Physical inactivity in patients with COPD, a controlled multi-center pilot-study
Open accessAbstract
Background Physical activity (PA) has been reported to be reduced in severe chronic obstructive pulmonary disease (COPD). Studies in moderate COPD are currently scarce. The aim of the present study was to investigate physical activity in daily life in patients with COPD (n=70) and controls (n=30).Methods A multi-center controlled study was conducted. PA was assessed using a multisensor armband device (SenseWear, BodyMedia, Pittsburgh, PA) and is reported as the average number of steps per day, and the time spent in mild and moderate physical activity.Results Patients suffered from mild (n=9), moderate (n=28), severe (n=23) and very severe (n=10) COPD. The time spent in activities with mild (80 + or - 69 min vs 160 + or - 89 min, p<0.0001) and moderate intensity (24 + or - 29 min vs 65 + or - 70 min; p<0.0036) was reduced in patients compared to controls. The number of steps reached 87 + or - 34%, 71 + or - 32%, 49 + or - 34% and 29 + or - 20% of control values in GOLD-stages I to IV respectively. The time spent in activities at moderate intensity was 53 + or - 47%, 41 + or - 45%, 31 + or - 47% and 22 + or - 34% of the values obtained in controls respectively with increasing GOLD-stage. These differences reached statistical significance as of GOLD stage II (p<0.05). No differences were observed among centers.Conclusions Physical activity is reduced early in the disease progression (as of GOLD-stage II). Reductions in physical activities at moderate intensity seem to precede the reduction in the amount of physical activities at lower intensity.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Patients with COPD have lower levels of daily physical activity than healthy age-matched peers.
“Patients with Chronic Obstructive Pulmonary Disease (COPD) have lower levels of daily physical activity (PA) than their healthy agematched peers [1][2][3][4].”
From Behavioural modification interventions alongside pulmonary rehabilitation improve COPD patients’ experiences of physical activity (2021) · cites this paper as [3]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Miller, M. R., Hankinson, J., Brusasco, V., Burgos, F., Casaburi, R., Coates, A., Crapo, R., Enright, P., van der Grinten, C. P. M., Gustafsson, P., et al. (2005) · European Respiratory Journal · doi:10.1183/09031936.05.00034805 · Cited by 15,627 · see citing works
‘Small Changes' to Diet and Physical Activity Behaviors for Weight Management
Hills, A. P., Byrne, N. M., Lindstrom, R. C., & Hill, J. O. (2013) · Obesity Facts · doi:10.1159/000345030 · Cited by 9,526 · see citing works
Compendium of physical activities: an update of activity codes and MET intensities
AINSWORTH, B. E., HASKELL, W. L., WHITT, M. C., IRWIN, M. L., SWARTZ, A. M., STRATH, S. J., O???BRIEN, W. L., BASSETT, D. R., SCHMITZ, K. H., EMPLAINCOURT, P. O., et al. (2000) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200009001-00009 · Cited by 8,497 · see citing works
Celli, B. R., MacNee, W., Agustí, A. G. N., Anzueto, A. R., Berg, B., Buist, A. S., Calverley, P. M., Chavannes, N. H., Dillard, T. A., Fahy, B. F., et al. (2004) · European Respiratory Journal · doi:10.1183/09031936.04.00014304 · Cited by 4,414 · see citing works
Pollock, M. L., Gaesser, G. A., Butcher, J. D., Despr??s, J.-P., Dishman, R. K., Franklin, B. A., & Garber, C. E. (1998) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-199806000-00032 · Cited by 3,051 · see citing works
Physical Activity and Public Health in Older Adults
Nelson, M. E., Rejeski, W. J., Blair, S. N., Duncan, P. W., Judge, J. O., King, A. C., Macera, C. A., & Castaneda‐Sceppa, C. (2007) · Circulation · doi:10.1161/circulationaha.107.185650 · Cited by 2,991 · see citing works
Using Pedometers to Increase Physical Activity and Improve Health: A Systematic Review
Bravata, D. M., Smith-Spangler, C., Sundaram, V., Gienger, A. L., Lin, N., Lewis, R., Stave, C. D., Olkin, I., & Sirard, J. R. (2007) · JAMA · doi:10.1001/jama.298.19.2296 · Cited by 2,064 · see citing works
How Many Steps/Day Are Enough?: Preliminary Pedometer Indices for Public Health
Tudor-Locke, C., & Bassett, D. R. (2004) · Sports Medicine · doi:10.2165/00007256-200434010-00001 · Cited by 2,054 · see citing works
