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Cited by 144Chronic Obstructive Pulmonary Disease (COPD) ResearchPhysical Activity and HealthCardiovascular and exercise physiology

Short- and long-term effects of a physical activity counselling programme in COPD: A randomized controlled trial

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Altenburg, Wytske A., ten Hacken, Nick H.T., Bossenbroek, Linda, Kerstjens, Huib A.M., de Greef, Mathieu H.G., Wempe, Johan B.·2015·Respiratory Medicine
DOI 10.1016/j.rmed.2014.10.020
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Abstract

Background We were interested in the effects of a physical activity (PA) counselling programme in three groups of COPD patients from general practice (primary care), outpatient clinic (secondary care) and pulmonary rehabilitation (PR). Methods In this randomized controlled trial 155 COPD patients, 102 males, median (IQR) age 62 (54-69) y, FEV1predicted 60 (40-75) % were assigned to a 12-weeks' physical activity counselling programme or usual care. Physical activity (pedometer (Yamax SW200) and metabolic equivalents), exercise capacity (6-min walking distance) and quality of life (Chronic Respiratory Questionnaire and Clinical COPD Questionnaire) were assessed at baseline, after three and 15 months. Results A significant difference between the counselling and usual care group in daily steps (803 steps, p = 0.001) and daily physical activity (2214 steps + equivalents, p = 0.001)) from 0 to 3 months was found in the total group, as well as in the outpatient (1816 steps, 2616 steps + equivalents, both p = 0.007) and PR (758 steps, 2151 steps + equivalents, both p = 0.03) subgroups. From 0 to 15 months no differences were found in physical activity. However, when patients with baseline physical activity>10,000 steps per day (n = 8), who are already sufficiently active, were excluded, a significant long-term effect of the counselling programme on daily physical activity existed in the total group (p = 0.02). Differences in exercise capacity and quality of life were found only from 0 to 3 months, in the outpatient subgroup. Conclusion Our PA counselling programme effectively enhances PA level in COPD patients after three months. Sedentary patients at baseline still benefit after 15 months. ClinicalTrials.gov: registration number NCT00614796.

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  • Physical activity behavioural modification interventions have been employed to address physical activity behaviour, with the majority of previous studies demonstrating promising results in patients with COPD.

    “PA behavioural modification interventions have been employed to address the complex behaviour of PA, with the majority of previous studies demonstrating promising results in patients with COPD [10][11][12][13][14][15][16].”

    From Behavioural modification interventions alongside pulmonary rehabilitation improve COPD patients’ experiences of physical activity (2021) · cites this paper as [10]

    The Introduction (page unavailable) describes two earlier pilot studies in COPD that suggested increased physical activity after counselling. The Results (page unavailable) also report a short-term increase in this trial. The paper does not establish that a majority of previous COPD studies had promising results. (LLM, conf=0.85)

    Experimental — accuracy not yet measured

  • To remain comparable with previous literature, the current study followed prior studies that provided PA counselling with standard care PR and did not give pedometers to the control group.

    “Secondly, in order to remain comparable with previous literature, we followed the procedure of several previous studies that implemented PA counselling alongside standard care PR [10,12,13,15], of which pedometers were not provided to the control group.”

    From Behavioural modification interventions alongside pulmonary rehabilitation improve COPD patients’ experiences of physical activity (2021) · cites this paper as [10]

    The Intervention and Discussion sections support that physical activity counselling was added to usual care, which included pulmonary rehabilitation for the PR subgroup. But the Primary outcome measures section says the usual-care group also wore pedometers for two weeks at each measurement point. Thus the claim that control participants were not given pedometers is inaccurate without the qualification that they did not receive them as part of the counselling intervention. (LLM, conf=0.91)

    Experimental — accuracy not yet measured

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Authors
Altenburg, W. A., ten Hacken, N. H. T., Bossenbroek, L., Kerstjens, H. A. M., de Greef, M. H. G., & Wempe, J. B.
Affiliations
University Medical Center Groningen (NL)
Corresponding author
Altenburg, Wytske A.
ORCID
Kerstjens, Huib A.M.
Venue
Respiratory Medicine
Publisher
Elsevier BV
Published
2015-01
Volume
109
Issue
1
Pages
112-121
ISSN
0954-6111 (ISSN-L)
DOI
10.1016/j.rmed.2014.10.020
OpenAlex
W2099455022
Cited by
143
References
50
Citations by year
2026: 4 · 2025: 4 · 2024: 15 · 2023: 11 · 2022: 18 · 2021: 15 · 2020: 16 · 2019: 11 · 2018: 12 · 2017: 20 · 2016: 8 · 2015: 9
FWCI
9.90
Type
journal article
Language
en
Open access
Licence
Locations
  • Respiratory Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion, other-oa)
  • University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, other-oa)
Funders
  • Boehringer Ingelheim
  • University Medical Centre Groningen
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 activity counseling, physical activity, exercise capacity, quality of life, pulmonary rehabilitation, primary care, outpatient clinics, step count, sedentary patients, long-term effects
MeSH terms
Aged, Counseling, Female, Forced Expiratory Volume, Humans, Male, Middle Aged, Motor Activity, Psychometrics, Quality of Life, Vital Capacity, Walking, Exercise Tolerance, Pulmonary Disease, Chronic Obstructive

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