An official European Respiratory Society statement on physical activity in COPD
Open accessAbstract
This European Respiratory Society (ERS) statement provides a comprehensive overview on physical activity in patients with chronic obstructive pulmonary disease (COPD). A multidisciplinary Task Force of experts representing the ERS Scientific Group 01.02 "Rehabilitation and Chronic Care" determined the overall scope of this statement through consensus. Focused literature reviews were conducted in key topic areas and the final content of this Statement was agreed upon by all members. The current knowledge regarding physical activity in COPD is presented, including the definition of physical activity, the consequences of physical inactivity on lung function decline and COPD incidence, physical activity assessment, prevalence of physical inactivity in COPD, clinical correlates of physical activity, effects of physical inactivity on hospitalisations and mortality, and treatment strategies to improve physical activity in patients with COPD. This Task Force identified multiple major areas of research that need to be addressed further in the coming years. These include, but are not limited to, the disease-modifying potential of increased physical activity, and to further understand how improvements in exercise capacity, dyspnoea and self-efficacy following interventions may translate into increased physical activity. The Task Force recommends that this ERS statement should be reviewed periodically (e.g. every 5-8 years).
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Improvements from pulmonary rehabilitation have not consistently translated into improvements in daily physical activity, particularly in patients with advanced COPD and low baseline exercise capacity.
“these findings have not consistently progressed into improvements in daily PA [7], particularly in patients with advanced COPD and low baseline exercise capacity [8].”
From Behavioural modification interventions alongside pulmonary rehabilitation improve COPD patients’ experiences of physical activity (2021) · cites this paper as [7]
We were able to recruit a patient population that is very inactive (physical activity level <1.4).
“We were able to recruit a patient population that is very inactive (physical activity level, , 1.4) (28, 51)”
From Health Coaching and Chronic Obstructive Pulmonary Disease Rehospitalization: A Randomized Study (2016) · cites this paper as [28]
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Validation of two activity monitors in patients with COPD
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Self-citationRisk factors and comorbidities in the preclinical stages of chronic obstructive pulmonary disease.
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Self-citationWalking Activity Measured by Accelerometry During Respiratory Rehabilitation
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A pilot study of an Internet walking program and pedometer in COPD
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Self-citationComparison of daily physical activity between COPD patients from Central Europe and South America
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…But Watch Out for the Weather
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Self-citationEffects of 2 Exercise Training Programs on Physical Activity in Daily Life in Patients With COPD
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Self-citationBronchoconstriction due to Cold Weather in COPD
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Self-citationDaily Step Count Is Associated With Plasma C-Reactive Protein and IL-6 in a US Cohort With COPD
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Self-citationExtrapulmonary effects of chronic obstructive pulmonary disease
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Patients With COPD With Higher Levels of Anxiety Are More Physically Active
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Self-citationPatient-reported physical activity questionnaires: a systematic review of content and format
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Self-citationStanford Seven-Day Physical Activity Recall questionnaire in COPD
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Self-citationPhysical Activity, Spirometry and Quality-of-Life in Chronic Obstructive Pulmonary Disease
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Self-citationFactors Related to Chronic Obstructive Pulmonary Disease Readmission in Taiwan
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Self-citationSevere Chronic Obstructive Pulmonary Disease
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Global Initiative for Chronic Obstructive Lung Disease 2023 Report: GOLD Executive Summary
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Self-citationGlobal Initiative for Chronic Obstructive Lung Disease 2023 Report: GOLD Executive Summary
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Self-citationThe minimal important difference in physical activity in patients with COPD
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Self-citationHealth Coaching and Chronic Obstructive Pulmonary Disease Rehospitalization: A Randomized Study
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Self-citationSedentary Behavior Is an Independent Predictor of Mortality in Subjects With COPD
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Self-citationA Systematic Review of Associations of Physical Activity and Sedentary Time with Asthma Outcomes
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Self-citationPhysical Activity, Air Pollution, and the Risk of Asthma and Chronic Obstructive Pulmonary Disease
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Exercise effects on physiological function during aging
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Self-citationPhysical Activity and Exercise Capacity in Severe Asthma: Key Clinical Associations
Cordova‐Rivera, L., Gibson, P. G., Gardiner, P. A., Powell, H. A., & McDonald, V. M. (2017) · The Journal of Allergy and Clinical Immunology In Practice · doi:10.1016/j.jaip.2017.09.022 · Cited by 113 · see citing works
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Self-citationPhysical activity and chronic obstructive pulmonary disease: a scoping review
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Self-citationAdvances in rehabilitation for chronic diseases: improving health outcomes and function
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Self-citationDecreased physical activity in adults with bronchial asthma
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Self-citationLifestyle interventions in prevention and comprehensive management of COPD
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Biomarkers of aging: from molecules and surrogates to physiology and function
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Current developments and future directions in respiratory physiotherapy
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Self-citationA randomised trial of a web-based physical activity self-management intervention in COPD
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Self-citationEffects of exercise training in water and on land in patients with COPD: a randomised clinical trial
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Prueba de caminata de 6 minutos: recomendaciones y procedimientos
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Strategies to Increase Physical Activity in Chronic Respiratory Diseases
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Objectively Measured Physical Activity as a COPD Clinical Trial Outcome
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“Can Do, Do Do” Quadrants and 6-Year All-Cause Mortality in Patients With COPD
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Self-citation
- Authors
- 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., Vogiatzis, I., Clini, E. M., Toth, M., Gimeno-Santos, E., Waschki, B., Esteban, C., Hayot, M., Casaburi, R., Porszasz, J., McAuley, E., Singh, S. J., Langer, D., Wouters, E. F. M., Magnussen, H., & Spruit, M. A.
