title: Level of daily physical activity in chronic obstructive pulmonary disease (COPD) patients according to GOLD classification.
abstract: OBJECTIVE
  The Global Initiative for Chronic Obstructive Lung Disease (GOLD guideline) for patients with chronic obstructive pulmonary disease does not adequately reflect the impact of the disease because does not take into account daily physical activity (DPA).
  
  
  METHODS
  Forty eight patients (12 in each GOLD group) were prospectively recruited. DPA was evaluated by accelerometer. Patients were classified into 3 levels of activity (very inactive, sedentary, active).
  
  
  RESULTS
  No significant differences in levels of physical activity among GOLD groups (P=.361) were observed. The percentages of very inactive patients were 33% in group A, 42% in group B, 42% in group C and 59% in group D. In addition, high percentage of sedentary patients were observed through 4 groups, in group A (50%), B and C (42%, each), and group D (41%).
  
  
  CONCLUSIONS
  COPD patients has very low levels of physical activity at all stages of GOLD classification even those defined as low impact (such as GOLD A). Is necessary to detect patients at risk who might benefit from specific interventions.
authors.affiliation: Servicio de Neumología, Hospital del Mar, Institut Hospital del Mar-Parc de Salut Mar d'Investigacions Mèdiques (IMIM), Universitat Pompeu Fabra (UPF), CIBERES, (ISCiii), Barcelona, España; Servicio de Cardiología, Hospital del Mar, Institut Hospital del Mar-Parc de Salut Mar d'Investigacions Mèdiques (IMIM), Universitat Pompeu Fabra (UPF), Barcelona, España.
authors.forename: Anna
authors.initials: A
authors.lastname: Rodó-Pin
authors.affiliation: Servicio de Neumología, Hospital del Mar, Institut Hospital del Mar-Parc de Salut Mar d'Investigacions Mèdiques (IMIM), Universitat Pompeu Fabra (UPF), CIBERES, (ISCiii), Barcelona, España; Servicio de Cardiología, Hospital del Mar, Institut Hospital del Mar-Parc de Salut Mar d'Investigacions Mèdiques (IMIM), Universitat Pompeu Fabra (UPF), Barcelona, España.
authors.forename: Ana
authors.initials: A
authors.lastname: Balañá
authors.affiliation: Servicio de Cardiología, Hospital del Mar, Institut Hospital del Mar-Parc de Salut Mar d'Investigacions Mèdiques (IMIM), Universitat Pompeu Fabra (UPF), Barcelona, España.
authors.forename: Lluís
authors.initials: L
authors.lastname: Molina
authors.affiliation: Servicio de Neumología, Hospital del Mar, Institut Hospital del Mar-Parc de Salut Mar d'Investigacions Mèdiques (IMIM), Universitat Pompeu Fabra (UPF), CIBERES, (ISCiii), Barcelona, España; Servicio de Cardiología, Hospital del Mar, Institut Hospital del Mar-Parc de Salut Mar d'Investigacions Mèdiques (IMIM), Universitat Pompeu Fabra (UPF), Barcelona, España.
authors.forename: Joaquim
authors.initials: J
authors.lastname: Gea
authors.affiliation: Servicio de Neumología, Hospital del Mar, Institut Hospital del Mar-Parc de Salut Mar d'Investigacions Mèdiques (IMIM), Universitat Pompeu Fabra (UPF), CIBERES, (ISCiii), Barcelona, España; Servicio de Cardiología, Hospital del Mar, Institut Hospital del Mar-Parc de Salut Mar d'Investigacions Mèdiques (IMIM), Universitat Pompeu Fabra (UPF), Barcelona, España. Electronic address: darodriguez@parcdesalutmar.cat.
authors.forename: Diego A
authors.initials: DA
authors.lastname: Rodríguez
mesh_terms: D061725:Accelerometry; D000368:Aged; D015444:Exercise / Q000502:physiology / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D029424:Pulmonary Disease, Chronic Obstructive / Q000145:classification* / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology; D057185:Sedentary Behavior
keywords: Actividad física diaria; COPD; Clasificación; Classification; Daily physical activity; EPOC