Physical activity and sedentary behaviour: applying lessons to chronic obstructive pulmonary disease
Open accessAbstract
In health and disease, the benefits of regular participation in moderate to vigorous intensity physical activity are well documented. However, individuals with chronic conditions, such as those with chronic obstructive pulmonary disease (COPD), typically do very little activity at a moderate or vigorous intensity. Much of their day is instead spent in sedentary behaviour, such as sitting or reclining, which requires very little energy expenditure. This high level of time spent in sedentary behaviour can have serious health consequences, including increased risk of diabetes, cardiovascular disease and premature mortality. There is emerging evidence to suggest that participation in light intensity physical activities (e.g. standing or slow walking) may have benefits for cardio-metabolic health. Given the low aerobic capacity of individuals with moderate to severe COPD, increasing light intensity activity (through reducing sedentary time) may be a feasible additional strategy to improve health in this population, alongside traditional recommendations to increase the time spent in moderate to vigorous intensity physical activity. This review provides an overview of physical activity and sedentary behaviour, with a particular emphasis on these behaviours for people with COPD. It provides suggestions for the measurement of these behaviours within the clinical setting, as well as for interventions that may be effective at increasing physical activity and reducing sedentary behaviour…
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
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?
The associated inactive and sedentary lifestyle of many patients with pulmonary disease may increase the risk of nonfatal or fatal cardiovascular complications during or immediately after exercise.
“Individuals with pulmonary disease are no longer automatically referred for medical clearance because pulmonary disease does not increase the risks of nonfatal or fatal cardiovascular complications during or immediately after exercise; in fact, it is the associated inactive and sedentary lifestyle of many patients with pulmonary disease that may increase the risk of these events (23).”
From Updating ACSM's Recommendations for Exercise Preparticipation Health Screening (2015) · cites this paper as [23]
Pulmonary disease does not increase the risks of nonfatal or fatal cardiovascular complications during or immediately after exercise.
“Individuals with pulmonary disease are no longer automatically referred for medical clearance because pulmonary disease does not increase the risks of nonfatal or fatal cardiovascular complications during or immediately after exercise; in fact, it is the associated inactive and sedentary lifestyle of many patients with pulmonary disease that may increase the risk of these events (23).”
From Updating ACSM's Recommendations for Exercise Preparticipation Health Screening (2015) · cites this paper as [23]
Cites
Garber, C. E., Blissmer, B., Deschenes, M. R., Franklin, B. A., Lamonte, M. J., Lee, I.-M., Nieman, D. C., & Swain, D. P. (2011) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e318213fefb · Cited by 9,319 · see citing works
Global physical activity levels: surveillance progress, pitfalls, and prospects
Hallal, P. C., Andersen, L. B., Bull, F. C., Guthold, R., Haskell, W., & Ekelund, U. (2012) · The Lancet · doi:10.1016/s0140-6736(12)60646-1 · Cited by 5,711 · see citing works
Pulmonary rehabilitation for chronic obstructive pulmonary disease
McCarthy, B., Casey, D., Devane, D., Murphy, K., Murphy, E., & Lacasse, Y. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003793.pub3 · Cited by 2,643 · see citing works
Effective techniques in healthy eating and physical activity interventions: A meta-regression.
Michie, S., Abraham, C., Whittington, C., McAteer, J., & Gupta, S. (2009) · Health Psychology · doi:10.1037/a0016136 · Cited by 2,229 · see citing works
Wilmot, E. G., Edwardson, C. L., Achana, F. A., Davies, M. J., Gorely, T., Gray, L. J., Khunti, K., Yates, T., & Biddle, S. J. H. (2012) · Diabetologia · doi:10.1007/s00125-012-2677-z · Cited by 1,789 · see citing works
Sedentary time and cardio-metabolic biomarkers in US adults: NHANES 2003–06
Healy, G. N., Matthews, C. E., Dunstan, D. W., Winkler, E. A. H., & Owen, N. (2011) · European Heart Journal · doi:10.1093/eurheartj/ehq451 · Cited by 1,368 · see citing works
Self-citationGriffiths, T., Burr, M., Campbell, I., Lewis-Jenkins, V, Mullins, J., Shiels, K., Turner-Lawlor, P., Payne, N., Newcombe, R., Lonescu, A., et al. (2000) · The Lancet · doi:10.1016/s0140-6736(99)07042-7 · Cited by 952 · see citing works
Position statement on physical activity and exercise intensity terminology.