- Affiliations
- Universidade Estadual de Londrina (BR)
- Yale University (US)
- Saint Francis Hospital & Medical Center (US)
- KU Leuven (BE)
- Ciro (NL)
- University of Basel (CH)
- Charité – Universitätsmedizin Berlin (DE)
- Imperial College London (GB)
- University of Vermont (US)
- University of California, Los Angeles (US)
- Glenfield Hospital (GB)
- ORCID
- Venue
- European Respiratory Journal
- Publisher
- European Respiratory Society (ERS)
- Published
- 2014-10-30
- Volume
- 44
- Issue
- 6
- Pages
- 1521-1537
- ISSN
- 0903-1936 (ISSN-L)
- 1399-3003
- OpenAlex
- W2105049595
- Cited by
- 526
- References
- 201
- Citations by year
- 2026: 28 · 2025: 35 · 2024: 27 · 2023: 37 · 2022: 39 · 2021: 61 · 2020: 37 · 2019: 53 · 2018: 57 · 2017: 60 · 2016: 51 · 2015: 38 · 2014: 3
- FWCI
- 40.57
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- European Respiratory Journal (publishedVersion)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (publishedVersion, other-oa)
- Pure (Coventry University) (publishedVersion, other-oa)
- Zurich Open Repository and Archive (University of Zurich) (acceptedVersion)
- Lirias (KU Leuven) (submittedVersion, other-oa)
- HAL (submittedVersion, other-oa)
- Document Server@UHasselt (UHasselt) (submittedVersion)
- Coventry University Open Collections (Coventry university) (submittedVersion)
- IRIS UNIMORE (University of Modena and Reggio Emilia) (submittedVersion, cc-by)
- Northumbria Research Link (Northumbria University) (submittedVersion)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion)
- The Open Collections (Coventry University) (submittedVersion)
- Research Publications (Maastricht University) (submittedVersion, other-oa)
- Zurich Open Repository and Archive (University of Zurich)
- Funders
- Yale University
- Royal Brompton and Harefield NHS Foundation Trust
- University Hospitals of Leicester NHS Trust
- Universitat Pompeu Fabra
- National Institute for Health and Care Research
- Imperial College London
- Coventry University
- Institut National de la Santé et de la Recherche Médicale
- Universiteit Maastricht
- Fonds Wetenschappelijk Onderzoek (G⋅0871⋅13)
- KU Leuven
- Maastricht Universitair Medisch Centrum
- National and Kapodistrian University of Athens
- Universität Zürich
- Universidade Estadual de Londrina
- Universiteit Hasselt
- Stichting De Weijerhorst
- Deutsches Zentrum für Lungenforschung
- University of Illinois at Urbana-Champaign
- 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, physical inactivity, lung function decline, COPD incidence, physical activity measurement, physical activity prevalence, hospitalization, mortality, exercise capacity, dyspnea, self-efficacy, physical activity interventions
- MeSH terms
- Activities of Daily Living, Europe, Exercise Therapy, Humans, Motor Activity, Societies, Medical, Exercise, Advisory Committees, Pulmonary Disease, Chronic Obstructive
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