Chest
Original ResearchCOPDAre Patients With COPD More Active After Pulmonary Rehabilitation?
Section snippets
Study Design
In this longitudinal study, physical activities in daily life, pulmonary function, submaximal exercise capacity (6-min walk test [6MWT]), maximal exercise capacity (cycling), respiratory and peripheral muscle force, functional status, and health-related quality of life were assessed before, 3 months after, and 6 months after attending a multidisciplinary pulmonary rehabilitation program. An analysis of the duration of continuously active periods was performed at baseline and at the end of the
Dropouts
Twelve patients (29%) dropped out of the rehabilitation program due to a lack of motivation or personal reasons (n = 7), unrelated problems (ie, orthopedic or GI; n = 4), or a sequence of three consecutive severe acute exacerbations requiring long-term hospitalization (n = 1). There were no statistically significant differences at baseline between the group of patients who dropped out (n = 12) and the group of patients who completed the program (n = 29), including measurements of physical
Discussion
The present study showed that exercise performance, muscle force, health-related quality of life, and functional status improved after 3 months of multidisciplinary pulmonary rehabilitation in COPD patients. However, the changes in physical activities in daily life in this period were limited to an improvement in movement intensity during walking in daily life. Improvement in the time spent walking in daily life was only obtained after 6 months of rehabilitation, together with a trend for
Acknowledgment
The authors thank the following professionals for their contribution to the present study: Iris Coosemans, Veronica Barbier, Ilse Muylaert, Chris Burtin, Anne Cattaert, Paul Baten, Rina Droogmans, Linda Stans, Dirk Delva, Stefaan Ledeganck, and Maarten Govaert.
References (37)
- et al.
Physical activity and hospitalization for exacerbation of COPD
Chest
(2006) - et al.
Can individualized rehabilitation improve functional independence in elderly patients with COPD?
Chest
(2005) - et al.
Respiratory muscle failure
Med Clin North Am
(1983) - et al.
Development and testing of the modified version of the pulmonary functional status and dyspnea questionnaire (PFSDQ-M)
Heart Lung
(1998) - et al.
Activity monitoring for assessment of physical activities in daily life in patients with chronic obstructive pulmonary disease
Arch Phys Med Rehabil
(2005) - et al.
Short- and long-term effects of outpatient rehabilitation in patients with chronic obstructive pulmonary disease: a randomized trial
Am J Med
(2000) - et al.
The effects of short-term and long-term pulmonary rehabilitation on functional capacity, perceived dyspnea, and quality of life
Chest
(2005) - et al.
Length and clinical effectiveness of pulmonary rehabilitation in outpatients with chronic airway obstruction
Chest
(2005) - et al.
Pulmonary rehabilitation for chronic obstructive pulmonary disease
Cochrane Database Syst Rev (database online)
(2006) - et al.
Pulmonary rehabilitation in chronic obstructive pulmonary disease
Am J Respir Crit Care Med
(2005)
Characteristics of physical activities in daily life in chronic obstructive pulmonary disease
Am J Respir Crit Care Med
Regular physical activity reduces hospital admission and mortality in chronic obstructive pulmonary disease: a population based cohort study
Thorax
Walking activity measured by accelerometry during respiratory rehabilitation
J Cardiopulm Rehabil
Monitoring daily activity during pulmonary rehabilitation using a triaxial accelerometer
J Cardiopulm Rehabil
Rehabilitation decreases exercise-induced oxidative stress in chronic obstructive pulmonary disease
Am J Respir Crit Care Med
Does aerobic training lead to a more active lifestyle and improved quality of life in patients with chronic heart failure?
Eur J Heart Fail
Effects of pulmonary rehabilitation on physical activities in daily life in COPD patients [abstract]
Proc Am Thorac Soc
Does pulmonary rehabilitation improve physical activities in daily life in COPD [abstract]?
Eur Respir J
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The study was performed at the University Hospital Gasthuisberg, Katholieke Universiteit Leuven, Leuven, Belgium.
The authors have reported to the ACCP that no significant conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.
Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).
- 1
Dr. Pitta is supported by Coordenção de Aperfeiçoamento de Nível Superior (CAPES)/Brasil.
- 2
Dr. Troosters is supported by a postdoctoral fellowship of the Fonds Wetenschappelijk Onderzoek (FWO), Vlaanderen, Belgium.