Cited by 143Chronic Obstructive Pulmonary Disease (COPD) ResearchPhysical Activity and HealthCardiovascular and exercise physiology

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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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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: ten Hacken, Nick H.T.
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: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 731 d)
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 › Public Health, Environmental and Occupational Health › Physical Activity and Health
Health Sciences › Medicine › Physiology (medical) › 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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Short- and long-term effects of a physical activity counselling programme in COPD: A randomized controlled trial

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