Interventions that included ET and PA counseling during PR were effective strategies to improve PA in COPD
BACKGROUND Physical inactivity is associated with poor outcomes in COPD , and as a result , interventions to improve physical activity ( PA ) are a current research focus .
However , many trials have been small and inconclusive .
OBJECTIVE The aim of this systematic review and meta- analysis was to study the effects of r and omized controlled trials ( RCTs ) targeting PA in COPD .
Improving physical activity in patients with COPD with urban walking circuits.
BACKGROUND Even after a rehabilitation program , levels of physical activity in COPD progressively decrease unless strategies to encourage activity are implemented . We analyzed the effects of the implementation of urban walking circuits on levels of physical activity and exercise capacity of patients with severe and very severe COPD after a rehabilitation program .  METHOD A total of 83 patients were r and omized to either urban circuits group ( UCG ) or usual care in the non-circuit group ( NCG )  , after completing a 2-week rehabilitation program . Results were evaluated 9 months after completion of the rehabilitation program and were compared with a control group of 54 patients not enrolled in the rehabilitation program .  RESULTS At the end of follow-up , UCG patients increased their physical activity by a mean of 32.4 ( SE = 5.9 ) min per day and 1.09 ( SE = 0.22 ) days walked per week ; 33.9 ( SE = 5.6 ) min per day and 1.12 ( SE = 0.24 ) days per week more compared to the NCG ( p < 0.001 ) . There was a significant positive correlation between the results of the 6-min walking test and minutes walked per day in the UCG ( r(2 ) = 0.52 , p < 0.05 ) but not in the NCG ( r(2 ) = 0.094 , p > 0.05 ) . Controls showed a significant decrease in exercise capacity and physical activity over the follow-up . CONCLUSIONS Urban circuits are an easy , inexpensive strategy , which demonstrated to be useful to stimulate physical activity in our population of severe and very severe COPD patients and result ed in increased exercise capacity even 9 months after completion of a rehabilitation program
Interventions that included ET and PA counseling during PR were effective strategies to improve PA in COPD
BACKGROUND Physical inactivity is associated with poor outcomes in COPD , and as a result , interventions to improve physical activity ( PA ) are a current research focus .
However , many trials have been small and inconclusive .
OBJECTIVE The aim of this systematic review and meta- analysis was to study the effects of r and omized controlled trials ( RCTs ) targeting PA in COPD .