Pulmonary rehabilitation and physical activity in patients with chronic obstructive pulmonary disease

Martijn A. Spruit, Fabio Pitta, Edward McAuley, Richard L. ZuWallack, Linda Nici

Research output: Contribution to journalReview article

Abstract

Physical inactivity is common in patients with chronic obstructive pulmonary disease (COPD) compared with age-matched healthy individuals or patients with other chronic diseases. Physical inactivity independently predicts poor outcomes across several aspects of this disease, but it is (at least in principle) treatable in patients with COPD. Pulmonary rehabilitation has arguably the greatest positive effect of any current therapy on exercise capacity in COPD; as such, gains in this area should facilitate increases in physical activity. Furthermore, because pulmonary rehabilitation also emphasizes behavior change through collaborative selfmanagement, it may aid in the translation of increased exercise capacity to greater participation in activities involving physical activity. Both increased exercise capacity and adaptive behavior change are necessary to achieve significant and lasting increases in physical activity in patients with COPD. Unfortunately, it is readily assumed that this translation occurs naturally. This concise clinical review will focus on the effects of a comprehensive pulmonary rehabilitation program on physical activity in patients with COPD. Changing physical activity behavior in patients with COPD needs an interdisciplinary approach, bringing together respiratory medicine, rehabilitation sciences, social sciences, and behavioral sciences.

Original languageEnglish (US)
Pages (from-to)924-933
Number of pages10
JournalAmerican Journal of Respiratory and Critical Care Medicine
Volume192
Issue number8
DOIs
StatePublished - Oct 15 2015

Keywords

  • Behavior change
  • COPD
  • Physical activity
  • Pulmonary rehabilitation
  • Self-efficacy

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine

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