Physical Activity Counselling during Pulmonary Rehabilitation in Patients with COPD: A Randomised Controlled TrialReport as inadecuate




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Background

Pulmonary rehabilitation programs only modestly enhance daily physical activity levels in patients with chronic obstructive pulmonary disease COPD. This randomised controlled trial investigates the additional effect of an individual activity counselling program during pulmonary rehabilitation on physical activity levels in patients with moderate to very severe COPD.

Methods

Eighty patients 66±7 years, 81% male, forced expiratory volume in 1 second 45±16% of predicted referred for a six‐month multidisciplinary pulmonary rehabilitation program were randomised. The intervention group was offered an additional eight-session activity counselling program. The primary outcomes were daily walking time and time spent in at least moderate intense activities.

Results

Baseline daily walking time was similar in the intervention and control group median 33 interquartile range 16–47 vs 29 17–44 whereas daily time spent in at least moderate intensity was somewhat higher in the intervention group 174–50 vs 122–26 min. No significant intervention*time interaction effects were observed in daily physical activity levels. In the whole group, daily walking time and time spent in at least moderate intense activities did not significantly change over time.

Conclusions

The present study identified no additional effect of eight individual activity counselling sessions during pulmonary rehabilitation to enhance physical activity levels in patients with COPD.

Trial Registration

clinicaltrials.gov NCT00948623



Author: Chris Burtin, Daniel Langer, Hans van Remoortel, Heleen Demeyer, Rik Gosselink, Marc Decramer, Fabienne Dobbels, Wim Janssens, Th

Source: http://plos.srce.hr/



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