Improving physical activity in patients with COPD with urban walking circuits

Summary Background Even after a rehabilitation program, levels of physical activity in COPD progressively decrease unless strategies to encourage activity are implemented. We analyzed the effects of the implementation of urban walking circuits on levels of physical activity and exercise capacity of...

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Bibliographic Details
Published in:Respiratory medicine 2013-12, Vol.107 (12), p.1948-1956
Main Authors: Pleguezuelos, Eulogio, Pérez, María Engracia, Guirao, Lluís, Samitier, Beatriz, Ortega, Pilar, Vila, Xavier, Solans, Margarita, Riera, Ariadna, Moreno, Eva, Merí, Alex, Miravitlles, Marc
Format: Article
Language:English
Subjects:
Aged
Analysis
Analysis of Variance
Chronic obstructive pulmonary disease
COPD
Exercise
Exercise Therapy - methods
Exercise Tolerance
Female
Forced Expiratory Volume - physiology
Functional capacity
Hospitals
Humans
Male
Mortality
Physical activity
Physical fitness
Pulmonary Disease, Chronic Obstructive - physiopathology
Pulmonary Disease, Chronic Obstructive - rehabilitation
Pulmonary/Respiratory
Quality of life
Rehabilitation
Urban Health
Vital Capacity - physiology
Walking
Walking - physiology
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Summary:Summary Background Even after a rehabilitation program, levels of physical activity in COPD progressively decrease unless strategies to encourage activity are implemented. We analyzed the effects of the implementation of urban walking circuits on levels of physical activity and exercise capacity of patients with severe and very severe COPD after a rehabilitation program. Method A total of 83 patients were randomized to either urban circuits group (UCG) or usual care in the non-circuit group (NCG), after completing a 2-week rehabilitation program. Results were evaluated 9 months after completion of the rehabilitation program and were compared with a control group of 54 patients not enrolled in the rehabilitation program. Results At the end of follow-up, UCG patients increased their physical activity by a mean of 32.4 (SE = 5.9) min per day and 1.09 (SE = 0.22) days walked per week; 33.9 (SE = 5.6) min per day and 1.12 (SE = 0.24) days per week more compared to the NCG ( p  
ISSN:0954-6111
1532-3064
DOI:10.1016/j.rmed.2013.07.008