Source: International Congress 2016 – Best abstracts in physical activity and telemedicine
Disease area: Airway diseases

Abstract

Hospital admissions due acute exacerbations of chronic obstructive pulmonary disease (AECOPD) have a negative effect on physical activity since the latter is reduced both during hospitalization and for a relatively prolonged period after discharge. To prevent the effects of deconditioning we conducted a randomized clinical trial (NCT01871025) using a step exercise protocol from the third day of hospital admission until one month after discharge.We recruited 22 consecutive patients hospitalized with AECOPD, who were randomized to an early intervention with step exercises (Chester Step Test) (intervention group, IG) or usual care (physiotherapy techniques for airway clearance, etc.) (n=11 in each group). The primary outcome was the level of physical activity four weeks after discharge.Patients had [mean (SD)] 67 (8) yrs. and were mostly male (82%), former smokers (70%) and frequent exacerbators (31%). FEV₁ was 33(11) % pred. and CAT reached 24(8) points. The median length of hospital stay was similar in both groups (6 days). One month after discharge, the time spent sitting per day was only significantly reduced in the IG (13 to 7 hours/day, p=0.007). In addition, the percentage of patients doing moderate to vigorous activity (>3 MET) more than 150 minutes/week was significantly higher in the IG compared with the usual care group (56 vs. 12%, p=0.04). Moreover, the number of steps per day showed a trend to also be higher in the former group (4282 vs. 2835, respectively).In conclusion, the use of an early intervention with step exercises during hospital admission and the recovery period improved the level of daily physical activities in patients with AECOPD one month after discharge.


Rating:

Share or cite this content

Citations should be made in the following way:
Diego Augustin Rodriguez (Barcelona, Spain), Diego Augustin Rodriguez, Anna Rodo-Pin, Mónica Guerrero, Roser Coll, Arturo Huerta, Nestor Soler, Ester Marco, Cristina Estirado, Antoni Torres, Eduard Monsó, Joaquim Gea. Impact of step exercises as an early intervention during COPD exacerbation. Eur Respir J 2016; 48: Suppl. 60, 2061

Member's Comments

No comment yet.

Related content which might interest you: Change in physical activity level following COPD exacerbation Source: International Congress 2015 – Best abstracts in physical activity in chronic lung diseases Year: 2015 The effects of physical activity coaching in patients with COPD after an acute exacerbation Source: International Congress 2014 – Exercise training and physical activity in patients with COPD Year: 2014 Physical activity and the use of COPD medication Source: International Congress 2015 – Best abstracts in physical activity in chronic lung diseases Year: 2015 Acute effects of exercise training in daily physical activity of patients with COPD Source: Annual Congress 2013 –New insights in the assessment of physical activity in daily life in patients with COPD, asthmatics and smokers Year: 2013 Importance of the initial behaviour of patients in avoiding late recovery from COPD exacerbations Source: Annual Congress 2013 –COPD: acute exacerbations and others Year: 2013 Effectiveness of pulmonary rehabilitation in different COPD stages Source: International Congress 2016 – Latest insights into pulmonary rehabilitation Year: 2016 The late impact of hospitalization on the daily life physical activity level in patients of COPD Source: International Congress 2015 – Rehabilitation, exercise, hospitalisation and COPD Year: 2015 Effects of a home-based early pulmonary rehabilitation program on health resources use after a severe exacerbation of COPD Source: Annual Congress 2013 –The latest insights in pulmonary rehabilitation (part 1) Year: 2013 Physical therapy effects on psychological functions in patients with acute COPD exacerbation Source: Annual Congress 2013 –Exercise, physiotherapy techniques and assessment methods in COPD and asthma Year: 2013 Annual recollection of exacerbations in patients with COPD: Impact on physical activity Source: Annual Congress 2013 –Exercise, physiotherapy techniques and assessment in COPD Year: 2013 Effect of physical inactivity on COPD exacerbations Source: Annual Congress 2013 –Risk factors for COPD and lung function decline Year: 2013 Early pulmonary rehabilitation for exacerbations of chronic respiratory disease (CRD): Functional results Source: Annual Congress 2013 –The best abstracts in extra-pulmonary features and pulmonary rehabilitation Year: 2013 Effect of rehabilitation course in COPD patients with emphysema phenotype Source: Annual Congress 2013 –The best posters in pulmonary rehabilitation Year: 2013 Comparison of daily life physical activity in patients with COPD and asthma COPD overlap syndrome Source: International Congress 2016 – Measuring physical activity in chronic respiratory disease Year: 2016 Effects of program of physical activity enhancement using pedometers in COPD patients Source: Annual Congress 2013 –The best posters in exercise testing and physical inactivity Year: 2013 Do pedometers maintain the benefits of pulmonary rehabilitation in COPD patients? Source: International Congress 2016 – Best abstracts in physical activity and telemedicine Year: 2016 Physical activity (PA) levels during recovery from severe acute exacerbations of COPD (AECOPD) Source: International Congress 2014 – Mechanisms of exercise limitation in health and disease Year: 2014 A self-treatment programme in patients with COPD: Effectiveness for the reduction of severe exacerbations Source: International Congress 2015 – Latest insights into chronic care Year: 2015 A targeted intervention for depression initiated during pulmonary rehabilitation improves adherence to exercise, mood and dyspnea after acute exacerbation of COPD (AECOPD) Source: Annual Congress 2013 –The best posters in pulmonary rehabilitation Year: 2013 The effect of pulmonary rehabilitation on exercise recovery times in COPD Source: Annual Congress 2013 –The latest insights in pulmonary rehabilitation (part 1) Year: 2013