Interventions to modify physical activity in patients with COPD: a systematic review.
The broad range of interventions to increase physical activity (PA) in patients with chronic obstructive pulmonary disease (COPD) has not been systematically assessed. We aimed to perform a systematic review of the interventional studies that have assessed PA as an outcome in patients with COPD.A systematic search in five different databases (Medline, Embase, PsycINFO, CINAHL and Web of Science) was performed in March 2015. Two independent reviewers analysed the studies against the inclusion criteria (COPD defined by spirometry; prospective, randomised/nonrandomised studies, cohort and experimental studies with interventions using PA as an outcome), extracted the data and assessed the quality of evidence.60 studies were included. Seven intervention groups were identified. PA counselling increased PA levels in COPD, especially when combined with coaching. 13 studies showed positive effects of pulmonary rehabilitation (PR) on PA, while seven studies showed no changes. All three PR programmes >12 weeks in duration increased PA. Overall, the quality of evidence was graded as very low.Interventions focusing specifically on increasing PA, and longer PR programmes, may have greater impacts on PA in COPD. Well-designed clinical trials with objective assessment of PA in COPD patients are needed.
ELEGI and COLT Laboratories, The Queen's Medical Research Institute, The University of Edinburgh, Edinburgh, UK.
Leandro Cruz
LC
Mantoani
ELEGI and COLT Laboratories, The Queen's Medical Research Institute, The University of Edinburgh, Edinburgh, UK.
Noah
N
Rubio
Edinburgh Health Services Research Unit/Edinburgh Clinical Trials Unit, Western General Hospital, Edinburgh, UK Telescot Research Programme, Usher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Edinburgh, UK.
Brian
B
McKinstry
ELEGI and COLT Laboratories, The Queen's Medical Research Institute, The University of Edinburgh, Edinburgh, UK.
William
W
MacNee
ELEGI and COLT Laboratories, The Queen's Medical Research Institute, The University of Edinburgh, Edinburgh, UK Roberto.Rabinovich@ed.ac.uk.
Roberto A
RA
Rabinovich
D003376:Counseling; D015444:Exercise; D017079:Exercise Tolerance; D006801:Humans; D015397:Program Evaluation; D029424:Pulmonary Disease, Chronic Obstructive / Q000503:physiopathology* / Q000534:rehabilitation*; D016032:Randomized Controlled Trials as Topic; D013147:Spirometry