digital metabolic rehabilitation copd

Conditions: Metabolic Syndrome; Chronic Obstructive Pulmonary Disease

Summary: people with chronic obstructive pulmonary disease (copd) are at greater risk for metabolic syndrome (mets). although the management of mets will not cure copd, it can beneficially impact health outcomes and quality of life through lifestyle modifications. the study aims to determine if using the digital metabolic rehab program, which is based on preventive self-care and includes three key pillars of health: nutrition, fitness, and mindfulness, will be feasible to reduce or reverse mets for individuals living with copd.

it is estimated that 50% of patients with chronic obstructive pulmonary disease (copd) are at risk for having metabolic syndrome (mets). while copd is incurable, mets can be reduced by diet and exercise. yet, the evidence shows that lifestyle interventions with the self-management of health at home are low. thus, the canadian health advanced by nutrition and graded exercise (change) protocol and my viva plan® (mvp) were created. change protocol is a personalized approach to nutrition and exercise modification supported by an interprofessional team in primary care settings. mvp is a digital canadian self-care treatment program encompassing nutrition, fitness, and mindfulness. the investigators propose a 6-month digital metabolic rehabilitation program using change protocol + mvp to guide diet and self-awareness in 50 individuals diagnosed with copd and mets. assessments and measurements will be completed at baseline, 3 and 6 months. the study aims to determine the impact of the change protocol + mvp on reducing or reversing mets for individuals living with copd. this study will inform whether the digital metabolic rehab program directly impacts health and wellness among patients with copd and could become an essential tool for virtual, preventative self-care delivery in primary care.

Eligibility criteria:
inclusion criteria: * adult patients (18+) * copd stage 1 or 2 * identified by their family doctor as having at least two out of five mets factors * adjusted body mass index (bmi) between 26 to 40 * able to provide written informed consent in english exclusion criteria: * inability to speak, read or understand english * having a medical or physical condition that makes moderate-intensity physical difficult or unsafe * diagnosis of type 1 diabetes mellitus or type 2 diabetes mellitus with proliferative diabetic retinopathy, nephropathy (serum creatine \> 160 µmol/l), clinically significant neuropathy (defined as absent ankle jerks), severe hyperglycemia (fasting blood glucose \> 11 mmol/l), or claudication symptoms * significant medical co-morbidities, including uncontrolled metabolic disorders (e.g., thyroid, renal, liver), copd stages 3 or 4, heart failure stage d, stroke, and ongoing substance abuse, undergoing active treatment for cancer * clinically significant renal failure (.i.e., creatinine \> 200 µmol/l) * diagnosis of psychiatric disorders that would limit the adequate ability to comply with the study protocol * unable or unwilling to use technology to meet with the healthcare team and my viva plan to manage self-care

Keywords: web-based platform nutrition physical activity mindfulness primary care metabolic syndrome copd