Document Detail


Enhancement of daily physical activity increases physical fitness of outclinic COPD patients: results of an exercise counseling program.
MedLine Citation:
PMID:  19036552     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To investigate whether a 12-week pedometer-based exercise counseling strategy is feasible and effectively enhances daily physical activity in outclinic Chronic Obstructive Pulmonary Disease (COPD) patients who do not participate in a rehabilitation program in a controlled way. METHODS: 35 outclinic COPD patients (21 males, mean age 62 years, GOLD I-III, mean FEV(1)% predicted 64.7) were randomized for a 12-week individual pedometer-based exercise counseling program promoting daily physical activities or usual care. Daily physical activity (DigiWalker SW-200), physical fitness, health-related quality of life, self-efficacy, fatigue, depression and motivation to be physically active were assessed before and after the intervention. RESULTS: After the intervention, COPD patients in the exercise counseling group showed a significant increase in their mean number of steps/day (from 7087 to 7872), whereas the usual care group showed a decrease (from 7539 to 6172). Significant differences favoring the exercise counseling group were demonstrated in arm strength, leg strength, health-related quality of life and intrinsic motivation to be physically active. CONCLUSION: Our study shows that a 12-week pedometer-based exercise counseling strategy is feasible and effectively enhances daily physical activity, physical fitness, health-related quality of life and intrinsic motivation in outclinic COPD patients who do not participate in a rehabilitation program. PRACTICE IMPLICATIONS: The feasibility of our exercise counseling strategy is good and patients were motivated to participate.
Authors:
Gieneke Hospes; Linda Bossenbroek; Nick H T Ten Hacken; Peter van Hengel; Mathieu H G de Greef
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't     Date:  2008-11-25
Journal Detail:
Title:  Patient education and counseling     Volume:  75     ISSN:  0738-3991     ISO Abbreviation:  Patient Educ Couns     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-04-03     Completed Date:  2009-07-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8406280     Medline TA:  Patient Educ Couns     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  274-8     Citation Subset:  N    
Affiliation:
Rehabilitation Department, University Medical Center Groningen, Groningen, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Aged
Counseling*
Ergometry
Exercise*
Feasibility Studies
Female
Humans
Male
Middle Aged
Netherlands
Physical Fitness
Pulmonary Disease, Chronic Obstructive / rehabilitation*
Quality of Life

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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