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The relationship between physical activity and health status in patients with chronic obstructive pulmonary disease following pulmonary rehabilitation
journal contribution
posted on 2023-07-26, 14:44 authored by Oluwasomi F. Meshe, Leica S. Claydon, Hilary Bungay, Sharon AndrewAim: To investigate the relationship between physical activity (PA) and measures of health-related quality of life (HRQoL) and hospital admissions in people with chronic obstructive pulmonary disease (COPD) following pulmonary rehabilitation (PR). Method: CINAHL, Medline, PubMed, AMED, PsycINFO and Cochrane Library (database inception to July 2014) were searched. Relevant outcomes included relationships between PA and HRQoL, lung function (forced expiratory volume in one second, FEV1) and/or hospital admission. Six quantitative and 11 qualitative studies were included and Harden’s method of data synthesis in a mixed-methods systematic review was applied. Results: Six months following PR, increase activity levels was associated with improvement of 62m in 6MWD, 2.31 and 15.55 points increase in SGRQ and CRDQ total scores, respectively, 1.3% FEV1 and reduced dyspnoea. No study reported on hospital admission. Reported relationships were facilitated by healthcare professionals, social supporters, motivation and encouragement, reduced fear and seeing benefits and hindered by changing physical health, environment, lack of motivation, fear and social isolation. Conclusion: The associations between increased levels of PA and quality of life, respiratory function and dyspnoea are largely based on 6MWD and PA questionnaires. Objective measurement of free living activity in exercise maintenance phase is required along with participants’ views.
History
Refereed
- Yes
Volume
39Issue number
8Page range
746-756Publication title
Disability and RehabilitationISSN
1464-5165External DOI
Publisher
Taylor & FrancisLanguage
- other
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Legacy posted date
2019-09-10Legacy Faculty/School/Department
ARCHIVED Faculty of Health, Social Care & Education (until September 2018)Usage metrics
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