Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/16580
Full metadata record
DC FieldValueLanguage
dc.contributor.authorLahham, Aroub-
dc.contributor.authorMcDonald, Christine F-
dc.contributor.authorHolland, Anne E-
dc.date.accessioned2017-02-19T22:37:02Z-
dc.date.available2017-02-19T22:37:02Z-
dc.date.issued2016-12-08-
dc.identifier.citationInternational Journal of Chronic Obstructive Pulmonary Disease 2016; 11(1): 3121-3136en_US
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/16580-
dc.description.abstractBACKGROUND: Physical inactivity is associated with poor outcomes in COPD, and as a result, interventions to improve physical activity (PA) are a current research focus. However, many trials have been small and inconclusive. OBJECTIVE: The aim of this systematic review and meta-analysis was to study the effects of randomized controlled trials (RCTs) targeting PA in COPD. METHODS: Databases (Physiotherapy Evidence Database [PEDro], Embase, MEDLINE, CINAHL and the Cochrane Central Register for Controlled Trials) were searched using the following keywords: "COPD", "intervention" and "physical activity" from inception to May 20, 2016; published RCTs that aimed to increase PA in individuals with COPD were included. The PEDro scale was used to rate study quality. Standardized mean differences (effect sizes, ESs) with 95% confidence intervals (CIs) were determined. Effects of included interventions were also measured according to the minimal important difference (MID) in daily steps for COPD (599 daily steps). RESULTS: A total of 37 RCTs with 4,314 participants (mean forced expiratory volume in one second (FEV1) % predicted 50.5 [SD=10.4]) were identified. Interventions including exercise training (ET; n=3 studies, 103 participants) significantly increased PA levels in COPD compared to standard care (ES [95% CI]; 0.84 [0.44-1.25]). The addition of activity counseling to pulmonary rehabilitation (PR; n=4 studies, 140 participants) showed important effects on PA levels compared to PR alone (0.47 [0.02-0.92]), achieving significant increases that exceeded the MID for daily steps in COPD (mean difference [95% CI], 1,452 daily steps [549-2,356]). Reporting of methodological quality was poor in most included RCTs. CONCLUSION: Interventions that included ET and PA counseling during PR were effective strategies to improve PA in COPD.en_US
dc.subjectChronic obstructiveen_US
dc.subjectInterventionsen_US
dc.subjectPhysical activityen_US
dc.subjectPulmonary diseaseen_US
dc.titleExercise training alone or with the addition of activity counseling improves physical activity levels in COPD: a systematic review and meta-analysis of randomized controlled trialsen_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleInternational Journal of Chronic Obstructive Pulmonary Diseaseen_US
dc.identifier.affiliationDiscipline of Physiotherapy, La Trobe University, Bundoora, Victoria, Australiaen_US
dc.identifier.affiliationInstitute for Breathing and Sleep, Heidelberg, Victoria, Australiaen_US
dc.identifier.affiliationDepartment of Respiratory and Sleep Medicine, Austin Health, Heidelberg, Victoria, Australiaen_US
dc.identifier.affiliationDepartment of Medicine, The University of Melbourne, Melbourne, Victoria, Australiaen_US
dc.identifier.affiliationDepartment of Physiotherapy, Alfred Health, Melbourne, Victoria, Australiaen_US
dc.identifier.pubmedurihttps://pubmed.ncbi.nlm.nih.gov/27994451en_US
dc.identifier.doi10.2147/COPD.S121263en_US
dc.type.contentTexten_US
dc.type.austinJournal Articleen_US
local.name.researcherHolland, Anne E
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.openairetypeJournal Article-
crisitem.author.deptInstitute for Breathing and Sleep-
crisitem.author.deptRespiratory and Sleep Medicine-
crisitem.author.deptInstitute for Breathing and Sleep-
crisitem.author.deptPhysiotherapy-
Appears in Collections:Journal articles
Show simple item record

Page view(s)

54
checked on Dec 22, 2024

Google ScholarTM

Check


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.