PT  - JOURNAL ARTICLE
AU  - Amanda R. van Buul
AU  - Marise J. Kasteleyn
AU  - Niels H. Chavannes
AU  - Christian Taube
TI  - Association between morning symptoms and physical activity in COPD: a systematic review
AID  - 10.1183/16000617.0033-2016
DP  - 2017 Mar 31
TA  - European Respiratory Review
PG  - 160033
VI  - 26
IP  - 143
4099  - http://err.ersjournals.com/content/26/143/160033.short
4100  - http://err.ersjournals.com/content/26/143/160033.full
SO  - EUROPEAN RESPIRATORY REVIEW2017 Mar 31; 26
AB  - Morning symptoms are common in chronic obstructive pulmonary disease (COPD). Many COPD patients consider the morning as the most troublesome part of the day, in which they experience more symptoms and physical activity limitations.To systematically report evidence of the association between morning symptoms and physical activity in COPD patients, a literature search was conducted using relevant MESH terms and text words in PubMed, Embase, Web of Science, COCHRANE, CINAHL and PsycINFO. Quality of the articles was assessed with validated checklists.Eight studies were included. Morning symptoms were present in 39.8–94.4%. In 37.0–90.6% of all COPD patients, there was an association between physical activity and morning symptoms. However, causality could not be proved. Morning symptoms were associated with a sedentary lifestyle (p<0.05). Treatment in line with the guidelines improved the degree of activity limitations due to morning symptoms (p<0.0001).Across all disease stages, COPD patients experience morning symptoms which are negatively associated with physical activity. Physicians should consider morning symptoms as a treatment goal. Pharmacotherapy may improve the degree of activity limitations due to morning symptoms. More objective research should focus on symptoms, activity limitations and physical inactivity of COPD patients, especially in the morning.Association between morning symptoms and physical activity in COPD http://ow.ly/SJQi301fvdD