
authors.forename: Wim
authors.initials: W
authors.lastname: Janssens
authors.affiliation: KU Leuven, Faculty of Kinesiology and Rehabilitation Sciences, Leuven, Belgium.|KU Leuven, Respiratory Rehabilitation and Respiratory Division, University Hospitals, Leuven, Belgium.
authors.forename: Thierry
authors.initials: T
authors.lastname: Troosters
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D016022:Case-Control Studies; D003376:Counseling; D005081:Exercise Therapy / Q000379:methods*; D017079:Exercise Tolerance; D005260:Female; D005500:Follow-Up Studies; D005541:Forced Expiratory Volume; D006801:Humans; D008297:Male; D011379:Prognosis; D029424:Pulmonary Disease, Chronic Obstructive / Q000503:physiopathology / Q000523:psychology* / Q000534:rehabilitation*; D016138:Walking