American Thoracic Society/European Respiratory Society statement on pulmonary rehabilitation
Nici, L., Donner, C., Wouters, E., Zuwallack, R., Ambrosino, N., Bourbeau, J., Carone, M., Celli, B., Engelen, M., Fahy, B., et al. (2006) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200508-1211st · Cited by 1,966 · see citing works
Self-citationGlobal Strategy for the Diagnosis, Management and Prevention of COPD: 2003 update
Fabbri, L. M., & Hurd, S. S. (2003) · European Respiratory Journal · doi:10.1183/09031936.03.00063703 · Cited by 1,277 · see citing works
Characteristics of physical activities in daily life in chronic obstructive pulmonary disease
Pitta, F., Troosters, T., Spruit, M. A., Probst, V. S., Decramer, M., & Gosselink, R. (2005) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200407-855oc · Cited by 1,256 · see citing works
Self-citationGarcia-Aymerich, J., Lange, P., Benet, M., Schnohr, P., & Anto, J. M. (2006) · Thorax · doi:10.1136/thx.2006.060145 · Cited by 1,113 · see citing works
The International Prevalence Study on Physical Activity: results from 20 countries
Bauman, A. E., Bull, F., Chey, T., Craig, C. L., Ainsworth, B. E., Sallis, J. F., Bowles, H. R., Hagströmer, M., Sjöstróm, M., Pratt, M., et al. (2009) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-6-21 · Cited by 934 · see citing works
Waging war on modern chronic diseases: primary prevention through exercise biology
Booth, F. W., Gordon, S. E., Carlson, C. J., & Hamilton, M. T. (2000) · Journal of Applied Physiology · doi:10.1152/jappl.2000.88.2.774 · Cited by 693 · see citing works
Physical activity in patients with COPD
Watz, H., Waschki, B., Meyer, T., & MAGNUSSEN, H. (2008) · European Respiratory Journal · doi:10.1183/09031936.00024608 · Cited by 684 · see citing works
García‐Aymerich, J., Lange, P., Benet, M., Schnohr, P., & Antó, J. M. (2006) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200607-896oc · Cited by 508 · see citing works
Distribution and determinants of sedentary lifestyles in the European Union
Cenarruzabeitia, J. J. V., Martínez‐González, M. Á., de Irala, J., Kearney, J. M., Gibney, M. J., & Martínez, J. A. (2003) · International Journal of Epidemiology · doi:10.1093/ije/dyg116 · Cited by 471 · see citing works
Evaluation of a portable device to measure daily energy expenditure in free-living adults
St-Onge, M., Mignault, D., Allison, D. B., & RABASA-LHORET, R. P. R. (2007) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/85.3.742 · Cited by 395 · see citing works
Casaburi, R. H., Kukafka, D. S., Cooper, C. B., Witek, T. J., & Kesten, S. (2005) · CHEST Journal · doi:10.1378/chest.127.3.809 · Cited by 381 · see citing works
Extrapulmonary Effects of Chronic Obstructive Pulmonary Disease on Physical Activity
Watz, H., Waschki, B., Boehme, C., Claussen, M., Meyer, T., & MAGNUSSEN, H. (2007) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200707-1011oc · Cited by 367 · see citing works
Maltais, F., Hamilton, A., Marciniuk, D., Hernandez, P., Sciurba, F. C., Richter, K., Kesten, S., & O’Donnell, D. (2005) · Chest · doi:10.1378/chest.128.3.1168 · Cited by 305 · see citing works
Self-citationAre Patients With COPD More Active After Pulmonary Rehabilitation?
Pitta, F. D. O., Troosters, T., Probst, V. S., Langer, D., Decramer, M., & Gosselink, R. (2008) · CHEST Journal · doi:10.1378/chest.07-2655 · Cited by 297 · see citing works
Self-citationQuantitating Physical Activity in COPD Using a Triaxial Accelerometer
Steele, B. G., Holt, L., Belza, B. L., Ferris, S. T., Lakshminaryan, S., & Büchner, D. M. (2000) · CHEST Journal · doi:10.1378/chest.117.5.1359 · Cited by 289 · see citing works
Cooper, C. (2006) · American Journal of Medicine · doi:10.1016/j.amjmed.2006.08.004 · Cited by 250 · see citing works
de Blok, B. M. J., de Greef, M. H. G., ten Hacken, N. H. T., Sprenger, S. R., Postema, K., & Wempe, J. B. (2006) · Patient Education and Counseling · doi:10.1016/j.pec.2005.02.005 · Cited by 231 · see citing works
Rehabilitation Decreases Exercise-induced Oxidative Stress in Chronic Obstructive Pulmonary Disease
Mercken, E. M., Hageman, G. J., Schols, A. M. W. J., Akkermans, M. A., Bast, A., & Wouters, E. F. �. (2005) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200411-1580oc · Cited by 194 · see citing works
Can Individualized Rehabilitation Improve Functional Independence in Elderly Patients With COPD?
