Physical inactivity as a sign of deterioration in the patient with chronic obstructive pulmonary disease
DOI:
https://doi.org/10.19230/jonnpr.3680Keywords:
Chronic obstructive pulmonary disease, Physical activity, Physical capacityAbstract
Objective. The main objective of this literature review is to analyze the benefits of physical exercise in patients with COPD.
The secondary objective will be to demonstrate that COPD patients have a lower daily AF than healthy controls.
Method. A systematic review of scientific articles has been carried out whose purpose was to evaluate different interventions based on physical activity in patients with COPD, in order to determine the possible benefits that these patients could obtain.
For this, Pubmed and Web of science (WOS) search portals have been used as bibliographic databases.
Results. 26 articles were selected examining the effects of different AF-based interventions on different clinical aspects of COPD patients.
The studies show that changes in the level of PA, both in stable COPD patients and those found during an exacerbation, are associated with changes in clinical and functional variables of great importance for their health and quality of life. patients.
In our analysis, it is verified how the different methods to increase physical exercise are beneficial stimuli to increase PA and cause positive effects on factors directly related to physical activity itself, such as exercise capacity or distance traveled.
Conclusions. –In COPD, physical inactivity is part of the vicious circle that causes the limitations suffered by patients in daily life.
–Physical activity on a regular basis improves the quality of life of COPD patients, and decreases the number of hospitalizations and exacerbation mortality.
–Physical activity is the strongest predictor of death in the year following an exacerbation.
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References
González CE. Impacto del cambio en la actividad física en diferentes indicadores de resultados en pacientes con Enfermedad Pulmonar Obstructiva Crónica (EPOC). 2018;124.
Miravitlles M, Soler-Cataluña JJ, Calle M, et al. Guía española de la EPOC (GesEPOC). Actualización 2014. Arch Bronconeumol 2014;50:1–16.
Alfageme I, de Lucas P, Ancochea J, et al. Nuevo estudio sobre la prevalencia de la EPOC en España: resumen del protocolo EPISCAN II, 10 años después de EPISCAN. Arch Bronconeumol 2019;55(1):38–47.
Casaburi R, ZuWallack R. Pulmonary Rehabilitation for Management of Chronic Obstructive Pulmonary Disease. N Engl J Med 2009;360(13):1329–35.
Troosters T, Bourbeau J, Maltais F, et al. Enhancing exercise tolerance and physical activity in COPD with combined pharmacological and non-pharmacological interventions: PHYSACTO randomised, placebo-controlled study design. BMJ Open [Internet] 2016 [cited 2019 Dec 17];6(4). Available from: https://bmjopen.bmj.com/content/6/4/e010106
Cindy Ng LW, Mackney J, Jenkins S, Hill K. Does exercise training change physical activity in people with COPD? A systematic review and meta-analysis. Chron Respir Dis 2012;9(1):17–26.
Esteban C. Impacto de la actividad física en la EPOC. Arch Bronconeumol 2009;45:7–13.
Marcos P, Rubio T, Martíneza E, et al. EPOC: consenso de expertos EXPERT 10 Ejercicio/actividad diaria. Monogr Arch Bronconeumol 2014;1:40–9.
Maneiro Higuera F, González Lorenzo F. Nuevos métodos de valoración de la Enfermedad Pulmonar Obstructiva Crónica, su adecuación a la evaluación del menoscabo y la incapacidad. Med Segur Trab 2015;61(240):367–77.
Watz H, Pitta F, Rochester CL, et al. An official European Respiratory Society statement on physical activity in COPD. Eur Respir J 2014;44(6):1521–37.
Nici L, Donner C, Wouters E, et al. American Thoracic Society/European Respiratory Society Statement on Pulmonary Rehabilitation. Am J Respir Crit Care Med 2006;173(12):1390–413.
Spruit MA, Singh SJ, Garvey C, et al. An Official American Thoracic Society/European Respiratory Society Statement: Key Concepts and Advances in Pulmonary Rehabilitation. Am J Respir Crit Care Med 2013;188(8):e13–64.
Zwerink M, van der Palen J, Kerstjens HAM, et al. A community-based exercise programme in COPD self-management: Two years follow-up of the COPE-II study. Respir Med 2014;108(10):1481–90.
Coultas DB, Jackson BE, Russo R, et al. A Lifestyle Physical Activity Intervention for Patients with Chronic Obstructive Pulmonary Disease. A Randomized Controlled Trial. Ann Am Thorac Soc 2016;13(5):617–26.
Marín Royo M, Pellicer Císcar C, González Villaescusa C, et al. Actividad física y su relación con el estado de salud en pacientes EPOC estables. Arch Bronconeumol 2011;47(7):335–42.
Donaire-Gonzalez D, Gimeno-Santos E, Balcells E, et al. Benefits of physical activity on COPD hospitalisation depend on intensity. Eur Respir J 2015;46(5):1281–9.
Ramos M, Lamotte M, Gerlier L, Svangren P, Miquel-Cases A, Haughney J. Cost-effectiveness of physical activity in the management of COPD patients in the UK. Int J Chron Obstruct Pulmon Dis 2019;14:227–39.
Farias CC, Resqueti V, Dias FAL, Borghi-Silva A, Arena R, Fregonezi GAF. Costs and benefits of Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease: a randomized controlled trial. Braz J Phys Ther 2014;18(2):165–73.
Esteban C, Quintana JM, Aburto M, et al. Impact of changes in physical activity on health-related quality of life among patients with COPD. Eur Respir J 2010;36(2):292–300.
Esteban C, Arostegui I, Aburto M, et al. Influence of changes in physical activity on frequency of hospitalization in chronic obstructive pulmonary disease. Respirology 2014;19(3):330–8.
Esteban C, Garcia-Gutierrez S, Legarreta MJ, et al. One-year Mortality in COPD After an Exacerbation: The Effect of Physical Activity Changes During the Event. COPD J Chronic Obstr Pulm Dis 2016;13(6):718–25.
Garcia-Aymerich J, Serra I, Gómez FP, et al. Physical Activity and Clinical and Functional Status in COPD. CHEST 2009;136(1):62–70.
Demeyer H, Louvaris Z, Frei A, et al. Physical activity is increased by a 12-week semiautomated telecoaching programme in patients with COPD: a multicentre randomised controlled trial. Thorax 2017;72(5):415–23.
Katajisto M, Kupiainen H, Rantanen P, et al. Physical inactivity in COPD and increased patient perception of dyspnea. Int J Chron Obstruct Pulmon Dis 2012;7:743–55.
Altenburg WA, ten Hacken NHT, Bossenbroek L, Kerstjens HAM, de Greef MHG, Wempe JB. Short- and long-term effects of a physical activity counselling programme in COPD: A randomized controlled trial. Respir Med 2015;109(1):112–21.
Casey D, Murphy K, Devane D, et al. The effectiveness of a structured education pulmonary rehabilitation programme for improving the health status of people with moderate and severe chronic obstructive pulmonary disease in primary care: the PRINCE cluster randomised trial. Thorax 2013;68(10):922–8.
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