{Reference Type}: Journal Article
{Title}: Patterns of physical activity of people with COPD during participation in a pulmonary rehabilitation program.
{Author}: Bishop JA;Spencer LM;Dwyer TJ;McKeough ZJ;McAnulty A;Cheng S;Alison JA;
{Journal}: Respir Med
{Volume}: 231
{Issue}: 0
{Year}: 2024 Sep 4
{Factor}: 4.582
{DOI}: 10.1016/j.rmed.2024.107724
{Abstract}: <B>BACKGROUND: </B>Very few studies have examined patterns of physical activity (PA) during a pulmonary rehabilitation (PR) program in people with COPD.<BR><B>OBJECTIVE: </B>To compare the patterns of PA in: 1) the week before commencing PR (pre-PR) with a week during PR (PR week); 2) PR days and non-PR days during a PR week; 3) pre-PR and the week following PR completion (post-PR).<BR><B>METHODS: </B>This was a multicenter, prospective cohort study. Participants attended twice weekly supervised PR for 8-12 weeks. Daily step count (primary outcome), time in light activities, time in moderate to vigorous PA (MVPA), total sedentary time and sit-to-stand (STS) transitions were measured using a thigh worn accelerometer for seven days, at each assessment time point: pre-PR, PR week and post-PR.<BR><B>RESULTS: </B>29 participants, mean age (SD) 69years(7), FEV1 53%pred(16). The PR week compared to pre-PR, showed higher daily: step count (mean difference (95%CI)), 941steps(388-1494); and MVPA, 11mins(6-15), with no difference in: time in light activities, -1min(-6-5); total sedentary time, 7mins(-21-36); or STS transitions, 0(-5-6). PR days compared to non-PR days showed higher: step count, 2810steps(1706-3913); time in light activities 11mins(1-20); time in MVPA, 27mins(17-35) and STS transitions, 8(4-12), with no difference in total sedentary time: -33mins(-80-15). There were no differences in any PA measures post-PR compared to pre-PR (p < 0.05).<BR><B>CONCLUSIONS: </B>Daily step count and time spent in MVPA increased significantly during the PR week, solely due to increased PA on days participants attended PR.