Norton, K., Norton, L., & Sadgrove, D. (2010) · Journal of Science and Medicine in Sport · doi:10.1016/j.jsams.2009.09.008 · Cited by 804 · see citing works
Healy, G. N., Dunstan, D. W., Salmon, J., Cerin, E., Shaw, J. E., Zimmet, P. Z., & Owen, N. (2007) · Diabetes Care · doi:10.2337/dc07-0114 · Cited by 627 · see citing works
Self-citationOwen, N., Salmon, J., Koohsari, M. J., Turrell, G., & Giles-Corti, B. (2014) · British Journal of Sports Medicine · doi:10.1136/bjsports-2013-093107 · Cited by 208 · 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
Standing-based office work shows encouraging signs of attenuating post-prandial glycaemic excursion
Buckley, J. P., Mellor, D. D., Morris, M., & Joseph, F. (2014) · Occupational and Environmental Medicine · doi:10.1136/oemed-2013-101823 · Cited by 124 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Updating ACSM's Recommendations for Exercise Preparticipation Health Screening
RIEBE, D., FRANKLIN, B. A., THOMPSON, P. D., GARBER, C. E., WHITFIELD, G. P., MAGAL, M., & PESCATELLO, L. S. (2015) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000000664 · Cited by 688 · see citing works
“or immediately after exercise; in fact, it is the associated inactive and sedentary lifestyle of many patients with pulmonary disease that may increase the risk of these events (23).”
BackgroundThe minimal important difference in physical activity in patients with COPD
Demeyer, H., Burtin, C., Hornikx, M., Camillo, C. A., Van Remoortel, H., Langer, D., Janssens, W., & Troosters, T. (2016) · PLOS ONE · doi:10.1371/journal.pone.0154587 · Cited by 282 · see citing works
Varas, A. B., Córdoba, S., Rodríguez‐Andonaegui, I., Rueda, M. R., García‐Juez, S., & Vilaró, J. (2018) · Physiotherapy Research International · doi:10.1002/pri.1740 · Cited by 48 · see citing works
- Authors
- Hill, K., Gardiner, P. A., Cavalheri, V., Jenkins, S. C., & Healy, G. N.
- Affiliations
- The University of Western Australia (AU)
- The University of Queensland (AU)
- Baker Heart and Diabetes Institute (AU)
- Corresponding author
- Hill, K.
- Venue
- Internal Medicine Journal
- Publisher
- Wiley
- Published
- 2015-05
- Volume
- 45
- Issue
- 5
- Pages
- 474-482
- ISSN
- 1444-0903 (ISSN-L)
- 1445-5994
- OpenAlex
- W2152882736
- Cited by
- 114
- References
- 12
- Citations by year
- 2026: 5 · 2025: 2 · 2024: 10 · 2023: 9 · 2022: 4 · 2021: 14 · 2020: 9 · 2019: 14 · 2018: 15 · 2017: 19 · 2016: 8 · 2015: 5
- FWCI
- 1.25
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- Internal Medicine Journal (publishedVersion)
- PubMed (publishedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion)
- eSpace (Curtin University) (submittedVersion, cc-by)
- Funders
- Heart Foundation (PH 12B 7054)
- NHMRC Centre for Research Excellence Grant (APP1041056, APP1000986)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Context-Aware Activity Recognition Systems
- Keywords
- chronic obstructive pulmonary disease, physical activity, sedentary behavior, light physical activity, moderate-to-vigorous physical activity, cardiometabolic health, physical activity measurement, physical activity interventions, sitting time
- MeSH terms
- Humans, Motor Activity, Patient Education as Topic, Exercise, Pulmonary Disease, Chronic Obstructive, Directive Counseling, Sedentary Behavior
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
