Abstract
The aim of this study was to examine the use of pedometers as a tool to promote daily physical activity levels in patients with COPD.
A systematic review meta-analysis of pedometer physical activity promotion in patients with COPD was conducted. Medline/PubMed, Cochrane Library, Web of Science and CINAHL were searched from inception to January 2019. The search strategy included the following keywords: physical activity promotion, pulmonary rehabilitation and daily physical activity. The eligibility criteria for selecting studies were randomised controlled trials reporting pedometer physical activity promotion in patients with COPD.
Improvements in steps per day were found with pedometer physical activity promotion either standalone (n=12, mean 0.53 (95% CI 0.29–0.77); p=0.00001) or alongside pulmonary rehabilitation (n=7, 0.51 (0.13–0.88); p=0.006). A subgroup analysis reported significant differences in the promotion of physical activity based on baseline physical activity levels and the type of instrument used to assess levels of physical activity.
Future trials should consider the way in which pedometers are used to promote physical activity to inform clinical practice in the setting of pulmonary rehabilitation.
Abstract
Pedometer based physical activity promotion as a standalone intervention or alongside pulmonary rehabilitation induces meaningful improvements in daily physical activity levels (steps per day) in patients with COPD. http://bit.ly/2LnxM2o
Footnotes
This study is registered at www.crd.york.ac.uk/prospero/ with identifier CRD42018103893.
Provenance: Submitted article, peer reviewed.
Author contributions: M. Armstrong conducted the study, collected and analysed the data, and wrote the manuscript. N. Chynkiamis supported the collection of data. I. Vogiatzis, A. Winnard, S. Boyle and C. Burtin contributed to the review/editing of the manuscript. All authors read and approved the final manuscript.
Conflict of interest: M. Armstrong has nothing to disclose.
Conflict of interest: A. Winnard has nothing to disclose.
Conflict of interest: N. Chynkiamis has nothing to disclose.
Conflict of interest: S. Boyle has nothing to disclose.
Conflict of interest: C. Burtin has nothing to disclose.
Conflict of interest: I. Vogiatzis has nothing to disclose.
- Received April 4, 2019.
- Accepted July 11, 2019.
- Copyright ©ERS 2019.
This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 4.0.