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Short- and long-term effects of a physical activity counselling programme in COPD: A randomized controlled trial
Open accessAbstract
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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“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]
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“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]
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McEwan, D., Harden, S. M., Zumbo, B. D., Sylvester, B. D., Kaulius, M., Ruissen, G. R., Dowd, A. J., & Beauchamp, M. R. (2015) · Health Psychology Review · doi:10.1080/17437199.2015.1104258 · Cited by 307
Demeyer, H., Louvaris, Z., Frei, A., Rabinovich, R. A., de Jong, C., Gimeno-Santos, E., Loeckx, M., Buttery, S. C., Rubio, N., Van der Molen, T., et al. (2017) · Thorax · doi:10.1136/thoraxjnl-2016-209026 · Cited by 256
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Mantoani, L. C., Rubio, N., McKinstry, B., MacNee, W., & Rabinovich, R. (2016) · European Respiratory Journal · doi:10.1183/13993003.01744-2015 · Cited by 198
Self-management interventions for people with chronic obstructive pulmonary disease
Schrijver, J., Lenferink, A., Brusse-Keizer, M., Zwerink, M., van der Valk, P. D., van der Palen, J. A. M., & Effing, T. (2022) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002990.pub4 · Cited by 181
Metadata
- 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.
- Venue
- Respiratory Medicine
- Publisher
- Elsevier BV
- Published
- 2015-01
- Volume
- 109
- Issue
- 1
- Pages
- 112-121
- ISSN
- 0954-6111 (ISSN-L)
- 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
- 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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