Sewell, L., Singh, S. J., Williams, J. E., Collier, R., & Morgan, M. D. L. (2005) · CHEST Journal · doi:10.1378/chest.128.3.1194 · Cited by 188 · see citing works
Evaluation of a movement detector to measure daily activity in patients with chronic lung disease
Schönhofer, B., Ardes, P., Geibel, M., Köhler, D., & Jones, P. (1997) · European Respiratory Journal · doi:10.1183/09031936.97.10122814 · Cited by 182 · see citing works
Lower limb activity and its determinants in COPD
Walker, P., Burnett, A., Flavahan, P. W., & Calverley, P. M. A. (2008) · Thorax · doi:10.1136/thx.2007.087130 · Cited by 153 · see citing works
Steele, B. G., Belza, B. L., Cain, K. C., Coppersmith, J., Lakshminarayan, S., Howard, J., & Haselkorn, J. K. (2008) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2007.11.003 · Cited by 147 · see citing works
Activity Monitoring and Energy Expenditure in COPD Patients: A Validation Study
Patel, S. A., Benzo, R. P., Slivka, W. A., & Sciurba, F. C. (2007) · COPD: Journal of Chronic Obstructive Pulmonary Disease · doi:10.1080/15412550701246658 · Cited by 144 · see citing works
Self-citationCorrelates of Physical Activity in Chronic Obstructive Pulmonary Disease
Belza, B. L., Steele, B. G., Hunziker, J., Lakshminaryan, S., Holt, L., & Büchner, D. M. (2001) · Nursing Research · doi:10.1097/00006199-200107000-00003 · Cited by 129 · see citing works
Validation of two activity monitors in patients with COPD
Langer, D., Gosselink, R., Sena, R. D. S., Burtin, C., Decramer, M., & Troosters, T. (2009) · Thorax · doi:10.1136/thx.2008.112102 · Cited by 123 · see citing works
Self-citationMethodology for Using Long-Term Accelerometry Monitoring to Describe Daily Activity Patterns in COPD
Hecht, A., Ma, S., Porszasz, J., Casaburi, R., & Netw, F. T. C. C. R. (2009) · COPD: Journal of Chronic Obstructive Pulmonary Disease · doi:10.1080/15412550902755044 · Cited by 91 · see citing works
Comparison of daily physical activity between COPD patients from Central Europe and South America
Pitta, F. D. O., Breyer, M., Hernandes, N. A., Teixeira, D. D. C., Sant'Anna, T. J. P., Fontana, A. D., Probst, V. S., Brunetto, A. F., Spruit, M. A., Wouters, E. F. �., et al. (2008) · Respiratory Medicine · doi:10.1016/j.rmed.2008.09.019 · Cited by 89 · see citing works
Monitoring Daily Activity During Pulmonary Rehabilitation Using a Triaxial Accelerometer
Steele, B. G., Belza, B. L., Hunziker, J., Holt, L., Legro, M. W., Coppersmith, J., Büchner, D. M., & Lakshminaryan, S. (2003) · Journal of Cardiopulmonary Rehabilitation · doi:10.1097/00008483-200303000-00011 · Cited by 81 · see citing works
Activity Monitors Can Detect Brisk Walking in Patients With Chronic Obstructive Pulmonary Disease
Singh, S. J., & Morgan, M. D. L. (2001) · Journal of Cardiopulmonary Rehabilitation · doi:10.1097/00008483-200105000-00004 · Cited by 75 · see citing works
A Profile of Daily Activity in Chronic Obstructive Pulmonary Disease
Sandland, C. J., Singh, S., Curcio, A., Jones, P. M., & Morgan, M. D. (2005) · Journal of Cardiopulmonary Rehabilitation · doi:10.1097/00008483-200505000-00011 · Cited by 72 · see citing works
Confusion and Conflict in Assessing the Physical Activity Status of Middle-Aged Men
Thompson, D., Batterham, A. M., Markovitch, D., Dixon, N. C., Lund, A. J. S., & Walhin, J.-P. (2009) · PLoS ONE · doi:10.1371/journal.pone.0004337 · Cited by 61 · see citing works
Rehabilitation decreases exercise-induced oxidative stress in chronic obstructive pulmonary disease
Mercken, E. M., Hageman, G. J., Schols, A. M. W. J., Akkermans, M. A., Bast, A., & Wouters, E. F. �. (2006) · Respiratory Medicine COPD Update · doi:10.1016/j.rmedu.2006.01.009 · Cited by 44 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
An official European Respiratory Society statement on physical activity in COPD
Watz, H., Pitta, F., Rochester, C. L., Garcia-Aymerich, J., ZuWallack, R., Troosters, T., Vaes, A. W., Puhan, M. A., Jehn, M., Polkey, M. I., et al. (2014) · European Respiratory Journal · doi:10.1183/09031936.00046814 · Cited by 526 · see citing works
Self-citationQuadriceps wasting and physical inactivity in patients with COPD
Shrikrishna, D., Patel, M., Tanner, R. J., Seymour, J. M., Connolly, B. A., Puthucheary, Z. A., Walsh, S. L. F., Bloch, S. A., Sidhu, P. S., Hart, N., et al. (2012) · European Respiratory Journal · doi:10.1183/09031936.00170111 · Cited by 331 · see citing works
Improving physical activity in COPD: towards a new paradigm
Troosters, T., van der Molen, T., Polkey, M., Rabinovich, R. A., Vogiatzis, I., Weisman, I., & Kulich, K. (2013) · Respiratory Research · doi:10.1186/1465-9921-14-115 · Cited by 158 · see citing works
Self-citationGimeno-Santos, E., Raste, Y., Demeyer, H., Louvaris, Z., de Jong, C., Rabinovich, R. A., Hopkinson, N. S., Polkey, M. I., Vogiatzis, I., Tabberer, M., et al. (2015) · European Respiratory Journal · doi:10.1183/09031936.00183014 · Cited by 151 · see citing works
Self-citationBerry, M. J., Justus, N. W., Hauser, J. I., Case, A. H., Helms, C. C., Basu, S., Rogers, Z., Lewis, M. T., & Miller, G. D. (2015) · Nitric Oxide · doi:10.1016/j.niox.2014.10.007 · Cited by 134 · see citing works
Armstrong, M., Hume, E., McNeillie, L., Chambers, F., Wakenshaw, L., Burns, G., Marshall, K. H., & Vogiatzis, I. (2021) · Respiratory Medicine · doi:10.1016/j.rmed.2021.106353 · Cited by 64 · see citing works
Boeselt, T., Spielmanns, M., Nell, C., Storre, J. H., Windisch, W., Magerhans, L., Beutel, B., Kenn, K., Greulich, T., Alter, P., et al. (2016) · PLOS ONE · doi:10.1371/journal.pone.0157229 · Cited by 35 · see citing works
- Authors
- Troosters, T., Sciurba, F., Battaglia, S., Langer, D., Valluri, S. R., Martino, L., Benzo, R., Andre, D., Weisman, I., & Decramer, M.
- Affiliations
- Universitair Ziekenhuis Leuven (BE)
- Mayo Clinic (US)
- University of Palermo (IT)
- Pfizer (United States) (US)
- Corresponding author
- Troosters, Thierry
- Venue
- Respiratory Medicine
- Publisher
- Elsevier BV
- Published
- 2010-07
- Volume
- 104
- Issue
- 7
- Pages
- 1005-1011
- ISSN
- 0954-6111 (ISSN-L)
- PMC
- PMC3471783
- OpenAlex
- W2077905775
- Cited by
- 371
- References
- 41
- Citations by year
- 2026: 7 · 2025: 17 · 2024: 9 · 2023: 17 · 2022: 10 · 2021: 27 · 2020: 20 · 2019: 22 · 2018: 22 · 2017: 34 · 2016: 27 · 2015: 34 · 2014: 39 · 2013: 29 · 2012: 24
- FWCI
- 22.67
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Respiratory Medicine (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Nova Science Publishers (Nova Science Publishers, Inc.) (submittedVersion)
- Funders
- National Cancer Institute (K23CA106544)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Keywords
- chronic obstructive pulmonary disease, physical inactivity, physical activity, daily step count, moderate physical activity, GOLD staging, disease progression, wearable activity monitoring
- MeSH terms
- Activities of Daily Living, Aged, Analysis of Variance, Exercise Test, Female, Forced Expiratory Volume, Humans, Italy, Male, Middle Aged, Motor Activity, Pilot Projects, Severity of Illness Index, Case-Control Studies, Disease Progression, Pulmonary Disease, Chronic Obstructive
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
